Evidence map›Paper›PMID 32502591›Full record

ArticleChest2020

Power Outage: An Ignored Risk Factor for COPD Exacerbations.

Wangjian Zhang, Scott C Sheridan, Guthrie S Birkhead, Daniel P Croft, Jerald A Brotzge, John G Justino, Neil A Stuart, Zhicheng Du, Xiaobo X Romeiko, Bo Ye and 3 more

Open access · greenAbstract read
In one paragraph

Article in Chest, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed
2.0field-weighted citation impact, top 14% 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

27 citing papers in PubMed, 43 citations in OpenAlex.

  1. Article
  2. Emergency Preparedness in Older Adults With and Without COPD During Power Outages and Natural Disasters.Journal of applied gerontology : the official journal of the Southern Gerontological Society · 2026
    Article
  3. Article
  4. Respiratory Emergencies in Disasters: A Narrative Review.Thoracic research and practice · 2026
    Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. The Impact of Climate Change on Respiratory Care: A Scoping Review.The journal of climate change and health · 2024
    Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. The 2021 Texas Power Crisis: distribution, duration, and disparities.Journal of exposure science & environmental epidemiology · 2023
    Article
  20. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

13 authors at 6 institutions in 2 countries.

Wangjian ZhangDepartment of Environmental Health Sciences, University at Albany, State University of New York, Rensselaer, NY.
Scott C SheridanDepartment of Geography, Kent State University, Kent, OH.
Guthrie S BirkheadDepartment of Epidemiology and Biostatistics, University at Albany, State University of New York, Rensselaer, NY.
Daniel P CroftDepartment of Medicine, University of Rochester Medical Center, Rochester, NY.
Jerald A BrotzgeNew York State Mesonet, College of Arts and Sciences, State University of New York, Albany, NY.
John G JustinoCenter for Global Health, University at Albany, State University of New York, Rensselaer, NY.
Neil A StuartNational Weather Service, Albany, NY.
Zhicheng DuDepartment of Medical Statistics and Epidemiology, University at Albany, State University of New York, Rensselaer, NY.
Xiaobo X RomeikoDepartment of Environmental Health Sciences, University at Albany, State University of New York, Rensselaer, NY.
Bo YeDepartment of Epidemiology and Biostatistics, University at Albany, State University of New York, Rensselaer, NY.
Guanghui DongDepartment of Preventive Medicine, School of Public Health, Sun Yat-sen University, Guangzhou, China.
Yuantao HaoDepartment of Medical Statistics and Epidemiology, University at Albany, State University of New York, Rensselaer, NY.
Shao LinDepartment of Environmental Health Sciences, University at Albany, State University of New York, Rensselaer, NY; Department of Epidemiology and Biostatistics, University at Albany, State University of New York, Rensselaer, NY. Electronic address: slin@albany.edu.
University at Albany, State University of New York · USAlbany State University · USKent State University · USNOAA National Weather Service · USSun Yat-sen University · CNUniversity of Rochester Medical Center · US

Funding

VISUAL INDICES OF NEUROTOXICITYP30ES001247 · NIEHS · UNIVERSITY OF ROCHESTER · PI Martha Susiarjo · 1985 to 2026
$42.8M
Weather extremes, natural disasters, and health outcomes among vulnerable older adults: New improvements on exposure assessment, disparity identification, and risk communication strategiesR01AG070949 · NIA · STATE UNIVERSITY OF NEW YORK AT ALBANY · PI LIN, SHAO · 2022 to 2025
$1.6M
Effect of Air Pollution on the Immune Response to Respiratory Viral Infection in AdultsK23ES032459 · NIEHS · UNIVERSITY OF ROCHESTER · PI CROFT, DANIEL PATRICK · 2021 to 2025
$1.2M
Assess and Model the Health Effects, Population, and Infrastructural Vulnerabilities of Power OutageR15ES028000 · NIEHS · STATE UNIVERSITY OF NEW YORK AT ALBANY · PI LIN, SHAO · 2018 to 2018
$444k
NIA NIH HHS R01 AG070949NIEHS NIH HHS K23 ES032459NIEHS NIH HHS P30 ES001247NIEHS NIH HHS R15 ES028000
6 · The paper itself

Abstract

backgroundCOPD is the third leading cause of death in the United States, with 16 million Americans currently experiencing difficulty with breathing. Power outages could be life-threatening for those relying on electricity. However, significant gaps remain in understanding the potential impact of power outages on COPD exacerbations. RESEARCH QUESTION: The goal of this study was to determine how power outages affect COPD exacerbations. STUDY DESIGN AND

methodsUsing distributed lag nonlinear models controlling for time-varying confounders, the hospitalization rate during a power outage was compared vs non-outage periods to determine the rate ratio (RR) for COPD and its subtypes at each of 0 to 6 lag days in New York State from 2001 to 2013. Stratified analyses were conducted according to sociodemographic characteristics, season, and clinical severity; changes were investigated in numerous critical medical indicators, including length of stay, hospital cost, the number of comorbidities, and therapeutic procedures between the two periods.

resultsThe RR of COPD hospitalization following power outages ranged from 1.03 to 1.39 across lag days. The risk was strongest at lag

interpretationPower outages were associated with a significantly elevated rate of COPD hospitalization, as well as greater costs and number of comorbidities. The average cost and number of comorbidities were elevated in all clinical severity groups.

Indexed as

BronchitisElectric Power SuppliesHospitalizationPulmonary Disease, Chronic ObstructiveAcute DiseaseComorbidityDisease ProgressionFemaleHealth Status IndicatorsHospital CostsHumansMaleMiddle AgedRisk AssessmentRisk FactorsSeverity of Illness IndexCOPDmedical indicatorpower outagesociodemographic

Identifiers

PMID32502591
PMCPMC7768937
OpenAlexW3033299160

What OpenQuestion holds

Textmetadata
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.