Evidence map›Paper›PMID 32911725›Full record

ArticleInternational journal of environmental research and public health2020

Increased Medical Visits and Mortality among Adults with Cardiovascular Diseases in Severely Affected Areas after Typhoon Morakot.

Hsin-I Shih, Tzu-Yuan Chao, Yi-Ting Huang, Yi-Fang Tu, Tzu-Ching Sung, Jung-Der Wang, Chia-Ming Chang

Open access · goldAbstract read
In one paragraph

Article in International journal of environmental research and public health, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
2.6field-weighted citation impact, top 8% 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

11 citing papers in PubMed, 23 citations in OpenAlex.

  1. Review
  2. Review
  3. The effect of tropical cyclone on cognitive function in older adults: a longitudinal study from Thailand.The journals of gerontology. Series A, Biological sciences and medical sciences · 2025
    Article
  4. Article
  5. Article
  6. Article
  7. Maintaining Quality of Care among Dialysis Patients in Affected Areas after Typhoon Morakot.International journal of environmental research and public health · 2021
    Article
  8. Article
  9. Cardiovascular Diseases in Natural Disasters; a Systematic Review.Archives of academic emergency medicine · 2021
    Article
  10. Article
  11. Review
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

7 authors at 3 institutions in 1 country.

Hsin-I ShihDepartment of Emergency Medicine, National Cheng Kung University Hospital, College of Medicine, National Cheng Kung University, Tainan 70403, Taiwan.ORCID 0000-0002-1103-8675
Tzu-Yuan ChaoDepartment of Urban Planning, National Cheng Kung University, Tainan 70101, Taiwan.ORCID 0000-0001-9278-4321
Yi-Ting HuangSchool of Medicine, College of Medicine, National Cheng Kung University, Tainan 70101, Taiwan.
Yi-Fang TuSchool of Medicine, College of Medicine, National Cheng Kung University, Tainan 70101, Taiwan.ORCID 0000-0002-9498-6178
Tzu-Ching SungSchool of Medicine for International Students, I-Shou University, Kaohsiung 82445, Taiwan.ORCID 0000-0003-0012-9026
Jung-Der WangDepartment of Public Health, College of Medicine, National Cheng Kung University, Tainan 70101, Taiwan.
Chia-Ming ChangSchool of Medicine, College of Medicine, National Cheng Kung University, Tainan 70101, Taiwan.
National Cheng Kung University · TWNational Cheng Kung University Hospital · TWI-Shou University · TW

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Natural disasters have negative health impacts on chronic diseases in affected populations. Severely affected areas are usually rural areas with limited basic infrastructure and a population have that has limited access to optimal healthcare after a disaster. Patients with cardiovascular diseases are required to maintain quality care, especially after disasters. A population-based case-control study enrolled adults from the National Health Insurance Registry who had ischemic heart disease and cerebrovascular disease histories and lived in the area affected by Typhoon Morakot in 2009. Monthly medical visits for acute cerebrovascular and ischemic heart diseases markedly increased at approximately 1-2 months after the typhoon. Survival analysis during the two years following the typhoon indicated a significant increase in mortality in adults with an acute ischemic heart disease history who lived in the severely affected area. Mortality hazard analysis showed that among affected adults with previous cerebrovascular diseases and acute ischemic heart diseases, patients with diabetes (adjusted hazard ratio [HR]: 1.3-1.7), Chronic Kidney Disease (CKD) (adjusted HR: 2.0-2.7), chronic obstructive pulmonary diseases (COPD) and asthma (adjusted HR: 1.7-2.1), liver cirrhosis (adjusted HR: 2.3-3.3) and neoplasms (adjusted HR: 1.1-2.1) had significantly increased mortality rates. Consequently, high-quality and accessible primary healthcare plans should be made available to maintain and support affected populations after disasters.

Indexed as

Cardiovascular DiseasesCyclonic StormsNatural DisastersPrimary Health CareAdultAgedCase-Control StudiesChronic DiseaseFemaleHealth Services AccessibilityHumansRural Populationcardiovascular diseasescerebrovascular diseasesdisasterelderlyfloodtyphoon

Identifiers

PMID32911725
PMCPMC7558838
OpenAlexW3084115894

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.