TY - JOUR
T1 - Do weather parameters affect emergency room visits due to acute urinary retention?
AU - Golomb, Dor
AU - Ehrlich, Yaron
AU - Lifshitz, David
AU - Stav, Nir
AU - Halfon, Noam
AU - Porat, Amos
AU - Goldberg, Hanan
N1 - Publisher Copyright:
© British Association of Urological Surgeons 2021.
PY - 2023/3
Y1 - 2023/3
N2 - Objective: This study aimed to describe the effects of the various climate parameters on emergency room (ER) visits due to acute urinary retention (AUR). Patients and methods: This was a single-center retrospective analysis of the ER data of visits due to AUR in males and females between 2010 and 2017. We incorporated ER registries with data from the national meteorological service. Using multivariable logistic regression analyses, we assessed associations between climate parameters and the incidence of AUR. Results: A total of 1917 patients were admitted to the ER due to AUR during the study period, of whom 1706 (89%) were males and211 (11%) were females. Most AURs occurred in patients >70 years of age, with males on average being older than women (72.8 vs. 70.1 years old, p=0.01). Multivariable logistic regression analyses demonstrated that females had more AURs than men (odds ratio (OR)=1.3, 95% confidence interval (CI) 1.1–1.9, p=0.04) in spring. In all seasons except winter, a higher maximal temperature was associated with an increased risk of AUR, while in winter, a lower temperature was associated with an increased risk (OR=0.654, 95% CI 0.602–0.711, p<0.0001). Additionally, the following were associated with an increased AUR risk: increased wind speed and lower heat index during the spring, increased precipitation and a lower heat index during the autumn, and a higher heat index in the winter. Conclusions: Our data suggest that weather parameters might be associated with an increased AUR incidence in a Mediterranean coastline area, with maximal ambient temperature, wind speed, heat index, and precipitation playing a potential role. Level of evidence: 6.
AB - Objective: This study aimed to describe the effects of the various climate parameters on emergency room (ER) visits due to acute urinary retention (AUR). Patients and methods: This was a single-center retrospective analysis of the ER data of visits due to AUR in males and females between 2010 and 2017. We incorporated ER registries with data from the national meteorological service. Using multivariable logistic regression analyses, we assessed associations between climate parameters and the incidence of AUR. Results: A total of 1917 patients were admitted to the ER due to AUR during the study period, of whom 1706 (89%) were males and211 (11%) were females. Most AURs occurred in patients >70 years of age, with males on average being older than women (72.8 vs. 70.1 years old, p=0.01). Multivariable logistic regression analyses demonstrated that females had more AURs than men (odds ratio (OR)=1.3, 95% confidence interval (CI) 1.1–1.9, p=0.04) in spring. In all seasons except winter, a higher maximal temperature was associated with an increased risk of AUR, while in winter, a lower temperature was associated with an increased risk (OR=0.654, 95% CI 0.602–0.711, p<0.0001). Additionally, the following were associated with an increased AUR risk: increased wind speed and lower heat index during the spring, increased precipitation and a lower heat index during the autumn, and a higher heat index in the winter. Conclusions: Our data suggest that weather parameters might be associated with an increased AUR incidence in a Mediterranean coastline area, with maximal ambient temperature, wind speed, heat index, and precipitation playing a potential role. Level of evidence: 6.
KW - Acute urinary retention
KW - effect of weather
KW - emergency room
KW - prediction
UR - http://www.scopus.com/inward/record.url?scp=85107813103&partnerID=8YFLogxK
U2 - 10.1177/20514158211023012
DO - 10.1177/20514158211023012
M3 - Article
AN - SCOPUS:85107813103
SN - 2051-4158
VL - 16
SP - 140
EP - 146
JO - Journal of Clinical Urology
JF - Journal of Clinical Urology
IS - 2
ER -