ArticleBMJ open2020
Effects of diurnal temperature range on first-ever strokes in different seasons: a time-series study in Shenzhen, China.
Article in BMJ open, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.
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Who cites it
15 citing papers in PubMed.
- Bidirectional effect modification between diurnal temperature range and particulate matter on acute myocardial infarction risk.iScience · 2026Article
- Seasonal Variation in the Onset of Acute Cerebral Infarction and Its Association with Clinical Severity and Risk Factors: A Five-Year Single-Center Retrospective Study.International journal of general medicine · 2026Article
- Diurnal temperature range and hospital admission due to cardiovascular diseases: A systematic review and meta-analysis study.International journal of cardiology. Cardiovascular risk and prevention · 2025Review
- Article
- Burden of mortality attributable to diurnal temperature range in Thailand: a nationwide case-crossover analysis from 2007 to 2021.Tropical medicine and health · 2025Article
- Temperature Exposure and Acute Cardiovascular Disease Risk in New York City: Case Time Series.Journal of the American Heart Association · 2025Article
- Neurological and mental health in the era of climate change: mechanisms, clinical impacts, and adaptation.Frontiers in public health · 2025Review
- Daily temperature variability and mental health-related hospital visits in New York State.Environmental research · 2024Article
- Hourly Heat Exposure and Acute Ischemic Stroke.JAMA network open · 2024Article
- Effects of intra- and inter-day temperature change on acute upper respiratory infections among college students, assessments of three temperature change indicators.Frontiers in public health · 2024Article
- Seasonal impact of diurnal temperature range on intracerebral hemorrhage in middle-aged and elderly people in central China.Epidemiology and health · 2024Article
- Impacts of Climate Change and Air Pollution on Neurologic Health, Disease, and Practice: A Scoping Review.Neurology · 2023Article
- The Influence of Selected Meteorological Factors on the Prevalence and Course of Stroke.Medicina (Kaunas, Lithuania) · 2021Article
- Optimal Antihypertensive Medication Adherence Reduces the Effect of Ambient Temperature on Intracerebral Hemorrhage Occurrence: A Case-Crossover Study.Patient preference and adherence · 2021Article
- Effects of diurnal temperature range on diarrhea in the subtropical megacity of Dhaka, Bangladesh.The journal of climate change and healthArticle
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveDiurnal temperature range (DTR) is an important meteorological indicator of global climate change; high values of DTR may induce stroke morbidity, while the related high-risk periods and sensitive populations are not clear. This study aims to evaluate the effects of DTR on first-ever strokes in different seasons and in relation to sensitive populations.
methodsWe collected data on 142 569 first-ever strokes during 2005-2016 in Shenzhen. We fitted a time-series Poisson model in our study, estimating the associations between DTR and first-ever strokes, with a distributed lag non-linear model. Then, we calculated strokes attributable to high DTR in different genders, age groups, education levels and stroke subtypes.
resultsHigh DTR had a significant association with first-ever strokes, and the risk of stroke increased with the rise of DTR in the summer and winter. In total, 3.65% (95% empirical CI (eCI) 1.81% to 5.53%) of first-ever strokes were attributable to high DTR (5.5°C and higher) in the summer, while 2.42% (95% eCI 0.05% to 4.42%) were attributable to high DTR (8°C and higher) in the winter. In the summer, attributable fraction (AF) was significant in both genders, middle-aged and old patients, patients with different levels of education, as well as patients with cerebral infarction (CBI); in the winter, AF was significant in middle-aged patients, patients with primary and lower education level, as well as patients with CBI.
conclusionsHigh DTR may trigger first-ever strokes in the summer and winter, and CBI is more sensitive than intracerebral haemorrhage to DTR. Most people are sensitive to high DTR in the summer, while middle-aged and low-education populations are sensitive in the winter. It is recommended that the DTR values be reported and emphasised in weather forecast services, together with the forecasts of heat and cold.
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