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Association between air temperature and emergency admission for esophagogastric variceal bleeding: a case-crossover study in Beijing, China

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机构： [1]Department of Gastroenterology, Beijing Tongren Hospital, Capital Medical University, Beijing, China. [2]School of Public Health, Peking University, Beijing, China. [3]National Climate Center, China Meteorological Administration, Beijing, China. [4]Department of Gastroenterology, Beijing Shijitan Hospital, Capital Medical University, Beijing, China. [5]Cirrhosis Diagnosis and Treatment Center, Fifth Medical Center of PLA General Hospital, Beijing, China. [6]Department of Gastroenterology, Beijing Friendship Hospital, Capital Medical University National Clinical Research Center for Digestive Diseases Beijing Digestive Disease Center, Beijing Key Laboratory for Precancerous Lesion of Digestive Diseases, Beijing, China

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关键词： Temperature Liver cirrhosis Esophageal and gastric varices Cross-over studies

摘要：

Studies concerning the impact of air temperature on esophagogastric variceal bleeding (EGVB) have yielded conflicting results. Our study aimed to evaluate the correlation between air temperature and EGVB.A time-stratified case-crossover study design was performed. Patients received emergency gastroscopic hemostasis for upper gastrointestinal bleeding between Jan 1, 2014, and Dec 31, 2018 in the Fifth Medical Center of PLA General Hospital were enrolled. Conditional logistic regression analysis was applied to determine the association between air temperature and EGVB for different lag structures.A total of 4204 cirrhotic patients diagnosed with EGVB and received emergency gastroscopic hemostasis were enrolled. The mean number of daily EGVB cases peaked in October (2.65 ± 1.69) and fell to the lowest level in July (1.86 ± 1.38), and was 2.38 ± 1.58 in spring, 2.00 ± 1.46 in summer, 2.37 ± 1.58 in autumn, and 2.45 ± 1.58 in winter, respectively (P < 0.0001). In conditional logistic regression analysis, no significant correlations between air temperature and EGVB were observed and no significant difference were found when stratified by age, sex, etiology, liver cancer status, and grade of varices.Emergency admission for EGVB showed significant monthly and seasonal fluctuations, while in conditional logistic regression analysis, no association between minimum temperature and emergency admission for EGVB were observed.© 2023. The Author(s).

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出版当年[2022]版：

大类 | 4 区医学

小类 | 4 区胃肠肝病学

最新[2023]版：

大类 | 3 区医学

小类 | 4 区胃肠肝病学

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出版当年[2021]版：

Q4 GASTROENTEROLOGY & HEPATOLOGY

最新[2023]版：

Q2 GASTROENTEROLOGY & HEPATOLOGY Q3 GASTROENTEROLOGY & HEPATOLOGY

影响因子： 2.5 最新[2023版] 2.7 最新五年平均 2.848 出版当年[2021版] 3.227 出版当年五年平均 3.067 出版前一年[2020版] 2.4 出版后一年[2022版]

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第一作者机构： [1]Department of Gastroenterology, Beijing Tongren Hospital, Capital Medical University, Beijing, China.

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