ArticleBMJ (Clinical research ed.)2004
Vulnerability to winter mortality in elderly people in Britain: population based study.
Article in BMJ (Clinical research ed.), 2004. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 76 papers, 2 of them syntheses that pooled it.
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Who cites it
76 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Impact of cold waves on diabetes-related morbidity and mortality: a meta-analysis.Frontiers in public health · 2025Pooled it
- Short-Term Effect of Ambient Temperature and the Risk of Stroke: A Systematic Review and Meta-Analysis.International journal of environmental research and public health · 2015Pooled it
- Seasonal variations in exacerbations and deaths in patients with COPD during the TIOSPIRInternational journal of chronic obstructive pulmonary disease · 2018Trial
- Risk of hospitalization during influenza season among a cohort of patients with congestive heart failure.Epidemiology and infection · 2007Trial
- Interrupted Time Series Design and Analyses in Health Policy Assessment.medRxiv : the preprint server for health sciences · 2024Article
- Article
- The Mortality Effects of Winter Heating Prices.Economic journal (London, England) · 2024Article
- The rise and fall of excess winter mortality in New Zealand from 1876 to 2020.International journal of biometeorology · 2024Article
- Trade-offs between cold protection and air pollution-induced mortality of China's heating policy.PNAS nexus · 2023Article
- Developing a Cold-Related Mortality Database in Bangladesh.International journal of environmental research and public health · 2022Article
- Article
- Review
- Climatic influences on cardiovascular diseases.World journal of cardiology · 2022Review
- Article
- Seasonality of mortality under a changing climate: a time-series analysis of mortality in Japan between 1972 and 2015.Environmental health and preventive medicine · 2021Article
- Grass-roots junior doctor communication network in response to the COVID-19 pandemic: a service evaluation.BMJ open quality · 2021Article
- Excess Winter Mortality (EWM) as a Dynamic Forensic Tool: Where, When, Which Conditions, Gender, Ethnicity and Age.International journal of environmental research and public health · 2021Article
- Age-Related Changes in the Thermoregulatory Properties in Bank Voles From a Selection Experiment.Frontiers in physiology · 2020Article
- Weather patterns and all-cause mortality in England, UK.International journal of biometeorology · 2020Article
- Seasonal Variation of Overactive Bladder Symptoms in Female Patients.International neurourology journal · 2019Article
16 more citing papers are in PubMed but not listed here.
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Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo examine the determinants of vulnerability to winter mortality in elderly British people.
designPopulation based cohort study (119,389 person years of follow up).
setting106 general practices from the Medical Research Council trial of assessment and management of older people in Britain.
participantsPeople aged > or = 75 years.
main outcome measuresMortality (10,123 deaths) determined by follow up through the Office for National Statistics.
resultsMonth to month variation accounted for 17% of annual all cause mortality, but only 7.8% after adjustment for temperature. The overall winter:non-winter rate ratio was 1.31 (95% confidence interval 1.26 to 1.36). There was little evidence that this ratio varied by geographical region, age, or any of the personal, socioeconomic, or clinical factors examined, with two exceptions: after adjustment for all major covariates the winter:non-winter ratio in women compared with men was 1.11 (1.00 to 1.23), and those with a self reported history of respiratory illness had a winter:non-winter ratio of 1.20 (1.08 to 1.34) times that of people without a history of respiratory illness. There was no evidence that socioeconomic deprivation or self reported financial worries were predictive of winter death.
conclusionExcept for female sex and pre-existing respiratory illness, there was little evidence for vulnerability to winter death associated with factors thought to lead to vulnerability. The lack of socioeconomic gradient suggests that policies aimed at relief of fuel poverty may need to be supplemented by additional measures to tackle the burden of excess winter deaths in elderly people.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.