ArticleJournal of the American Heart Association2018
Temperature and Precipitation Associate With Ischemic Stroke Outcomes in the United States.
Article in Journal of the American Heart Association, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.
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Who cites it
17 citing papers in PubMed.
- Wildfire smoke PMScience advances · 2026Article
- Weathering the storm: Effect of climate change on acute stroke care and stroke rehabilitation.PM & R : the journal of injury, function, and rehabilitation · 2026Review
- Seasonal Variation in the Onset of Acute Cerebral Infarction and Its Association with Clinical Severity and Risk Factors: A Five-Year Single-Center Retrospective Study.International journal of general medicine · 2026Article
- Precipitation, EMS use, and time to presentation of Acute Ischemic stroke in the get with the guidelines-stroke registry.Journal of stroke and cerebrovascular diseases : the official journal of National Stroke Association · 2025Article
- Influence of Daily Meteorological Changes on Stroke Incidence Across the United States.The western journal of emergency medicine · 2025Article
- Machine learning-based forecasting of daily acute ischemic stroke admissions using weather data.NPJ digital medicine · 2025Article
- Study on the relationship among typhoon, weather change and acute ischemic stroke in southern Zhejiang Province of China.BMC neurology · 2025Article
- Emerging Stroke Risk Factors: A Focus on Infectious and Environmental Determinants.Journal of cardiovascular development and disease · 2024Review
- Forecasting extremely high ischemic stroke incidence using meteorological time serie.PloS one · 2024Article
- Seasonal impact of diurnal temperature range on intracerebral hemorrhage in middle-aged and elderly people in central China.Epidemiology and health · 2024Article
- Seasonal Variation of Atrial Fibrillation Admission and Quality of Care in the United States.Journal of the American Heart Association · 2022Article
- Article
- Seasonal patterns and associations in the incidence of acute ischemic stroke requiring mechanical thrombectomy.European journal of neurology · 2021Article
- Association of Neighborhood Socioeconomic Status With Outcomes in Patients Surviving Stroke.Neurology · 2021Article
- Epidemiological characteristics of 561 cases of intracerebral hemorrhage in Chengdu, China.Medicine · 2021Article
- [Influence of extreme weather conditions on the deployment volume of emergency medical services].Medizinische Klinik, Intensivmedizin und Notfallmedizin · 2021Article
- Temperature and Precipitation Associate With Ischemic Stroke Outcomes in the United States.Journal of the American Heart Association · 2018Article
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9 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Background There is disagreement in the literature about the relationship between strokes and seasonal conditions. We sought to (1) describe seasonal patterns of stroke in the United States, and (2) determine the relationship between weather variables and stroke outcomes. Methods and Results We performed a cross-sectional study using Get With The Guidelines-Stroke data from 896 hospitals across the continental United States. We examined effects of season, climate region, and climate variables on stroke outcomes. We identified 457 638 patients admitted from 2011 to 2015 with ischemic stroke. There was a higher frequency of admissions in winter (116 862 in winter versus 113 689 in spring, 113 569 in summer, and 113 518 in fall; P<0.0001). Winter was associated with higher odds of in-hospital mortality (odds ratio [OR] 1.08 relative to spring, confidence interval [ CI ] 1.04-1.13, P=0.0004) and lower odds of discharge home ( OR 0.92, CI 0.91-0.94, P<0.0001) or independent ambulation at discharge ( OR 0.96, CI 0.94-0.98, P=0.0006). These differences were attenuated after adjusting for climate region and case mix and became inconsistent after controlling for weather variables. Temperature and precipitation were independently associated with outcome after multivariable analysis, with increases in temperature and precipitation associated with lower odds of mortality ( OR 0.95, CI 0.93-0.97, P<0.0001 and OR 0.95, CI 0.90-1.00, P=0.035, respectively). Conclusions Admissions for ischemic stroke were more frequent in the winter. Warmer and wetter weather conditions were independently associated with better outcomes. Further studies should aim to identify sensitive populations and inform public health measures aimed at resource allocation, readiness, and adaptive strategies.
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