ArticleThe Science of the total environment2021
The individual and synergistic impacts of windstorms and power outages on injury ED visits in New York State.
Article in The Science of the total environment, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.
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Who cites it
9 citing papers in PubMed.
- Recurrent power outages and the mental health burden of grid reliability in Maryland.iScience · 2026Article
- A dangerous combination: how co-occurring floods and blackouts increase cardiovascular hospitalizations.Journal of exposure science & environmental epidemiology · 2026Article
- Do Power Outages Impact Mental Health? Empirical evidence from Maryland.Research square · 2026Article
- Impacts of Natural Disasters on Emergency Care Delivery in the United States: A Scoping Review and Digital Health-Informed Framework.Environmental health insights · 2026Review
- The Joint Effects of Thunderstorms and Power Outages on Respiratory-Related Emergency Visits and Modifying and Mediating Factors of This Relationship.Environmental health perspectives · 2024Article
- Association of social vulnerability factors with power outage burden in Washington state: 2018-2021.PloS one · 2024Article
- The risk of injuries during work and its association with precipitation: New insight from a sentinel-based surveillance and a case-crossover design.Frontiers in public health · 2023Article
- How neighborhood environment modified the effects of power outages on multiple health outcomes in New York state?Hygiene and environmental health advances · 2022Article
- The independent and synergistic impacts of power outages and floods on hospital admissions for multiple diseases.The Science of the total environment · 2022Article
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Authors and funding
4 authors.
Funding
Abstract
backgroundThere is little work in assessing the impact of storm events combined with power outage (PO). In this study, we evaluated the individual and synergistic impacts of wind events and PO on overall and subtypes of injuries in New York State (NYS) and by demographics.
methodsThe emergency department (ED) visit data were obtained from the NYS Department of Health from November-April 2005-2013 to identify injury cases, length of stay and care costs. Wind event was defined according to high wind, strong wind or thunderstorm wind defined by NOAA. PO occurrence was defined when PO coverage exceeded the 50th percentile of its distribution. By comparing non-event days, we used distributed lag nonlinear models to evaluate the impacts of wind events, PO, and their combined effect on injuries during the cold season over a 0-3-day lag period, while controlling for time-varying confounders. The differences in critical care indicators between event and non-event days were also evaluated.
resultsOverall injuries ED visits (16,628,812) significantly increased during the wind events (highest Risk Ratio (RR): 1.05; 95% CI: 1.02-1.08), and were highest when wind events cooccurred with PO (highest RR: 1.14; 95% CI: 1.10-1.18), but not during PO alone (RR: 1.00; 95%CI: 0.96-1.04). The increase was also observed with all subgroups through Day 2 after the event. Greater risks exist for older adults (≥65 years) and those on Medicaid. After the joint occurrences of wind events and PO, average visits are 0.2 days longer, and cost 13% more, compared to no wind/no PO days.
conclusionThere is a significant increase in ED visits, length of stay and cost of injuries during wind events, especially when they coupled with PO and especially among older cases and Medicaid holders. Our findings may be used for planning disaster preparedness and recovery efforts.
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