ArticleInternational journal of biometeorology2017
Extreme climatic conditions and health service utilisation across rural and metropolitan New South Wales.
Article in International journal of biometeorology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 4 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
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
23 citing papers in PubMed, 4 syntheses or guidelines pooled it.
- Preparing for a hotter climate: A systematic review and meta-analysis of heatwaves and ambulance callouts in Australia.Australian and New Zealand journal of public health · 2024Pooled it
- Heat, heatwaves, and ambulance service use: a systematic review and meta-analysis of epidemiological evidence.International journal of biometeorology · 2023Pooled it
- Impacts of Climate Change on Health and Health Services in Northern New South Wales, Australia: A Rapid Review.International journal of environmental research and public health · 2023Pooled it
- Systematic review of the impact of heatwaves on health service demand in Australia.BMC health services research · 2022Pooled it
- Trial
- Heatwaves and emergency department utilisation in Queensland: a 10-year retrospective study.BMC health services research · 2025Article
- Impact of extreme heat on health in Australia: a scoping review.BMC public health · 2025Article
- Performance of regional water purification plants during extreme weather events: three case studies from New South Wales, Australia.Environmental science and pollution research international · 2025Article
- Excess mortality associated with extreme heat in Rio de Janeiro, Brazil, 2023.Revista panamericana de salud publica = Pan American journal of public health · 2025Article
- A scoping review of the impact of extreme weather events on health outcomes and healthcare utilization in rural and remote areas.BMC health services research · 2024Article
- Twenty-first-century demographic and social inequalities of heat-related deaths in Brazilian urban areas.PloS one · 2024Article
- Determining the Impact of Heatwaves on Emergency Ambulance Calls in Queensland: A Retrospective Population-Based Study.International journal of environmental research and public health · 2023Article
- Heatwaves and mortality in Queensland 2010-2019: implications for a homogenous state-wide approach.International journal of biometeorology · 2023Article
- Impact of low-intensity heat events on mortality and morbidity in regions with hot, humid summers: a scoping literature review.International journal of biometeorology · 2022Article
- Estimating Heat-Related Exposures and Urban Heat Island Impacts: A Case Study for the 2012 Chicago Heatwave.GeoHealth · 2022Article
- Characterising the impact of heatwaves on work-related injuries and illnesses in three Australian cities using a standard heatwave definition- Excess Heat Factor (EHF).Journal of exposure science & environmental epidemiology · 2019Article
- Using the excess heat factor to indicate heatwave-related urinary disease: a case study in Adelaide, South Australia.International journal of biometeorology · 2019Article
- Heatwave and work-related injuries and illnesses in Adelaide, Australia: a case-crossover analysis using the Excess Heat Factor (EHF) as a universal heatwave index.International archives of occupational and environmental health · 2019Article
- Performance of Excess Heat Factor Severity as a Global Heatwave Health Impact Index.International journal of environmental research and public health · 2018Article
- Regional morbidity and mortality during heatwaves in South Australia.International journal of biometeorology · 2018Article
Corrections and comments
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Periods of successive extreme heat and cold temperature have major effects on human health and increase rates of health service utilisation. The severity of these events varies between geographic locations and populations. This study aimed to estimate the effects of heat waves and cold waves on health service utilisation across urban, regional and remote areas in New South Wales (NSW), Australia, during the 10-year study period 2005-2015. We divided the state into three regions and used 24 over-dispersed or zero-inflated Poisson time-series regression models to estimate the effect of heat waves and cold waves, of three levels of severity, on the rates of ambulance call-outs, emergency department (ED) presentations and mortality. We defined heat waves and cold waves using excess heat factor (EHF) and excess cold factor (ECF) metrics, respectively. Heat waves generally resulted in increased rates of ambulance call-outs, ED presentations and mortality across the three regions and the entire state. For all of NSW, very intense heat waves resulted in an increase of 10.8% (95% confidence interval (CI) 4.5, 17.4%) in mortality, 3.4% (95% CI 0.8, 7.8%) in ED presentations and 10.9% (95% CI 7.7, 14.2%) in ambulance call-outs. Cold waves were shown to have significant effects on ED presentations (9.3% increase for intense events, 95% CI 8.0-10.6%) and mortality (8.8% increase for intense events, 95% CI 2.1-15.9%) in outer regional and remote areas. There was little evidence for an effect from cold waves on health service utilisation in major cities and inner regional areas. Heat waves have a large impact on health service utilisation in NSW in both urban and rural settings. Cold waves also have significant effects in outer regional and remote areas. EHF is a good predictor of health service utilisation for heat waves, although service needs may differ between urban and rural areas.
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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.