Evidence map›Paper›PMID 31581630›Full record

ArticleInternational journal of environmental research and public health2019

The Value of Local Heatwave Impact Assessment: A Case-Crossover Analysis of Hospital Emergency Department Presentations in Tasmania, Australia.

Sharon L Campbell, Tomas A Remenyi, Grant J Williamson, Christopher J White, Fay H Johnston

Abstract readComparative Study
In one paragraph

Article in International journal of environmental research and public health, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 5 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

18 citing papers in PubMed, 5 syntheses or guidelines pooled it.

  1. Extreme weather and asthma: a systematic review and meta-analysis.European respiratory review : an official journal of the European Respiratory Society · 2023
    Pooled it
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  13. Adverse heat-health outcomes and critical environmental limits (Pennsylvania State University Human Environmental Age Thresholds project).American journal of human biology : the official journal of the Human Biology Council · 2023
    Review
  14. Article
  15. High-Heat Days and Presentations to Emergency Departments in Regional Victoria, Australia.International journal of environmental research and public health · 2022
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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

5 authors.

Sharon L CampbellMenzies Institute for Medical Research, University of Tasmania, 1 Liverpool St, Hobart, Tasmania 7000, Australia. sharon.campbell@utas.edu.au.ORCID 0000-0002-9788-5372
Tomas A RemenyiAntarctic Climate and Ecosystems Cooperative Research Centre, University of Tasmania, 20 Castray Esplanade, Hobart, Tasmania 7000, Australia. tom.remenyi@utas.edu.au.ORCID 0000-0002-4145-9323
Grant J WilliamsonSchool of Natural Sciences, University of Tasmania, Hobart, Tasmania 7001, Australia. grant.williamson@utas.edu.au.ORCID 0000-0002-3469-7550
Christopher J WhiteAntarctic Climate and Ecosystems Cooperative Research Centre, University of Tasmania, 20 Castray Esplanade, Hobart, Tasmania 7000, Australia. chris.white@strath.ac.uk.
Fay H JohnstonMenzies Institute for Medical Research, University of Tasmania, 1 Liverpool St, Hobart, Tasmania 7000, Australia. fay.johnston@utas.edu.au.ORCID 0000-0002-5150-8678

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Heatwaves have been identified as a threat to human health, with this impact projected to rise in a warming climate. Gaps in local knowledge can potentially undermine appropriate policy and preparedness actions. Using a case-crossover methodology, we examined the impact of heatwave events on hospital emergency department (ED) presentations in the two most populous regions of Tasmania, Australia, from 2008-2016. Using conditional logistic regression, we analyzed the relationship between ED presentations and severe/extreme heatwaves for the whole population, specific demographics including age, gender and socio-economic advantage, and diagnostic conditions that are known to be impacted in high temperatures. ED presentations increased by 5% (OR 1.05, 95% CI 1.01-1.09) across the whole population, by 13% (OR 1.13, 95% CI 1.03-1.24) for children 15 years and under, and by 19% (OR 1.19, 95% CI 1.04-1.36) for children 5 years and under. A less precise association in the same direction was found for those over 65 years. For diagnostic subgroups, non-significant increases in ED presentations were observed for asthma, diabetes, hypertension, and atrial fibrillation. These findings may assist ED surge capacity planning and public health preparedness and response activities for heatwave events in Tasmania, highlighting the importance of using local research to inform local practice.

Indexed as

ClimateAdolescentAgedAged, 80 and overAge FactorsChildChild, PreschoolEmergency Service, HospitalEnvironmental ExposureFemaleHeat Stress DisordersHot TemperatureHumansInfantInfant, NewbornLogistic Modelscase-crossoveremergency presentationextreme heathealth effectsheatwavemorbidity

Identifiers

PMID31581630
PMCPMC6801666

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.