Evidence map›Paper›PMID 26784214›Full record

Observational studyInternational journal of environmental research and public health2016

The Impact of Heatwaves on Community Morbidity and Healthcare Usage: A Retrospective Observational Study Using Real-Time Syndromic Surveillance.

Sue Smith, Alex J Elliot, Shakoor Hajat, Angie Bone, Chris Bates, Gillian E Smith, Sari Kovats

Abstract readComparative StudyObservational Study
PubMed Full text at PMC Publisher
In one paragraph

Observational study in International journal of environmental research and public health, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 1 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

14 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Review
  4. Article
  5. The Effects of Heatwaves on Human Morbidity in Primary Care Settings: A Case-Crossover Study.International journal of environmental research and public health · 2022
    Article
  6. Article
  7. Review
  8. Increasing Probability of Heat-Related Mortality in a Mediterranean City Due to Urban Warming.International journal of environmental research and public health · 2018
    Article
  9. Article
  10. Article
  11. Review
  12. Review
  13. Article
  14. 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

7 authors.

Sue SmithReal-Time Syndromic Surveillance Team, Public Health England, Birmingham B3 2PW, UK. sue.smith@phe.gov.uk.
Alex J ElliotReal-Time Syndromic Surveillance Team, Public Health England, Birmingham B3 2PW, UK. alex.elliot@phe.gov.uk.
Shakoor HajatNIHR Health Protection Research Unit in Environmental Change and Health, London School of Hygiene and Tropical Medicine, London WC1H 9SH, UK. shakoor.hajat@lshtm.ac.uk.
Angie BoneExtreme Events and Health Protection, Public Health England, London SE1 8UG, UK. angie.bone@phe.gov.uk.
Chris BatesResearchOne, The Phoenix Partnership, Leeds LS18 5TN, UK. chris.bates@tpp-uk.com.
Gillian E SmithReal-Time Syndromic Surveillance Team, Public Health England, Birmingham B3 2PW, UK. gillian.smith@phe.gov.uk.
Sari KovatsNIHR Health Protection Research Unit in Environmental Change and Health, London School of Hygiene and Tropical Medicine, London WC1H 9SH, UK. sari.kovats@lshtm.ac.uk.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

We investigated the impact of a moderate heatwave on a range of presenting morbidities in England. Asthma, difficulty breathing, cerebrovascular accident, and cardiovascular symptoms were analysed using general practitioner in hours (GPIH), out of hours (GPOOH) and emergency department (ED) syndromic surveillance systems. Data were stratified by age group and compared between a heatwave year (2013) and non-heatwave years (2012, 2014). Incidence rate ratios were calculated to estimate the differential impact of heatwave compared to non-heatwave summers: there were no apparent differences for the morbidities tested between the 2013 heatwave and non-heatwave years. A subset of GPIH data were used to study individuals at higher risk from heatwaves based on their pre-existing disease. Higher risk patients were not more likely to present at GPs or ED than other individuals. Comparing GPIH consultations and ED attendances for myocardial infarction/ischaemia (MI), there was evidence of a fall in the presentation of MI during the heatwave, which was particularly noted in the 65-74 years age group (and over 75 years in ED attendances). These results indicate the difficulty in identifying individuals at risk from non-fatal health effects of heatwaves and hot weather.

Indexed as

ClimateHot TemperatureAdolescentAdultAgedAged, 80 and overAge FactorsAsthmaChildChild, PreschoolCoronary Artery DiseaseEmergency Service, HospitalEnglandFemaleHumansIncidenceemergency departmentgeneral practitionerheatwavesyndromic surveillancetelehealth

Identifiers

PMID26784214
PMCPMC4730523

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.