ArticleInternational journal of biometeorology2021
Mortality attributable to heat and cold among the elderly in Sofia, Bulgaria.
Article in International journal of biometeorology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 3 of them syntheses that pooled 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.
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.
Who cites it
16 citing papers in PubMed, 3 syntheses or guidelines pooled it, 39 citations in OpenAlex.
- Building the model: a review of input structures in extreme temperature-health.Environmental health : a global access science source · 2026Pooled it
- The interplay between climate change and ageing: A systematic review of health indicators.PloS one · 2024Pooled it
- Cold Spells and Cause-Specific Mortality in 47 Japanese Prefectures: A Systematic Evaluation.Environmental health perspectives · 2021Pooled it
- Mapping the global health burden of climate-sensitive exposures: a systematic scoping review.Environmental health : a global access science source · 2026Article
- Ambient temperature exposure on inflammatory blood proteins-A longitudinal self-sampling survey in young Swedish adults.iScience · 2026Article
- Association between ambient temperature and non-accidental mortality in Guiyang, China: A time-series analysis (2013-2023).PloS one · 2025Article
- Global projections of heat exposure of older adults.Nature communications · 2024Article
- Rising trend and regional disparities of the global burden of disease attributable to ambient low temperature, 1990-2019: An analysis of data from the Global Burden of Disease 2019 study.Journal of global health · 2024Article
- Machine learning analysis and risk prediction of weather-sensitive mortality related to cardiovascular disease during summer in Tokyo, Japan.Scientific reports · 2023Article
- Effects of Short- And Medium-Term Exposures to Lower Air Temperature on 71 Novel Biomarkers of Subclinical Inflammation: Results from the KORA F4 Study.Environmental science & technology · 2023Article
- Associations between medium- and long-term exposure to air temperature and epigenetic age acceleration.Environment international · 2023Article
- Gender inequalities in heat-related mortality in the Czech Republic.International journal of biometeorology · 2023Article
- Territory Differences in Adaptation to Heat among Persons Aged 65 Years and Over in Spain (1983-2018).International journal of environmental research and public health · 2023Article
- The Impact of Ambient Temperature on Cardiorespiratory Mortality in Northern Greece.International journal of environmental research and public health · 2022Article
- Production losses due to mortality associated with modifiable health risk factors in Poland.The European journal of health economics : HEPAC : health economics in prevention and care · 2022Article
- Modelling of Temperature-Attributable Mortality among the Elderly in Lisbon Metropolitan Area, Portugal: A Contribution to Local Strategy for Effective Prevention Plans.Journal of urban health : bulletin of the New York Academy of Medicine · 2021Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors at 3 institutions in 3 countries.
Funding
Abstract
Although a number of epidemiological studies have examined the effects of non-optimal temperatures on mortality in Europe, evidence about the mortality risks associated with exposures to hot and cold temperatures in Bulgaria is scarce. This study provides evidence about mortality attributable to non-optimal temperatures in adults aged 65 and over in Sofia, Bulgaria, between 2000 and 2017. We quantified the relationship between the daily mean temperature and mortality in the total elderly adult population aged 65 and over, among males and females aged 65 and over, as well as individuals aged 65-84 and 85 years or older. We used a distributed lag non-linear model with a 25-day lag to fully capture the effects of both cold and hot temperatures and calculated the fractions of mortality attributable to mild and extreme hot and cold temperatures. Cold temperatures had a greater impact on mortality than hot temperatures during the studied period. Most of the temperature-attributable mortality was due to moderate cold, followed by moderate heat, extreme cold, and extreme heat. The total mortality attributable to non-optimal temperatures was greater among females compared to males and among individuals aged 85 and over compared to those aged 65 to 84. The findings of this study can serve as a foundation for future research and policy development aimed at characterizing and reducing the risks from temperature exposures among vulnerable populations in the country, climate adaptation planning and improved public health preparedness, and response to non-optimal temperatures.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
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.