Evidence map›Paper›PMID 32290746›Full record

ArticleJournal of the American Heart Association2020

Out-of-Hospital Cardiac Arrests and Wildfire-Related Particulate Matter During 2015-2017 California Wildfires.

Caitlin G Jones, Ana G Rappold, Jason Vargo, Wayne E Cascio, Martin Kharrazi, Bryan McNally, Sumi Hoshiko, with the CARES Surveillance Group

Open access · goldAbstract readComparative Study
In one paragraph

Article in Journal of the American Heart Association, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 53 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
53citing papers in PubMed, 5 pooled it
6.0field-weighted citation impact, top 2% of its field
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

53 citing papers in PubMed, 5 syntheses or guidelines pooled it, 103 citations in OpenAlex.

  1. Association between extreme weather events and postoperative adverse outcomes: a systematic review.Canadian journal of anaesthesia = Journal canadien d'anesthesie · 2025
    Pooled it
  2. Pooled it
  3. Health Effects of Wildfire Smoke Exposure.Annual review of medicine · 2024
    Pooled it
  4. Pooled it
  5. Pooled it
  6. Article
  7. Article
  8. Article
  9. Burning issues: trends in newspaper coverage of wildfire events and health.Journal of public health (Oxford, England) · 2026
    Article
  10. Article
  11. Article
  12. Review
  13. Article
  14. Article
  15. Wildland Fire-Related Smoke PMJournal of the American Heart Association · 2025
    Article
  16. Article
  17. The Intersection of Socioeconomic and Environmental Factors in Aging: Insights from a Narrative Review.International journal of environmental research and public health · 2025
    Review
  18. Impact of Seasonal PMToxics · 2025
    Article
  19. Article
  20. 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

8 authors at 3 institutions in 1 country.

Caitlin G JonesCalifornia Department of Public Health Environmental Health Investigations Branch Richmond CA.
Ana G RappoldUnited States Environmental Protection Agency Research Triangle Park NC.
Jason VargoCalifornia Department of Public Health Office of Health Equity Richmond CA.
Wayne E CascioUnited States Environmental Protection Agency Research Triangle Park NC.
Martin KharraziCalifornia Department of Public Health Environmental Health Investigations Branch Richmond CA.
Bryan McNallyEmory University School of Medicine Atlanta GA.
Sumi HoshikoCalifornia Department of Public Health Environmental Health Investigations Branch Richmond CA.
with the CARES Surveillance Group
California Department of Public Health · USEnvironmental Protection Agency · USEmory University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background The natural cycle of large-scale wildfires is accelerating, increasingly exposing both rural and populous urban areas to wildfire emissions. While respiratory health effects associated with wildfire smoke are well established, cardiovascular effects have been less clear. Methods and Results We examined the association between out-of-hospital cardiac arrest and wildfire smoke density (light, medium, heavy smoke) from the National Oceanic Atmospheric Association's Hazard Mapping System. Out-of-hospital cardiac arrest data were provided by the Cardiac Arrest Registry to Enhance Survival for 14 California counties, 2015-2017 (N=5336). We applied conditional logistic regression in a case-crossover design using control days from 1, 2, 3, and 4 weeks before case date, at lag days 0 to 3. We stratified by pathogenesis, sex, age (19-34, 35-64, and ≥65 years), and socioeconomic status (census tract percent below poverty). Out-of-hospital cardiac arrest risk increased in association with heavy smoke across multiple lag days, strongest on lag day 2 (odds ratio, 1.70; 95% CI, 1.18-2.13). Risk in the lower socioeconomic status strata was elevated on medium and heavy days, although not statistically significant. Higher socioeconomic status strata had elevated odds ratios with heavy smoke but null results with light and medium smoke. Both sexes and age groups 35 years and older were impacted on days with heavy smoke. Conclusions Out-of-hospital cardiac arrests increased with wildfire smoke exposure, and lower socioeconomic status appeared to increase the risk. The future trajectory of wildfire, along with increasing vulnerability of the aging population, underscores the importance of formulating public health and clinical strategies to protect those most vulnerable.

Indexed as

WildfiresAdultAgedAge FactorsAir PollutantsCaliforniaFemaleHumansInhalation ExposureMaleMiddle AgedOut-of-Hospital Cardiac ArrestRegistriesRisk AssessmentRisk FactorsSex FactorsAir PollutantsSmokebushfirecardiovascularout‐of‐hospital cardiac arrestparticulate mattersmokewildfirewildland fire

Identifiers

PMID32290746
PMCPMC7428528
OpenAlexW3015919399

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.