ArticleScientific reports2016
The impact of cold spells on mortality and effect modification by cold spell characteristics.
Article in Scientific reports, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers, 2 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.
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.
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Who cites it
27 citing papers in PubMed, 2 syntheses or guidelines pooled it, 109 citations in OpenAlex.
- Cold Spells and Cause-Specific Mortality in 47 Japanese Prefectures: A Systematic Evaluation.Environmental health perspectives · 2021Pooled it
- A review of the impact of outdoor and indoor environmental factors on human health in China.Environmental science and pollution research international · 2020Pooled it
- Influence of extreme temperatures on respiratory, circulatory, and nonaccidental mortality risks in northeast China.iScience · 2026Article
- Heatwaves, Cold Spells, and Renal Disease Mortality in Japan: Vulnerable Populations and Temporal Trends (1979-2019).Environment & health (Washington, D.C.) · 2026Article
- Article
- Association of ambient temperature with mortality in community-based patients with severe mental disorders: a time-stratified case-crossover study in western China.BMC psychiatry · 2025Article
- The short-term effects of different cold spell definitions on asthma outpatient visits in Lanzhou, China.BMC pulmonary medicine · 2025Article
- Excess Mortality Estimation.Annual review of statistics and its application · 2025Article
- Increased Risk of Influenza Infection During Cold Spells in China: National Time Series Study.JMIR public health and surveillance · 2024Article
- Interaction between Extreme Temperature Events and Fine Particulate Matter on Cardiometabolic Multimorbidity: Evidence from Four National Cohort Studies.Environmental science & technology · 2024Article
- 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 · 2024Article
- Heat and Cold Wave-Related Mortality Risk among United States Veterans with Chronic Obstructive Pulmonary Disease: A Case-Crossover Study.Environmental health perspectives · 2024Article
- Assessment of mortality risks due to a strong cold spell in 2022 in China.Frontiers in public health · 2023Article
- A systematic review and meta-analysis of cold exposure and cardiovascular disease outcomes.Frontiers in cardiovascular medicine · 2023Review
- Developing a Cold-Related Mortality Database in Bangladesh.International journal of environmental research and public health · 2022Article
- The Utility of Ambulance Dispatch Call Syndromic Surveillance for Detecting and Assessing the Health Impact of Extreme Weather Events in England.International journal of environmental research and public health · 2022Article
- Association between Cold Spells and Mortality Risk and Burden: A Nationwide Study in China.Environmental health perspectives · 2022Article
- Association between ambient cold exposure and mortality risk in Shandong Province, China: Modification effect of particulate matter size.Frontiers in public health · 2022Article
- Temperature-mortality relationship in North Carolina, USA: Regional and urban-rural differences.The Science of the total environment · 2021Article
- Effects of extreme temperature on respiratory diseases in Lanzhou, a temperate climate city of China.Environmental science and pollution research international · 2021Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
14 authors at 4 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
In China, the health impact of cold weather has received little attention, which limits our understanding of the health impacts of climate change. We collected daily mortality and meteorological data in 66 communities across China from 2006 to 2011. Within each community, we estimated the effect of cold spell exposure on mortality using a Distributed Lag Nonlinear Model (DLNM). We also examined the modification effect of cold spell characteristics (intensity, duration, and timing) and individual-specific factors (causes of death, age, gender and education). Meta-analysis method was finally used to estimate the overall effects. The overall cumulative excess risk (CER) of non-accidental mortality during cold spell days was 28.2% (95% CI: 21.4%, 35.3%) compared with non-cold spell days. There was a significant increase in mortality when the cold spell duration and intensity increased or occurred earlier in the season. Cold spell effects and effect modification by cold spell characteristics were more pronounced in south China. The elderly, people with low education level and those with respiratory diseases were generally more vulnerable to cold spells. Cold spells statistically significantly increase mortality risk in China, with greater effects in southern China. This effect is modified by cold spell characteristics and individual-level factors.
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Registered trials
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.