Evidence map›Paper›PMID 21822792›Full record

ArticleInternational journal of biometeorology2012

Heat-related mortality in the Florentine area (Italy) before and after the exceptional 2003 heat wave in Europe: an improved public health response?

Marco Morabito, Francesco Profili, Alfonso Crisci, Paolo Francesconi, Gian Franco Gensini, Simone Orlandini

Abstract read
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In one paragraph

Article in International journal of biometeorology, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 34 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
34citing papers in PubMed, 6 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

34 citing papers in PubMed, 6 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Pooled it
  5. Pooled it
  6. Pooled it
  7. Trial
  8. Article
  9. Article
  10. Article
  11. Review
  12. Article
  13. An Occupational Heat-Health Warning System for Europe: The HEAT-SHIELD Platform.International journal of environmental research and public health · 2019
    Article
  14. Overview of Existing Heat-Health Warning Systems in Europe.International journal of environmental research and public health · 2019
    Review
  15. The Use of a Quasi-Experimental Study on the Mortality Effect of a Heat Wave Warning System in Korea.International journal of environmental research and public health · 2019
    Article
  16. Article
  17. The inter-annual variability of heat-related mortality in nine European cities (1990-2010).Environmental health : a global access science source · 2018
    Article
  18. Article
  19. Impacts of the 2015 Heat Waves on Mortality in the Czech Republic-A Comparison with Previous Heat Waves.International journal of environmental research and public health · 2017
    Article
  20. Past, present and future of the climate and human health commission.International journal of biometeorology · 2017
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Marco MorabitoInterdepartmental Centre of Bioclimatology, University of Florence, Firenze, Italy. marco.morabito@unifi.it
Francesco Profili
Alfonso Crisci
Paolo Francesconi
Gian Franco Gensini
Simone Orlandini

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

High ambient temperatures have been associated with increased mortality across the world. Several studies suggest that timely preventive measures may reduce heat-related excess mortality. The main aim of this study was to detect the temporal modification of heat-related mortality, in older adults (aged 65-74) and in elderly ≥75 years old, in the Florentine area by comparing previous (1999-2002) and subsequent (2004-2007) periods to the summer of 2003, when a regional Heat-Health Warning System (HHWS) was set up. Mortality data from 1999 to 2007 (May-September) were provided by the Mortality Registry of the Tuscany Region (n = 21,092). Weather data were used to assess daily apparent temperatures (AT). Case-crossover time-stratified designs and constrained segmented distributed lag models were applied. No significant heat-related mortality odds ratio (OR) variations were observed among the sub-periods. Nevertheless, a general OR decrease dating from 1999-2002 (OR 1.23; lack of HHWS) to 2004-2005 (OR 1.21; experimental HHWS running only for Florence) and to 2006-2007 (OR 1.12; official HHWS extended to the whole Florentine area) was observed when the maximum AT was considered. This modification was only evident in subjects ≥75 years old. The heat effect was higher and sustained for more days (until lag 9) during the period 1999-2002 than 2004-2007. The decrease of the excessive heat effect on mortality between periods with the absence and existence of a HHWS is also probably due to the mitigation of preventive measures and the implementation of a HHWS with specific interventions for safeguarding the health of the "frail elderly".

Indexed as

Primary PreventionAgedHeat Stress DisordersHot TemperatureHumansItalyOdds RatioWeather

Identifiers

PMID21822792

What OpenQuestion holds

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Read underepoch 390

Registered trials

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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.