ArticleInternational journal of biometeorology2019
Effects of extreme temperatures on cerebrovascular mortality in Lisbon: a distributed lag non-linear model.
Article in International journal of biometeorology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.
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Who cites it
16 citing papers in PubMed.
- Impact of rapid temperature fluctuations on acute stroke risk: a nationwide case-crossover study from 2001 to 2020.The Lancet regional health. Western Pacific · 2025Article
- Assessing the risks of short-term exposure to ambient air pollutants on COVID-19 hospitalizations in Tehran, Iran: a time-stratified case-crossover approach.Frontiers in public health · 2025Article
- Exploring the paradoxical nature of cold temperature mortality in Europe.Scientific reports · 2024Article
- Occupational Risk Factors for Stroke: A Comprehensive Review.Journal of stroke · 2023Review
- Effects of ambient temperature on mortality among elderly residents of Chengdu city in Southwest China, 2016-2020: a distributed-lag non-linear time series analysis.BMC public health · 2023Article
- The Impact of Ambient Temperature on Cardiorespiratory Mortality in Northern Greece.International journal of environmental research and public health · 2022Article
- Effects of Environmental and Socioeconomic Inequalities on Health Outcomes: A Multi-Region Time-Series Study.International journal of environmental research and public health · 2022Article
- Mortality Related to Air Temperature in European Cities, Based on Threshold Regression Models.International journal of environmental research and public health · 2022Article
- Modelling of Temperature-Attributable Mortality among the Elderly in Lisbon Metropolitan Area, Portugal: A Contribution to Local Strategy for Effective Prevention Plans.Journal of urban health : bulletin of the New York Academy of Medicine · 2021Article
- Estimation of Heat-Attributable Mortality Using the Cross-Validated Best Temperature Metric in Switzerland and South Korea.International journal of environmental research and public health · 2021Article
- Mortality attributable to heat and cold among the elderly in Sofia, Bulgaria.International journal of biometeorology · 2021Article
- Extreme temperatures and cardiovascular mortality: assessing effect modification by subgroups in Ganzhou, China.Global health action · 2021Article
- Risk assessment of temperature and air pollutants on hospitalizations for mental and behavioral disorders in Curitiba, Brazil.Environmental health : a global access science source · 2020Article
- Regional Temperature-Sensitive Diseases and Attributable Fractions in China.International journal of environmental research and public health · 2019Article
- Overview of Existing Heat-Health Warning Systems in Europe.International journal of environmental research and public health · 2019Review
- Bootstrap approach to validate the performance of models for predicting mortality risk temperature in Portuguese Metropolitan Areas.Environmental health : a global access science source · 2019Article
Corrections and comments
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Authors and funding
3 authors.
Funding
Abstract
Cerebrovascular diseases are the leading cause of mortality in Portugal, especially when related with extreme temperatures. This study highlights the impacts of the exposure-response relationship or lagged effect of low and high temperatures on cerebrovascular mortality, which can be important to reduce the health burden from cerebrovascular diseases. The purpose of this study was to assess the effects of weather on cerebrovascular mortality, measured by ambient temperature in the District of Lisbon, Portugal. A quasi-Poisson generalized additive model combined with a distributed lag non-linear model was applied to estimate the delayed effects of temperature on cerebrovascular mortality up to 30 days. With reference to minimum mortality temperature threshold of 22 °C, there was a severe risk (RR = 2.09, 95% CI 1.74, 2.51) of mortality for a 30-day-cumulative exposure to extreme cold temperatures of 7.3 °C (1st percentile). Similarly, the cumulative effect of a 30-day exposure to an extreme hot temperature of 30 °C (99th percentile) was 52% (RR = 1.65, 95% CI 1.37, 1.98) higher than same-day exposure. Over the 13 years of study, non-linear effects of temperature on mortality were identified, and the probability of dying from cerebrovascular disease in Lisbon was 7% higher in the winter than in the summer. The findings of this study provide a baseline for future public health prevention programs on weather-related mortality.
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Registered trials
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