Calls for Emergency Medical Service and Synoptic Conditions in Stargard Szczeciński Province

Czesław Koźmiński,

Bożena Michalska,

Dariusz Milczarek

Abstrakt

The assessment of weather conditions on days with registered calls for emergency medical service (EMS) was made with the use of weather charts at the level of 850hPa, 00 UTC provided by the German Weather Service (www.wetterzentrale.de/topkarten/tkfaxbraar.htm).  Synoptic situations on days with registered calls for EMS were categorized into 13 weather types according to the German Weather Service. This paper analyses the number of calls for EMS recorded on individual days in Stargard Szczeciński province in the period of 2008-2011 to people suffering from coronary heart disease, including myocardial infarction, mental disturbances (mainly schizophrenia), epilepsy, stroke, arterial hypertension, asthma and emergency-related ambulance trips as well as death. The number of calls registered in Stargard Szczeciński province in the period of 2008-2011 amounted to more than 41 thousand, and the daily number ranged from 13 to 50 – the highest in March and January, lowest in September and October. From the analysed 13 weather types the following types were most predominant on days with calls for EMS: the centre of low pressure area (type 6), cold air advection in the retral part of low pressure area (type 7), and lingering centre of high pressure area (type 1, 2). 70-80% of the analysed days in a year were characterised by low pressure system and weather types connected with it: 4 (warm aid advection in the front part of low pressure area), 5 (warm sector of low pressure area), 6 (the centre of low pressure area), 7 (cold air advection in the retral part of low pressure area); and high pressure system and weather types: 1 (high pressure centre – no thermal inversions), 2 (high pressure centre – thermal inversions), 11 (cold high pressure area), 12 (warm sector of high pressure). From the remaining 5 types of weather (3, 8, 9, 10, 13) occurring on days with calls for EMS, the following weather types were predominant: type 3 (air slips at the edge of high pressure area) – 10.1%, followed by type 8 (waving front zone) – 9.4%. Depending on the type of illness, the sensitivity of patients to changing meteorological conditions, expressed by the number of calls for EMS, varied during a year. People suffering from asthma and COPD required EMS help in summer on days with low pressure systems – 64.7%, and in winter during lingering high pressure areas – 33.3%. Epileptic seizures were more common in summer during the transition of low pressure systems – 63%, and in autumn during high pressure systems – 20% of days under study. The frequency of calls for EMS to people suffering from arterial hypertension was the highest in autumn and winter – approximately 57% each, during transition of low pressure areas, and in winter during lingering high pressure – 25.4%.

Słowa kluczowe: choroby, pogotowie ratunkowe, warunki synoptyczne, wypadki
References

Koźmiński C., Martyn D., The Climate of Europe, Encyclopaedic guide over contemporary Europe, Wyd. Kurpisz, Poznań 2004: 77–92.

Koźmiński C., Michalska B., Interdaily changes in atmospheric pressure in the zone of the Polish Baltic coast, “Przegląd Geograficznyˮ 2010; 82: 1.

Parczewski W., Atmospheric fronts over Poland, “Wiadomości Służby Hydrologicznej Meteorologicznejˮ 1964; 7: 59.

Wibig J., North Atlantic Oscillation and its influence on weather and climate, “Przegląd Geograficzny” 2000; XLV: 121–137.

Delyukov A., Didyk L., The effects of extra-low-frequency Atmospheric pressure Oscillation on human mental activity, “International Journal of  Biometeorology” 1999; 43: 31–37.

Kozłowska-Szczęsna T., Krawczyk B., Kuchcik M., The influence of atmospheric environment on the human health and well being, Monographies of IGiPZ PAN, Warsaw 2004: 4.

Moran C., Johnson H., Johnson Z., Seasonal patterns of morbidity and mortality in the elderly in Ireland, “International Journal of Circumpolar Health” 2000; 59: 170–175.

Schory T.J., Pieczyński N., Nair S., El-Mallakh R.S., Barometric pressure, emergency psychiatric visits and violent acts, “Canadian Journal of Psychiatryˮ 2003; 48: 624–627.

Grzędziński E., Kopacz M., Czarniecki W., Jaworski W., Gajewski J., Okołowicz W., Research on the influence of meteorological factors on subjective symptoms, “Cahiers de l’Association Francaise de Biometeorologie” 1972; 5, 4: 5–21.

Borisenkov E.P., Kobzareva E.N. et al., Relation of meteotropic reactions in cardiac patients to atmospheric electric factors, “Human Biometeorologyˮ, St Petersburg 2000; 18–22: 146–147.

Zanimović K., Matzarakis A., Impact of heat waves on mortality in Croatia, “International Journal of Biometeorologyˮ, online: 1 September 2013, doi: 10.1007/s00484-013-0706-3.

Jehn M., Appel L.J., Sacks F.M., Miller E.R., The effect of ambient temperature and barometric pressure on ambulatory blood pressure variability, “American Journal of Hypertensionˮ 2002; 15: 941–945.

Motta E., Gołba A., Bal A., Kazibutowska Z., Strzała-Orzeł M., Seizure frequency and bioelectric brain activity in epileptic patients in stable and unstable atmospheric pressure and temperature in different seasons of the year – preliminary report, “Neurologia Neurochirurgia Polskaˮ 2011; 45, 6: 561–566.

Scheidt J., Koppe C., Rill S., Reinel D., Wogenstein F., Drescher J., Influence of temperature changes on migraine occurrence in Germany, “International Journal of Biometeorologyˮ 2013; 57: 649–654, doi: 10.1007/s00484-012-0582-2.

Morabito M., Modesti P.A., Cechni A., Crisei A., Relationships between weather and myocardial infarction biometeorological approach, “International Journal of Cardiologyˮ 2005; 7: 288–293.

Panagiotakos D.B., Chrysohon C., Pitsavos C., Climatological variations in daily hospital admissions for acute coronary syndromes, “International Journal of Cardiology” 2004; 94: 229–233.

Plavcová E., Kyselý., Effects of sudden air pressure changes on hospital admissions for cardiovascular diseases in Praque, 1994–2009, “International Journal of Biometeorologyˮ, online: 22 September 2013, doi: 10.1007/s-00484.

Kwiecień K., Climatic conditions, in: ? Southern Baltic, Gdańsk Scientific Society, Ossolineum, Wrocław 1987: 219–287.

Błażejczyk K., Kunert A., Bioclimatic principles of recreation and tourism in Poland, Studies in Geography IGiPZ PAN, Warsaw 2011: 366.

Bogucki J. (ed.), Biometeorology of tourism and recreation, AWF, Poznań 1999: 297.

Bucher K., The objective weather analysis from medical-meteorological point of view as basis for advice and research, “Wetter und Leben” 1991; 43: 251–268.

Allen M., Sheridan S., High-mortality days during the winter season: comparing meteorological conditions across 5 US cities, “International Journal of Biometeorology Publishedˮ 2013, online: 19 February 2013, doi: 10.1007/s00484-013-0640-4.

Koźmiński C., Michalska B., Meteorological conditions of tourism and recreation development in the zone of the Polish Baltic coast, “Acta Balnelogicaˮ 2011b; t. LVII, 1/123.

McWilliams S., Kinsella A., O’Callaghan E., The effect of daily weather variables on psychosis admissions to psychiatric hospitals, “International Journal of Biometeorology” 2013; 57: 497–508, doi: 10.1007/s00484-012-0575-1.

Persinger M.A., Ballance S.E., Moland M., Snowfall and heart attacks, “Journal of Psychologyˮ 1993; 127: 243–245.

Pohanka V., Pohanka M., Fleischer P., The role of the climate in complex treatment of respiratory disease, “Zeszyty Naukowe Ochrony Zdrowia. Zdrowie Publiczne Zarządzanie” 2012; 10(1): 9–12. Boniek-Poprawa D., Variability of meteorological elements and emergency hospital admissions, Doctoral Thesis, Poznań University of Medical Sciences, Poznań 2011: 97.

Rusticucci M., Bettolli M.L., de los Angeles Harris M., Association between weather conditions and the number of patients at the emergency room in an Argentine hospital, “International Journal of Biometeorology” 2002; 46: 42–51, doi: 10.1007/s00484-001-0113-z.

Ścibor M., Balcerzak B., Malinowska-Cieślik M., Analysis of environmental factors influence on the quality of life of patients with asthma, “Zeszyty Naukowe Ochrony Zdrowia.Zdrowie Publiczne Zarządzanie” 2012; 10(1): 25–30.

Vaneckova P., Hart M.A., Beggs P.J., de Dear R.J., Synoptic analysis of heat-related mortality in Sydney, Australia, 1993–2001, “International Journal of Biometeorology” 2008; 52: 439–451, doi: 10.1007/s00484-007-0138-z.

Jethon Z., Grzybowski A., Preventive and environmental medicine, Wyd. Lekarskie PZWL, Warsaw 2000.

Koźmiński C., Michalska B., Variability in the numbers of cold, cool, warm hot and very hot days in Poland in the April-September period, “Przegląd Geograficzny” 2011a: 83: iss. 1.

Więcław M., Air masses over Poland and their influence on the weather types. Monography, Akademia Bydgoska, Bydgoszcz 2004: 15.

Boniek-Poprawa D., Variability of meteorological elements and emergency hospital admissions, Doctoral Thesis, Poznań University of Medical Sciences, Poznań 2011: 97.

Goerre S., Egli C., Gerber S., Defila C., Minder C., Impact of weather and climate on the incidence of acute coronary syndromes, “International Journal of Cardiology” 2007; 118: 36–40.

Grzędziński E., Czarniecki W., Baranowska M., Research on the influence of vapour pressure and air temperature (with particular consideration of sultry, hot and very hot days) on blood pressure, “Polskie Archiwum Medycyny Wewnętrznejˮ 1969; 43, 5(11): 1459–1464.

Ehara A., Takasaki H., Takeda Y., Kida T., Mizukami S., Hagisawa M., Hamada Y., Are high barometric pressure, low humidity and diurnal change of temperature related to the onset of asthmatic symptoms?, “Pediatrics Internationalˮ 2000; 42: 272–274.

Czarnecka M., Nidzgorska-Lencewicz J., Impact of weather conditions on winter and summer air quality, “International Agrophysicsˮ 2011; 25: 7–12.

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