Evidence map›Paper›PMID 27438847›Full record

ArticleInternational journal of environmental research and public health2016

The Short-Term Effect of Ambient Temperature on Mortality in Wuhan, China: A Time-Series Study Using a Distributed Lag Non-Linear Model.

Yunquan Zhang, Cunlu Li, Renjie Feng, Yaohui Zhu, Kai Wu, Xiaodong Tan, Lu Ma

Abstract read
In one paragraph

Article 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 39 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
39citing papers in PubMed, 3 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, 3 syntheses or guidelines pooled it.

  1. Pooled it
  2. A review of the impact of outdoor and indoor environmental factors on human health in China.Environmental science and pollution research international · 2020
    Pooled it
  3. Pooled it
  4. Article
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  11. Article
  12. The Impact of Ambient Temperature on Cardiorespiratory Mortality in Northern Greece.International journal of environmental research and public health · 2022
    Article
  13. Article
  14. Climatic influences on cardiovascular diseases.World journal of cardiology · 2022
    Review
  15. Short-term impact of ambient temperature on the incidence of influenza in Wuhan, China.Environmental science and pollution research international · 2022
    Article
  16. Article
  17. Review
  18. Article
  19. The association between temperature and cause-specific mortality in the Klang Valley, Malaysia.Environmental science and pollution research international · 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

7 authors.

Yunquan ZhangDepartment of Epidemiology and Biostatistics, School of Public Health, Wuhan University, Wuhan 430071, China. Yun-quanZhang@whu.edu.cn.
Cunlu LiDepartment of Epidemiology and Biostatistics, School of Public Health, Wuhan University, Wuhan 430071, China. lanxilzu@126.com.
Renjie FengDepartment of Epidemiology and Biostatistics, School of Public Health, Wuhan University, Wuhan 430071, China. 2014203050012@whu.edu.cn.
Yaohui ZhuDepartment of Epidemiology and Biostatistics, School of Public Health, Wuhan University, Wuhan 430071, China. 13349888239@163.com.
Kai WuJiang'an District Center for Disease Control and Prevention, Wuhan 430014, China. uueng@hotmail.com.
Xiaodong TanDepartment of Occupational and Environmental Health, School of Public Health, Wuhan University, Wuhan 430071, China. xiaodongtan@yahoo.com.
Lu MaDepartment of Epidemiology and Biostatistics, School of Public Health, Wuhan University, Wuhan 430071, China. malu@whu.edu.cn.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Less evidence concerning the association between ambient temperature and mortality is available in developing countries/regions, especially inland areas of China, and few previous studies have compared the predictive ability of different temperature indictors (minimum, mean, and maximum temperature) on mortality. We assessed the effects of temperature on daily mortality from 2003 to 2010 in Jiang'an District of Wuhan, the largest city in central China. Quasi-Poisson generalized linear models combined with both non-threshold and double-threshold distributed lag non-linear models (DLNM) were used to examine the associations between different temperature indictors and cause-specific mortality. We found a U-shaped relationship between temperature and mortality in Wuhan. Double-threshold DLNM with mean temperature performed best in predicting temperature-mortality relationship. Cold effect was delayed, whereas hot effect was acute, both of which lasted for several days. For cold effects over lag 0-21 days, a 1 °C decrease in mean temperature below the cold thresholds was associated with a 2.39% (95% CI: 1.71, 3.08) increase in non-accidental mortality, 3.65% (95% CI: 2.62, 4.69) increase in cardiovascular mortality, 3.87% (95% CI: 1.57, 6.22) increase in respiratory mortality, 3.13% (95% CI: 1.88, 4.38) increase in stroke mortality, and 21.57% (95% CI: 12.59, 31.26) increase in ischemic heart disease (IHD) mortality. For hot effects over lag 0-7 days, a 1 °C increase in mean temperature above the hot thresholds was associated with a 25.18% (95% CI: 18.74, 31.96) increase in non-accidental mortality, 34.10% (95% CI: 25.63, 43.16) increase in cardiovascular mortality, 24.27% (95% CI: 7.55, 43.59) increase in respiratory mortality, 59.1% (95% CI: 41.81, 78.5) increase in stroke mortality, and 17.00% (95% CI: 7.91, 26.87) increase in IHD mortality. This study suggested that both low and high temperature were associated with increased mortality in Wuhan, and that mean temperature had better predictive ability than minimum and maximum temperature in the association between temperature and mortality.

Indexed as

MortalityChinaCitiesCold TemperatureDeveloping CountriesHot TemperatureHumansMyocardial IschemiaNonlinear DynamicsStrokeTemperatureclimate changedistributed lag non-linear modelmortalitytemperature

Identifiers

PMID27438847
PMCPMC4962263

What OpenQuestion holds

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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.