ArticleThorax2018
Seasonal temperature variability and emergency hospital admissions for respiratory diseases: a population-based cohort study.
Article in Thorax, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 38 papers, 1 of them a synthesis that pooled it.
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Who cites it
38 citing papers in PubMed, 1 synthesis or guideline pooled it, 100 citations in OpenAlex.
- The interplay between climate change and ageing: A systematic review of health indicators.PloS one · 2024Pooled it
- SWORD survey: Seasonal trends in hospitalisation and mortality among patients with respiratory illnesses in India.Lung India : official organ of Indian Chest Society · 2026Article
- Temperature Variability and Chronic Obstructive Pulmonary Disease: The China Pulmonary Health Study.Environment & health (Washington, D.C.) · 2026Article
- Nationwide Study of the Association between Temperature Variability and Sleep Apnea, and the Modifying Role of Air Pollution, in a Moderate-to-Severe Risk OSA Population.Environment & health (Washington, D.C.) · 2026Article
- Extreme and moderate temperatures and risk of hospitalizations for pulmonary hypertension: an 11-year time-series study in Shanghai, China.Frontiers in medicine · 2026Article
- County-Level Influenza-Attributable Emergency Department Visits and Their Spatial Correlates in the United States: Cross-Sectional Observational Study.JMIR public health and surveillance · 2025Observational
- The association between temperature variability, morbidity and mortality for specific categories of disease: A systematic review and meta-analysis.Hygiene and environmental health advances · 2025Article
- Impact of temperature variations on burden of lower respiratory infections under climate change (1990-2021).BMC public health · 2025Article
- Short-Term Effects of Extreme Heat, Cold, and Air Pollution Episodes on Excess Mortality in Luxembourg.International journal of environmental research and public health · 2025Article
- Article
- Time series analysis of low-concentration air pollution and hospital respiratory disease outpatient visits.Frontiers in public health · 2025Article
- Effects of meteorological factors on tuberculosis and potential modifiers in Zhejiang Province, China.Scientific reports · 2024Article
- Impact of diurnal temperature variations on sputum bacterial detection in hospitalized patients with acute COPD exacerbation: a retrospective study from Fuzhou, China.BMC pulmonary medicine · 2024Article
- The impact of short-term exposure to meteorological factors on the risk of death from hypertension and its major complications: a time series analysis based on Hefei, China.International archives of occupational and environmental health · 2024Article
- Exploring the Modifying Role of GDP and Greenness on the Short Effect of Air Pollutants on Respiratory Hospitalization in Beijing.GeoHealth · 2024Article
- Short-term exposure to extreme temperature and outpatient visits for respiratory diseases among children in the northern city of China: a time-series study.BMC public health · 2024Article
- The impact of ambient air pollution on hospital admissions, length of stay and hospital costs for patients with diabetes mellitus and comorbid respiratory diseases in Panzhihua, Southwest China.Journal of global health · 2023Article
- Health Risks of Temperature Variability on Hospital Admissions in Cape Town, 2011-2016.International journal of environmental research and public health · 2023Article
- Temperature variability and common diseases of the elderly in China: a national cross-sectional study.Environmental health : a global access science source · 2023Article
- Association between the temperature difference and acute exacerbations of chronic obstructive pulmonary disease: A time-series analysis with 143,318 hospital admissions in Beijing, China.Frontiers in public health · 2023Article
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Authors and funding
8 authors at 4 institutions in 3 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundClimate change increases global mean temperature and changes short-term (eg, diurnal) and long-term (eg, intraseasonal) temperature variability. Numerous studies have shown that mean temperature and short-term temperature variability are both associated with increased respiratory morbidity or mortality. However, data on the impact of long-term temperature variability are sparse.
objectiveWe aimed to assess the association of intraseasonal temperature variability with respiratory disease hospitalisations among elders.
methodsWe ascertained the first occurrence of emergency hospital admissions for respiratory diseases in a prospective Chinese elderly cohort of 66 820 older people (≥65 years) with 10-13 years of follow-up. We used an ordinary kriging method based on 22 weather monitoring stations in Hong Kong to spatially interpolate daily ambient temperature for each participant's residential address. Seasonal temperature variability was defined as the SD of daily mean summer (June-August) or winter (December-February) temperatures. We applied Cox proportional hazards regression with time-varying exposure of seasonal temperature variability to respiratory admissions.
resultsDuring the follow-up time, we ascertained 12 689 cases of incident respiratory diseases, of which 6672 were pneumonia and 3075 were COPD. The HRs per 1°C increase in wintertime temperature variability were 1.20 (95% CI 1.08 to 1.32), 1.15 (1.01 to 1.31) and 1.41 (1.15 to 1.71) for total respiratory diseases, pneumonia and COPD, respectively. The associations were not statistically significant for summertime temperature variability.
conclusionWintertime temperature variability was associated with higher risk of incident respiratory diseases.
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