J 2017

The Impact of Cold Spells on the Incidence of Infectious Gastroenteritis and Relapse Rates of Inflammatory Bowel Disease: A Retrospective Controlled Observational Study

MANSER, Christine N., Andrea KRAUS, Thomas FREI, Gerhard ROGLER, Leonhard HELD et. al.

Basic information

Original name

The Impact of Cold Spells on the Incidence of Infectious Gastroenteritis and Relapse Rates of Inflammatory Bowel Disease: A Retrospective Controlled Observational Study

Authors

MANSER, Christine N. (756 Switzerland), Andrea KRAUS (703 Slovakia, belonging to the institution), Thomas FREI (756 Switzerland), Gerhard ROGLER (756 Switzerland) and Leonhard HELD (276 Germany)

Edition

Inflammatory Intestinal Diseases, Basilej, Švýcarsko, Karger, 2017, 2296-9403

Other information

Language

English

Type of outcome

Článek v odborném periodiku

Field of Study

30219 Gastroenterology and hepatology

Country of publisher

Switzerland

Confidentiality degree

není předmětem státního či obchodního tajemství

References:

RIV identification code

RIV/00216224:14310/17:00098351

Organization unit

Faculty of Science

Keywords in English

Ulcerative colitis; Climate change; Cold spell; Crohn disease; Inflammatory bowel disease

Tags

Tags

International impact, Reviewed
Změněno: 12/4/2018 14:06, Ing. Nicole Zrilić

Abstract

V originále

Goals: We aimed to assess the impact of very cold days on inflammatory bowel disease (IBD) flares and infectious gastroenteritis (IG). We defined a cold day using the World Meteorological definition of an ice day, which is a day with a maximum temperature below 0°C. Background: Recently, we have shown that heat waves increase the risk for IG and IBD flares. Study: We retrospectively collected data from 738 IBD and 786 IG patients admitted to the University Hospital of Zurich between 2001 and 2005 and from 506 patients with other noninfectious chronic intestinal inflammations as controls. Climate data were received by the Swiss Federal Office for Meteorology and Climatology. Results: There was no evidence for an increased risk of IBD flares (relative risk, RR = 0.99, 95% confidence interval, CI: 0.72–1.33, p = 0.94) or IG flares (RR = 1.16, 95% CI: 087–1.52, p = 0.30) on very cold days. This negative finding was confirmed in alternative formulations with lagged or cumulative (possibly lagged) effects. Conclusion: In this retrospective controlled observational study, no evidence for an increase in hospital admissions due to flares of IBD and IG during cold days was observed. This may be attributed to not relevantly altered bacterial growth conditions during cold days compared to heat waves.