Evidence map›Paper›PMID 25060645›Full record

ArticleEnvironmental health : a global access science source2014

Health impact of the 2008 cold spell on mortality in subtropical China: the climate and health impact national assessment study (CHINAs).

Mai Geng Zhou, Li Jun Wang, Tao Liu, Yong Hui Zhang, Hua Liang Lin, Yuan Luo, Jian Peng Xiao, Wei Lin Zeng, Ye Wu Zhang, Xiao Feng Wang and 4 more

Abstract readLetter
In one paragraph

Article in Environmental health : a global access science source, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 39 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
39citing papers in PubMed, 2 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

39 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Association between moderately cold temperature and mortality in China.Environmental science and pollution research international · 2020
    Pooled it
  3. Article
  4. Article
  5. Review
  6. Article
  7. Article
  8. Health impacts of a cold wave and its economic loss assessment in China's high-altitude city, Xining.Archives of public health = Archives belges de sante publique · 2024
    Article
  9. Article
  10. Article
  11. Synergetic roadmap of carbon neutrality and clean air for China.Environmental science and ecotechnology · 2023
    Review
  12. Article
  13. Article
  14. Article
  15. Developing a Cold-Related Mortality Database in Bangladesh.International journal of environmental research and public health · 2022
    Article
  16. Short-term exposure of PMFrontiers in public health · 2022
    Article
  17. Article
  18. Article
  19. NOBMC public health · 2021
    Article
  20. 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

14 authors.

Mai Geng Zhou
Li Jun Wang
Tao LiuGuangdong Provincial Institute of Public Health, Guangdong Provincial Center for Disease Control and Prevention, Guangzhou 511430, China. gztt_2002@163.com.
Yong Hui Zhang
Hua Liang Lin
Yuan Luo
Jian Peng Xiao
Wei Lin Zeng
Ye Wu Zhang
Xiao Feng Wang
Xin Gu
Shannon Rutherford
Cordia Chu
Wen Jun Ma

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMany studies have investigated heat wave related mortality, but less attention has been given to the health effects of cold spells in the context of global warming. The 2008 cold spell in China provided a unique opportunity to estimate the effects of the 2008 cold spell on mortality in subtropical regions, spatial heterogeneity of the effects, stratification effect and added effects caused by sustained cold days.

methodsThirty-six study communities were selected from 15 provinces in subtropical China. Daily mortality and meteorological data were collected for each community from 2006 to 2010. A distributed lag linear non-linear model (DLNM) with a lag structure of up to 27 days was used to analyze the association between the 2008 cold spell and mortality. Multivariate meta-analyses were used to combine the cold effects across each community.

resultsThe 2008 cold spell increased mortality by 43.8% (95% CI: 34.8% ~ 53.4%) compared to non-cold spell days with the highest effects in southern and central China. The effects were more pronounced for respiratory mortality (RESP) than for cardiovascular (CVD) or cerebrovascular mortality (CBD), for females more than for males, and for the elderly aged ≥75 years old more than for younger people. Overall, 148,279 excess deaths were attributable to the 2008 cold spell. The cold effect was mainly from extreme low temperatures rather than sustained cold days during this 2008 cold spell.

conclusionsThe 2008 cold spell increased mortality in subtropical China, which was mainly attributable to the low temperature rather than the sustained duration of the cold spell. The cold effects were spatially heterogeneous and modified by individual-specific characteristics such as gender and age.

Indexed as

Climate ChangeCold TemperatureAdolescentAdultAgedAged, 80 and overAge FactorsAnimalsCardiovascular DiseasesCerebrovascular DisordersChildChild, PreschoolChinaFemaleHealth SurveysHumans

Identifiers

PMID25060645
PMCPMC4115219

What OpenQuestion holds

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LicenceCC BY
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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.