TY  - JOUR
PY  - 2018//
TI  - Evaluation of a novel classification of heat-related illnesses: a multicentre observational study (Heat Stroke STUDY 2012)
JO  - International journal of environmental research and public health
A1  - Yamamoto, Takahiro
A1  - Fujita, Motoki
A1  - Oda, Yasutaka
A1  - Todani, Masaki
A1  - Hifumi, Toru
A1  - Kondo, Yutaka
A1  - Shimazaki, Junya
A1  - Shiraishi, Shinichiro
A1  - Hayashida, Kei
A1  - Yokobori, Shoji
A1  - Takauji, Shuhei
A1  - Wakasugi, Masahiro
A1  - Nakamura, Shunsuke
A1  - Kanda, Jun
A1  - Yagi, Masaharu
A1  - Moriya, Takashi
A1  - Kawahara, Takashi
A1  - Tonouchi, Michihiko
A1  - Yokota, Hiroyuki
A1  - Miyake, Yasufumi
A1  - Shimizu, Keiki
A1  - Tsuruta, Ryosuke
SP  - e15091962
EP  - e15091962
VL  - 15
IS  - 9
N2  - The Japanese Association for Acute Medicine Committee recently proposed a novel classification system for the severity of heat-related illnesses. The illnesses are simply classified into three stages based on symptoms and management or treatment. Stages I, II, and III broadly correspond to heat cramp and syncope, heat exhaustion, and heat stroke, respectively. Our objective was to examine whether this novel severity classification is useful in the diagnosis by healthcare professionals of patients with severe heat-related illness and organ failure. A nationwide surveillance study of heat-related illnesses was conducted between 1 June and 30 September 2012, at emergency departments in Japan. Among the 2130 patients who attended 102 emergency departments, the severity of their heat-related illness was recorded for 1799 patients, who were included in this study. In the patients with heat cramp and syncope or heat exhaustion (but not heat stroke), the blood test data (alanine aminotransferase, creatinine, blood urea nitrogen, and platelet counts) for those classified as Stage III were significantly higher than those of patients classified as Stage I or II. There were no deaths among the patients classified as Stage I. This novel classification may avoid underestimating the severity of heat-related illness.<p />  <p>Language: en</p>
LA  - en
SN  - 1661-7827
UR  - http://dx.doi.org/10.3390/ijerph15091962
ID  - ref1
ER  -