TY - JOUR PY - 1999// TI - The rate and risk of heat-related illness in hospital emergency departments during the 1995 Chicago heat disaster JO - Journal of medical systems A1 - Rydman, R. J. A1 - Rumoro, D. P. A1 - Silva, J. C. A1 - Hogan, T. M. A1 - Kampe, L. M. SP - 41 EP - 56 VL - 23 IS - 1 N2 - OBJECTIVES: To conduct an Emergency Department (ED)-based treated prevalence study of heat morbidity and to estimate the rate and risk of heat morbid events for all Chicago MSA EDs (N = 95; 2.7 million visits per year). METHODS: ED patient log data were compiled from 13 randomly selected hospitals located throughout the Chicago MSA during the 2 weeks of the 1995 heat disaster and from the same 2-week period in 1994 (controls). Measurements included: age, sex, date, and time of ED service, up to three ICD-9 diagnoses, and disposition. RESULTS: Heat morbidity for Chicago MSA hospital EDs was calculated at 4,224 (95% CI = 2964-5488) cases. ED heat morbidity increased significantly 5 days prior to the first heat-related death. In 1995, there was an increase in the estimated relative risk for the city = 3.85 and suburbs = 1.89 over the control year of 1994. CONCLUSIONS: Real time ED-based computer automated databanks should be constructed to improve public health response to infectious or noninfectious outbreaks. Rapid area-wide M&M tabulations can be used for advancing the effectiveness of community-based prevention programs, and anticipating hospital ED resource allocation.
Language: en
LA - en SN - 0148-5598 UR - http://dx.doi.org/ ID - ref1 ER -