Evidence map›Paper›PMID 30089503›Full record

ArticleEnvironmental health : a global access science source2018

The inter-annual variability of heat-related mortality in nine European cities (1990-2010).

Matteo Scortichini, Francesca de'Donato, Manuela De Sario, Michela Leone, Christofer Åström, Ferran Ballester, Xavier Basagaña, Janos Bobvos, Antonio Gasparrini, Klea Katsouyanni and 4 more

Abstract read
In one paragraph

Article in Environmental health : a global access science source, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 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

4 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. Heat-Related Mortality.Deutsches Arzteblatt international · 2020
    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

14 authors.

Matteo ScortichiniEnvironmental Epidemiology Unit, Lazio Regional Health Service ASL Roma 1, Rome, Italy. m.scortichini@deplazio.it.ORCID 0000-0002-6413-7706
Francesca de'DonatoEnvironmental Epidemiology Unit, Lazio Regional Health Service ASL Roma 1, Rome, Italy.
Manuela De SarioEnvironmental Epidemiology Unit, Lazio Regional Health Service ASL Roma 1, Rome, Italy.
Michela LeoneEnvironmental Epidemiology Unit, Lazio Regional Health Service ASL Roma 1, Rome, Italy.
Christofer ÅströmDepartment of Public Health and Clinical Medicine, Umeå University, Umeå, Sweden.
Ferran BallesterFISABIO-Universitat Jaume I-Universitat de València Joint Research Unit of Epidemiology and Environmental Health, Valencia, Spain.
Xavier BasagañaSpanish Consortium for Research on Epidemiology and Public Health CIBERESP, Madrid, Spain.
Janos BobvosNational Institute of Environmental Health, Budapest, Hungary.
Antonio GasparriniDepartment of Social and Environmental Health Research, London School Hygiene and Tropical Medicine, London, UK.
Klea KatsouyanniDepartment of Hygiene, Epidemiology and Medical Statistics, Medical School University of Athens, Athens, Greece.
Timo LankiEnvironmental Health Unit, National Institute for Health and Welfare, Kuopio, Finland.
Bettina MenneWHO Regional Office for Europe, Copenhagen, Denmark.
Mathilde PascalDepartment of Environmental Health (DSE), Santé Publique France, Saint Maurice, France.
Paola MichelozziEnvironmental Epidemiology Unit, Lazio Regional Health Service ASL Roma 1, Rome, Italy.

Funding

Consumers, Health and Food Executive Agency 20101103Medical Research Council MR/M022625/1Medical Research Council MR/R013349/1World Health Organization 001
6 · The paper itself

Abstract

backgroundThe association between heat and daily mortality and its temporal variation are well known. However, few studies have analyzed the inter-annual variations in both the risk estimates and impacts of heat. The aim is to estimate inter-annual variations in the effect of heat for a fixed temperature range, on mortality in 9 European cities included in the PHASE (Public Health Adaptation Strategies to Extreme weather events) project for the period 1990-2010. The second aim is to evaluate overall summer effects and heat-attributable deaths for each year included in the study period, considering the entire air temperature range (both mild and extreme temperatures).

methodsA city-specific daily time-series analysis was performed, using a generalized additive Poisson regression model, restricted to the warm season (April-September). To study the temporal variation for a fixed air temperature range, a Bayesian Change Point analysis was applied to the relative risks of mortality for a 2 °C increase over the 90th percentile of the city-specific distribution. The number of heat attributable deaths in each summer were also calculated for mild (reference to 95th percentile) and extreme heat (95th percentile to maximum value).

resultsA decline in the effects of heat over time was observed in Athens and Rome when considering a fixed interval, while an increase in effects was observed in Helsinki. The greatest impact of heat in terms of attributable deaths was observed in the Mediterranean cities (Athens, Barcelona and Rome) for extreme air temperatures. In the other cities the impact was mostly related to extreme years with 2003 as a record breaking year in Paris (+ 1900 deaths) and London (+ 1200 deaths).

conclusionsMonitoring the impact of heat over time is important to identify changes in population vulnerability and evaluate adaptation measures.

Indexed as

MortalityBayes TheoremCitiesEuropeExtreme HeatHumansRiskSeasonsAttributable riskBayesian modelsHeatMortalityTemporal trendsTime factors

Identifiers

PMID30089503
PMCPMC6083580

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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.