Evidence map›Paper›PMID 34164839›Full record

ArticlePaediatric and perinatal epidemiology2022

High ambient temperature and child emergency and hospital visits in New York City.

Li Niu, Maria Teresa Herrera, Blean Girma, Bian Liu, Leah Schinasi, Jane E Clougherty, Perry E Sheffield

Open access · hybridAbstract read
In one paragraph

Article in Paediatric and perinatal epidemiology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
1.8field-weighted citation impact, top 17% 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

10 citing papers in PubMed, 24 citations in OpenAlex.

  1. Article
  2. Local Violence as an Environmental Exposure with Increasing Relevance under Climate Change: A Conceptual Framework.Journal of urban health : bulletin of the New York Academy of Medicine · 2026
    Review
  3. Article
  4. Article
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  8. Review
  9. Article
  10. Chronic Conditions and Pediatric Healthcare Utilization during Warm Weather Days in New York City.The journal of applied research on children : informing policy for children at risk · 2021
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

7 authors at 2 institutions in 1 country.

Li NiuDepartment of Environmental Medicine and Public Health, Icahn School of Medicine at Mount Sinai, New York, NY, USA.ORCID https://orcid.org/0000-0003-1406-4542
Maria Teresa HerreraDepartment of Environmental Medicine and Public Health, Icahn School of Medicine at Mount Sinai, New York, NY, USA.
Blean GirmaDepartment of Environmental Medicine and Public Health, Icahn School of Medicine at Mount Sinai, New York, NY, USA.
Bian LiuDepartment of Population Health Science and Policy, Icahn School of Medicine at Mount Sinai, New York, NY, USA.
Leah SchinasiDepartment of Environmental and Occupational Health and Urban Health Collaborative, Dornsife School of Public Health, Drexel University, Philadelphia, PA, USA.
Jane E CloughertyDepartment of Environmental and Occupational Health and Urban Health Collaborative, Dornsife School of Public Health, Drexel University, Philadelphia, PA, USA.
Perry E SheffieldDepartment of Environmental Medicine and Public Health, Icahn School of Medicine at Mount Sinai, New York, NY, USA.ORCID https://orcid.org/0000-0001-9156-1193
Icahn School of Medicine at Mount Sinai · USDrexel University · US

Funding

The Mount Sinai Transdisciplinary Center on Early Environmental ExposuresP30ES023515 · NIEHS · ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI · PI Robert O Wright · 2014 to 2026
$21.3M
International Exchange Program for Minority StudentsT37MD001452 · NIMHD · MOUNT SINAI SCHOOL OF MEDICINE OF NYU · PI CLAUDIO, LUZ · 2005 to 2023
$4.9M
Research Supplement to Promote Diversity for R01 Pediatric Health in Extreme Weather - Health Effects and Ambient Temperature (PHEW - HEAT)R01ES030717 · NIEHS · ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI · PI CLOUGHERTY, JANE ELLEN, SHEFFIELD, PERRY ELIZABETH · 2019 to 2023
$2.8M
Short-term Research Training Program for Minority StudentsR25HL108857 · NHLBI · ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI · PI Luz Claudio · 2011 to 2026
$1.9M
Exploration of dynamic spatiotemporal exposure profiles via patient residential and healthcare utilization historyR21CA235153 · NCI · ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI · PI LIU, BIAN · 2019 to 2020
$377k
NCI NIH HHS R21 CA235153NHLBI NIH HHS R25 HL108857NIEHS NIH HHS P30 ES023515NIEHS NIH HHS R01 ES030717NIEHS NIH HHS R01ES030717NIMHD NIH HHS T37 MD001452
6 · The paper itself

Abstract

backgroundEmerging literature has documented heat-related impacts on child health, yet few studies have evaluated the effects of heat among children of different age groups and comparing emergency department (ED) and hospitalisation risks.

objectivesTo examine the differing associations between high ambient temperatures and risk of ED visits and hospitalisations among children by age group in New York City (NYC).

methodsWe used New York Statewide Planning and Research Cooperative System (SPARCS) data on children aged 0-18 years admitted to NYC EDs (n = 2,252,550) and hospitals (n = 228,006) during the warm months (May-September) between 2005 and 2011. Using a time-stratified, case-crossover design, we estimated the risk of ED visits and hospitalisations associated with daily maximum temperature (Tmax) for children of all ages and by age group.

resultsThe average Tmax over the study period was 80.3°F (range 50°, 104°F). Tmax conferred the greatest risk of ED visits for children aged 0-4, with a 6-day cumulative excess risk of 2.4% (95% confidence interval [CI] 1.7, 3.0) per 13°F (ie interquartile range) increase in temperature. Children and adolescents 5-12 years (0.8%, 95% CI 0.1, 1.6) and 13-18 years (1.4%, 95% CI 0.6, 2.3) are also sensitive to heat. For hospitalisations, only adolescents 13-18 years had increased heat-related risk, with a cumulative excess risk of 7.9% (95% CI 2.0, 14.2) per 13°F increase in Tmax over 85°F.

conclusionsThis urban study in NYC reinforces that young children are particularly vulnerable to effects of heat, but also demonstrates the sensitivity of older children and adolescents as well. These findings underscore the importance of focussing on children and adolescents in targeting heat illness prevention and emergency response activities, especially as global temperatures continue to rise.

Indexed as

Emergency Service, HospitalHot TemperatureAdolescentChildChild, PreschoolHospitalsHumansNew York CityTemperatureambient temperaturechildren and adolescentsclimate-sensitive exposuresemergency department visitsheat riskhospitalisationsNew York Cityurban environments

Identifiers

PMID34164839
PMCPMC8957707
OpenAlexW3176698760

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.