ArticleEnvironmental research2016
Warm season temperatures and emergency department visits in Atlanta, Georgia.
Article in Environmental research, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 49 papers, 3 of them syntheses that pooled it.
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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.
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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.
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Who cites it
49 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- Heat, heatwaves, and ambulance service use: a systematic review and meta-analysis of epidemiological evidence.International journal of biometeorology · 2023Pooled it
- Impact of short-term exposure to extreme temperatures on diabetes mellitus morbidity and mortality? A systematic review and meta-analysis.Environmental science and pollution research international · 2021Pooled it
- The association between ambient temperature and childhood asthma: a systematic review.International journal of biometeorology · 2018Pooled it
- The Combined Effect of High Ambient Temperature and Antihypertensive Treatment on Renal Function in Hospitalized Elderly Patients.PloS one · 2016Trial
- Climate change, environmental exposures, and pediatric asthma exacerbations: air pollution, temperature, and relative humidity.Pediatric research · 2026Review
- Review
- Climate change policies fail to protect child health.Globalization and health · 2025Article
- Temperature extremes impact mortality and morbidity differently.Science advances · 2025Article
- Climate change and environmental sustainability in emergency medicine: a narrative review.Annals of translational medicine · 2025Review
- Advancing extreme heat risk assessments to better capture individually-experienced temperatures: A new approach to describe individual and subgroup vulnerabilities.Environmental health perspectives · 2025Article
- Extreme heat and pediatric health in a warming world: a space-time stratified case-crossover investigation in Ontario, Canada.Environmental health : a global access science source · 2025Article
- Estimating the Association Between Outdoor Temperature and Acute Kidney Injury Using Alternative Case Definitions.Journal of occupational and environmental medicine · 2025Article
- Impact of Heat on Respiratory Hospitalizations among Older Adults in 120 Large U.S. Urban Areas.Annals of the American Thoracic Society · 2025Article
- Effect of climate change, extreme temperatures (heat and cold) on diabetes mellitus risk, hospitalization, and mortality: Global Evidenced Based Study.Frontiers in public health · 2025Article
- Associations of pollen and cardiovascular disease morbidity in Atlanta during 1993-2018.Environmental epidemiology (Philadelphia, Pa.) · 2024Article
- High ambient temperatures associations with children and young adult injury emergency department visits in NYC.Environmental research, health : ERH · 2023Article
- The Impact of Climate Change on Asthma and Allergic-Immunologic Disease.Current allergy and asthma reports · 2023Review
- Pollen and asthma morbidity in Atlanta: A 26-year time-series study.Environment international · 2023Article
- How Blackouts during Heat Waves Amplify Mortality and Morbidity Risk.Environmental science & technology · 2023Article
- Monitoring vs. modeled exposure data in time-series studies of ambient air pollution and acute health outcomes.Journal of exposure science & environmental epidemiology · 2023Article
Corrections and comments
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Authors and funding
5 authors.
Funding
Abstract
purposeExtreme heat events will likely increase in frequency with climate change. Heat-related health effects are better documented among the elderly than among younger age groups. We assessed associations between warm-season ambient temperature and emergency department (ED) visits across ages in Atlanta during 1993-2012.
methodsWe examined daily counts of ED visits with primary diagnoses of heat illness, fluid/electrolyte imbalances, renal disease, cardiorespiratory diseases, and intestinal infections by age group (0-4, 5-18, 19-64, 65+years) in relation to daily maximum temperature (TMX) using Poisson time series models that included cubic terms for TMX at single-day lags of 0-6 days, controlling for maximum dew-point temperature, time trends, week day, holidays, and hospital participation periods. We estimated rate ratios (RRs) and 95% confidence intervals (CI) for TMX changes from 27°C to 32°C (25th to 75th percentile) and conducted extensive sensitivity analyses.
resultsWe observed associations between TMX and ED visits for all internal causes, heat illness, fluid/electrolyte imbalances, renal diseases, asthma/wheeze, diabetes, and intestinal infections. Age groups with the strongest observed associations were 65+years for all internal causes [lag 0 RR (CI)=1.022 (1.016-1.028)] and diabetes [lag 0 RR=1.050 (1.008-1.095)]; 19-64 years for fluid/electrolyte imbalances [lag 0 RR=1.170 (1.136-1.205)] and renal disease [lag 1 RR=1.082 (1.065-1.099)]; and 5-18 years for asthma/wheeze [lag 2 RR=1.059 (1.030-1.088)] and intestinal infections [lag 1 RR=1.120 (1.041-1.205)].
conclusionsVarying strengths of associations between TMX and ED visits by age suggest that optimal interventions and health-impact projections would account for varying heat health impacts across ages.
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