Evidence map›Paper›PMID 23355662›Full record

ArticleBMJ open2013

Heat-related respiratory hospital admissions in Europe in a changing climate: a health impact assessment.

Christofer Aström, Hans Orru, Joacim Rocklöv, Gustav Strandberg, Kristie L Ebi, Bertil Forsberg

Open access · goldAbstract read
In one paragraph

Article in BMJ open, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 1 pooled it
3.6field-weighted citation impact, top 8% of its field
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

18 citing papers in PubMed, 1 synthesis or guideline pooled it, 69 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Unmasking Heat's Silent Toll on Respiratory Health.Annals of the American Thoracic Society · 2025
    Article
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  7. Review
  8. Article
  9. Article
  10. Article
  11. Does clinical ethics need a Land Ethic?Medicine, health care, and philosophy · 2019
    Article
  12. Article
  13. Article
  14. Article
  15. Review
  16. The effects of hot nights on mortality in Barcelona, Spain.International journal of biometeorology · 2017
    Article
  17. Detecting and Attributing Health Burdens to Climate Change.Environmental health perspectives · 2017
    Review
  18. Article
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 at 1 institution in 2 countries.

Christofer AströmDepartment of Public Health and Clinical Medicine, Occupational and Environmental Medicine, Umeå University, Umeå, Sweden.
Hans Orru
Joacim Rocklöv
Gustav Strandberg
Kristie L Ebi
Bertil Forsberg
Umeå University · SE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesRespiratory diseases are ranked second in Europe in terms of mortality, prevalence and costs. Studies have shown that extreme heat has a large impact on mortality and morbidity, with a large relative increase for respiratory diseases. Expected increases in mean temperature and the number of extreme heat events over the coming decades due to climate change raise questions about the possible health impacts. We assess the number of heat-related respiratory hospital admissions in a future with a different climate.

designA Europe-wide health impact assessment.

settingAn assessment for each of the EU27 countries.

methodsHeat-related hospital admissions under a changing climate are projected using multicity epidemiological exposure-response relationships applied to gridded population data and country-specific baseline respiratory hospital admission rates. Times-series of temperatures are simulated with a regional climate model based on four global climate models, under two greenhouse gas emission scenarios.

resultsBetween a reference period (1981-2010) and a future period (2021-2050), the total number of respiratory hospital admissions attributed to heat is projected to be larger in southern Europe, with three times more heat attributed respiratory hospital admissions in the future period. The smallest change was estimated in Eastern Europe with about a twofold increase. For all of Europe, the number of heat-related respiratory hospital admissions is projected to be 26 000 annually in the future period compared with 11 000 in the reference period.

conclusionsThe results suggest that the projected effects of climate change on temperature and the number of extreme heat events could substantially influence respiratory morbidity across Europe.

Identifiers

PMID23355662
PMCPMC3563142
OpenAlexW2097098348

What OpenQuestion holds

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LicenceCC BY-NC
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Registered trials

None linked

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.