Taipei Medical University Institutional Repository:Item 987654321/2216
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    Please use this identifier to cite or link to this item: http://libir.tmu.edu.tw/handle/987654321/2216


    Title: Seasonal Variations in Urinary Calculi Attacks and the Association with Climate: A Population-based Study
    Authors: 林恆慶
    Chen YK;Lin HC;Chen CH;Yeh SD
    Contributors: 醫務管理學系
    Date: 2008
    Issue Date: 2009-08-18 16:29:02 (UTC+8)
    Abstract: Purpose: In this nationwide population based study we used 5-year data on urinary calculi patient visits to emergency
    departments in Taiwan to investigate the seasonal variation in urinary calculi attacks and the association with 5 climatic
    parameters.
    Materials and Methods: Comprehensive details on total admissions to emergency departments were obtained from the
    Taiwan National Health Insurance Research Database (1999 to 2003), providing monthly urinary calculi attack rates per
    100,000 of the population. Subgroups of urinary calculi incidences were created based on gender and 3 age groups (18 to 44,
    45 to 64 and 65 years old or older). Following adjustment for time trend effects, evaluation of the monthly urinary calculi
    attack rates and the effects of climatic factors was performed using auto-regressive integrated moving average regression
    methodology.
    Results: The seasonal trends in the monthly urinary calculi attack rates revealed a peak in July to September, followed by
    a sharp decline in October, with the auto-regressive integrated moving average tests for seasonality demonstrating significance
    for each gender group, for each age group and for the whole sample (all p 0.001). Although significant associations
    were found between ambient temperature, atmospheric pressure and hours of sunshine vis-à-vis monthly urinary calculi
    attack rates for the total population, after adjustment for trends and seasonality, ambient temperature was found to be the
    sole major factor having any positive association with the monthly attack rates.
    Conclusions: We conclude that seasonal variations do exist in the monthly urinary calculi attack rates for all age and gender
    populations, and that following time series statistical adjustment, only ambient temperature had any consistent association
    with monthly attack rates.
    Relation: Journal of Urology.(179):564-569.
    Data Type: article
    Appears in Collections:[School of Health Care Administration] Periodical Articles

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