ArticleClimatic change2016
Vulnerability to Renal, Heat and Respiratory Hospitalizations During Extreme Heat Among U.S. Elderly.
Article in Climatic change, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 36 papers, 2 of them syntheses that pooled it.
What it found
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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.
The trial behind it
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Who cites it
36 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- The interplay between climate change and ageing: A systematic review of health indicators.PloS one · 2024Pooled it
- Urban heat island impacts on heat-related cardiovascular morbidity: A time series analysis of older adults in US metropolitan areas.Environment international · 2023Pooled it
- Article
- The impact of heat and cold events on direct, indirect, and intangible healthcare costs: a systematic review.The European journal of health economics : HEPAC : health economics in prevention and care · 2026Article
- Excess risk of heat-related hospitalization associated with temperature and PMEnvironmental epidemiology (Philadelphia, Pa.) · 2026Article
- Impact of symptomatic comorbidities on heatstroke outcomes: A retrospective nationwide cohort study.Scientific reports · 2026Article
- Climate change effects in older people's health: A scoping review.Journal of advanced nursing · 2025Article
- The effects of residential air conditioning and social vulnerability on heat-related hospitalizations in California.Environment international · 2025Article
- Assessing Heat-Health Vulnerability Through Temporal, Demographic, and Spatial Lenses: A Time-Stratified Case-Crossover Analysis in New York State.International journal of environmental research and public health · 2025Article
- Extreme heat and hospital admissions in older adults: A small-area analysis in the Greater Boston metropolitan area.Environmental epidemiology (Philadelphia, Pa.) · 2025Article
- The Imperative for Hazard- and Place-Specific Assessment of Heat Vulnerability.Environmental health perspectives · 2025Article
- Impact of Heat on Respiratory Hospitalizations among Older Adults in 120 Large U.S. Urban Areas.Annals of the American Thoracic Society · 2025Article
- Perennial disaster patterns in Central Europe since 2000 and implications for hospital preparedness planning - a cross-sectional analysis.Scientific reports · 2025Article
- Extreme Temperatures, Hospital Utilization and Public Health Insurance Spending.International journal of public health · 2025Article
- Timely accessibility to healthcare resources and heatwave-related mortality in 7 major cities of South Korea: a two-stage approach with principal component analysis.The Lancet regional health. Western Pacific · 2024Article
- Molecular Challenges and Opportunities in Climate Change-Induced Kidney Diseases.Biomolecules · 2024Review
- Effects of climate and environment on migratory old people with allergic diseases in China: Protocol for a Sanya cohort study.Heliyon · 2023Article
- Methods of Assessing Health Care Costs in a Changing Climate: A Case Study of Heatwaves and Ambulance Dispatches in Tasmania, Australia.GeoHealth · 2023Article
- Ambient temperature and air pollution associations with suicide and homicide mortality in California: A statewide case-crossover study.The Science of the total environment · 2023Article
- Association of Temperature Thresholds with Heat Illness- and Cardiorespiratory-Related Emergency Visits during Summer Months in Alaska.Environmental health perspectives · 2023Article
Corrections and comments
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Authors and funding
5 authors.
Funding
Abstract
backgroundExtreme heat (EH) is a growing concern with climate change, and protecting human health requires knowledge of vulnerability factors. We evaluated whether associations between EH (maximum temperature > 97th percentile) and hospitalization for renal, heat and respiratory diseases among people ≥ 65 years differed by individual and area-level characteristics.
methodsWe used Medicare billing records, airport weather data, U.S. Census data and satellite land cover imagery in 109 US cities, May-September, 1992-2006, in a time-stratified case-crossover design. Interaction terms between EH and individual (> 78 years, black race, sex) and home ZIP-code (percentages of non-green space, high school education, housing built before 1940) characteristics were incorporated in a single model. Next, we pooled city-specific effect estimates or regressed them on quartiles of air conditioning prevalence (ACP) in a multivariate random effects meta-analysis.
resultsEH and combined renal/heat/respiratory hospitalization associations were stronger among blacks, the very old, in ZIP codes with lower educational attainment or older housing and in cities with lower ACP. For example, for EH versus non-heat days, we found a 15% (95% CI 11%-19%) increase in renal/heat/respiratory hospitalizations among individuals in ZIP codes with higher percent of older homes in contrast to a 9% (95% CI 6%-12%) increase in hospitalizations in ZIP codes with lower percent older homes.
conclusionVulnerability to EH-associated hospitalization may be influenced by age, educational attainment, housing age and ACP.
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