ArticlePloS one2019
Temporal changes in the effects of ambient temperatures on hospital admissions in Spain.
Article in PloS one, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 1 of them a synthesis that pooled it.
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Who cites it
22 citing papers in PubMed, 1 synthesis or guideline pooled it, 39 citations in OpenAlex.
- Urban heat island impacts on heat-related cardiovascular morbidity: A time series analysis of older adults in US metropolitan areas.Environment international · 2023Pooled it
- Trends and Epidemiological Profile of Climate-Related Disasters in Spain between 1950 and 2024.Portuguese journal of public health · 2026Article
- Effects of Heat Waves on Hospitalizations, Emergency Department Visits, and Outpatient Care in Frail Older Adults: A Systematic Review and Meta-Analysis.Diseases (Basel, Switzerland) · 2026Review
- The mediating role of acute respiratory infections in temperature-mortality associations in the Czech Republic, 1982-2019.International journal of biometeorology · 2026Article
- Environmental Drivers of Respiratory Emergency Admissions: The Role of Tropospheric Ozone and Humidity in Lleida, Spain (2010-2019).NPJ primary care respiratory medicine · 2026Article
- Extreme temperatures, recent warming and seasonal influenza-linking human exposures to respiratory health in southern Germany.International archives of occupational and environmental health · 2025Article
- Short-term effect of temperature on cause-specific, sex-specific, and age-specific ambulance dispatches in Czechia: a nationwide time-series analysis.International journal of epidemiology · 2025Article
- Ambient temperature and dengue hospitalization in Brazil: A 10-year period case time series analysis.Environmental epidemiology (Philadelphia, Pa.) · 2025Article
- Heat Exposure and Cause-Specific Hospital Admissions in Spain: A Nationwide Cross-Sectional Study.Environmental health perspectives · 2024Article
- Risk, Attributable Fraction and Attributable Number of Cause-Specific Heat-Related Emergency Hospital Admissions in Switzerland.International journal of public health · 2024Article
- Ambient temperature and seasonal variation in inpatient mortality from respiratory diseases: a retrospective observational study.The Lancet regional health. Europe · 2023Article
- Extreme temperatures and sickness absence in the Mediterranean province of Barcelona: An occupational health issue.Frontiers in public health · 2023Article
- High Temperatures and Cardiovascular-Related Morbidity: A Scoping Review.International journal of environmental research and public health · 2022Article
- Temperature variability associations with cardiovascular and respiratory emergency department visits in Dhaka, Bangladesh.Environment international · 2022Article
- Health effects from heat waves in France: an economic evaluation.The European journal of health economics : HEPAC : health economics in prevention and care · 2022Article
- The effects of extreme temperatures on emergency room visits-a population-based analysis by age, sex, and comorbidity.International journal of biometeorology · 2021Article
- Increased susceptibility to temperature variation for non-accidental emergency ambulance dispatches in Shenzhen, China.Environmental science and pollution research international · 2021Article
- Epidemiology of West Nile Virus Infections in Humans, Italy, 2012-2020: A Summary of Available Evidences.Tropical medicine and infectious disease · 2021Review
- Association between respiratory hospital admissions and air quality in Portugal: A count time series approach.PloS one · 2021Article
- Heat, Heatwaves and Cardiorespiratory Hospital Admissions in Helsinki, Finland.International journal of environmental research and public health · 2020Article
Corrections and comments
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Authors and funding
2 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe exposure to extreme ambient temperatures has been reported to increase mortality, although less is known about its impact on morbidity. The analysis of temporal changes in temperature-health associations has also focused on mortality with no studies on hospitalizations worldwide. Studies on temporal variations can provide insights on changes in susceptibility or on effectiveness of public health interventions. We aimed to analyse the effects of temperature on cause-specific hospital admissions in Spain and assess temporal changes using two periods, the second one characterized by the introduction of a heat health prevention plan.
methodsDaily counts of non-scheduled hospital admissions for cardiovascular, cerebrovascular and respiratory diseases and daily maximum temperature were obtained for each Spanish province for the period 1997-2013. The relationship between temperature and hospitalizations was estimated using distributed lag non-linear models. We compared the risk of hospitalization due to temperatures (cold, heat and extreme heat) in two periods (1997-2002 and 2004-2013).
resultsCold temperatures were associated with increased risk of cardiovascular, cerebrovascular and respiratory hospital admissions. Hot temperatures were only associated with higher hospital admissions for respiratory causes while hospitalizations for cardiovascular and cerebrovascular diseases did not increase with heat. There was a small reduction in heat-related respiratory admissions in period 2. Whereas cold-related hospitalizations for cardiovascular and cerebrovascular diseases increased in period 2, a significant reduction for respiratory hospitalizations was reported.
conclusionsOur results suggested that heat had an adverse impact on hospital admissions for respiratory diseases, while cold increased the risk of the three studied cause-specific hospitalizations. Public health interventions should also focus on morbidity effects of temperature.
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