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Ziel dieser Untersuchung ist die Analyse des Zusammenhangs zwischen klimatischer Variabilit\u00e4t und hitzeassoziierten Erkrankungen auf Grundlage von Routinedaten.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methoden<\/jats:title>\n                    <jats:p>Die Studie basiert auf Abrechnungsdaten (ambulant und station\u00e4r) der Betriebskrankenkassen der Jahre 2012\u20132021 und umfasst circa elf Millionen gesetzlich Krankenversicherte. Ber\u00fccksichtigt wurden vier hitzeassoziierte ICD-10-Diagnosen: T67 (Sch\u00e4den durch Hitze und Sonnenlicht), E86 (Volumenmangel), N17 (akutes Nierenversagen) und N19 (Niereninsuffizienz). Die thermischen Bedingungen wurden mittels meteorologischer Variablen quantifiziert. Die Auswertung erfolgte bundeslandspezifisch f\u00fcr die 2.\u00a0und 3.\u00a0Quartale (Q2, Q3) mittels deskriptiver Verfahren und Korrelationsanalysen mit Messwiederholungen.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Ergebnisse<\/jats:title>\n                    <jats:p>\n                      Die Jahre 2016, 2018 und 2020 sind mit hohen Temperaturen aufgefallen. Im Vergleich zu Q2 wurde in Q3 im Durchschnitt aller Jahre eine h\u00f6here thermische Belastung verzeichnet, einhergehend mit mehr hitzeassoziierten Diagnosen. So sind bundesweit die Diagnosen f\u00fcr T67 (ambulant) mit der Anzahl hei\u00dfer Tage (r\n                      <jats:sub>mw<\/jats:sub>\n                      \u202f=\u20090,86 (0,81; 0,90)) korreliert. Wenngleich die thermische Belastung in Q2 geringer ist, zeigt sich aber auch hier ein \u00e4hnlicher Zusammenhang (r\n                      <jats:sub>mw<\/jats:sub>\n                      \u202f=\u20090,76 (0,68; 0,82)). Diese markante Assoziation blieb auch bei Betrachtung der Bundesl\u00e4nder erhalten.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Diskussion<\/jats:title>\n                    <jats:p>Der Beitrag zeigt, dass sich auch in GKV-Routinedaten Assoziationen zwischen thermischer Belastung und Morbidit\u00e4tsmarkern finden lassen. Vor dem Hintergrund einer klimawandelbedingten Zunahme hoher thermischer Belastungen zeigt dieser Beitrag die Notwendigkeit von Anpassungsma\u00dfnahmen.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1007\/s00103-024-03968-5","type":"journal-article","created":{"date-parts":[[2024,10,24]],"date-time":"2024-10-24T02:03:13Z","timestamp":1729735393000},"page":"119-129","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["Auswirkungen thermischer Belastungen auf die Gesundheit\u00a0\u2013 eine bundesweite Analyse auf Grundlage von GKV-Routinedaten zwischen 2012\u20132021","Effects of high thermal stress on health\u2014a nationwide analysis based on statutory health insurance routine data between 2012 and 2021"],"prefix":"10.1007","volume":"68","author":[{"given":"Jobst","family":"Augustin","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sandra","family":"Hischke","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Peter","family":"Hoffmann","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dante","family":"Castro","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nadia","family":"Obi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alice","family":"Czerniejewski","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Roman","family":"Dallner","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Laurens M.","family":"Bouwer","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2024,10,24]]},"reference":[{"key":"3968_CR1","doi-asserted-by":"publisher","first-page":"3851","DOI":"10.1038\/s41467-022-31432-y","volume":"13","author":"E Rousi","year":"2022","unstructured":"Rousi\u00a0E, Kornhuber\u00a0K, Beobide-Arsuaga\u00a0G, Luo\u00a0F, Coumou\u00a0D (2022) Accelerated western European heatwave trends linked to more-persistent double jets over Eurasia. 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