ArticleEnvironmental health perspectives2022
Association between Cold Spells and Mortality Risk and Burden: A Nationwide Study in China.
Article in Environmental health perspectives, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers, 1 of them a synthesis that pooled it.
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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.
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Who cites it
28 citing papers in PubMed, 1 synthesis or guideline pooled it, 78 citations in OpenAlex.
- Pooled it
- Climate Change-Mediated Temperature Extremes: Effects on the Immune System and Associations with Immune-Related Diseases.Clinical reviews in allergy & immunology · 2026Review
- Toward a Unified Framework for Climate and Health Research: Gaps in Exposure Metrics and Health Outcomes.Journal of Korean medical science · 2026Review
- Joint effects of PMScientific reports · 2026Article
- Heatwaves, Cold Spells, and Renal Disease Mortality in Japan: Vulnerable Populations and Temporal Trends (1979-2019).Environment & health (Washington, D.C.) · 2026Article
- Mortality risk due to non-optimum temperatures by cause of death, age, and sex: a multi-country time-series study.EClinicalMedicine · 2026Article
- Short-term effects and attributable burden of extreme heat and cold on dementia mortality: a case-time-series study in Hebei Province, China (2014-2022).BMC public health · 2026Article
- Spatiotemporal patterns of excess mortality attributable to prolonged cold spells in China, 2020-2023.BMC public health · 2026Article
- Combined effects of apparent low temperature and PMFrontiers in public health · 2026Article
- Environmental cold exposure and cardiovascular mortality: biological mechanisms, regional heterogeneity, and public health implications.Frontiers in public health · 2026Review
- Temperature, Air Pollution, and Cardiopulmonary Diseases: A Multi-City Analysis of Morbidity and Mortality in Japan.Environment & health (Washington, D.C.) · 2025Article
- Low air-temperatures exposure as a risk factor for coronary artery disease progression - personalized analysis.BMC cardiovascular disorders · 2025Article
- Associations between apparent temperatures and emergency ambulance calls in Wuxi, China: a time series analysis.Frontiers in public health · 2025Article
- Increased Risk of Influenza Infection During Cold Spells in China: National Time Series Study.JMIR public health and surveillance · 2024Article
- Impact of Ambient Temperature on Mortality Burden and Spatial Heterogeneity in 16 Prefecture-Level Cities of a Low-Latitude Plateau Area in Yunnan Province: Time-Series Study.JMIR public health and surveillance · 2024Article
- Cold waves and fine particulate matter in high-altitude Chinese cities: assessing their interactive impact on outpatient visits for respiratory disease.BMC public health · 2024Article
- Health impacts of a cold wave and its economic loss assessment in China's high-altitude city, Xining.Archives of public health = Archives belges de sante publique · 2024Article
- Association between ambient temperature and genitourinary emergency ambulance dispatches in Japan: A nationwide case-crossover study.Environmental epidemiology (Philadelphia, Pa.) · 2024Article
- Social-economic transitions and vulnerability to extreme temperature events from 1960 to 2020 in Chinese cities.iScience · 2024Article
- Statement on Establishment of Public Health Protection Guideline for Cold Spells - China.China CDC weekly · 2024Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
10 authors at 4 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundFew multicity studies have evaluated the association between cold spells and mortality risk and burden.
objectivesWe aimed to estimate the association between cold spells and cause-specific mortality and to evaluate the mortality burden in China.
methodsWe conducted a time-series analysis with a nationally representative Disease Surveillance Points System database during the cool seasons spanning from 2013 to 2015 in 272 Chinese cities. We used 12 cold-spell definitions and overdispersed generalized additive models with distributed lag models to estimate the city-specific cumulative association of cold spells over lags of 0-28 d. We controlled for the nonlinear and lagged effects of cold temperature over 0-28 d to evaluate the added effect estimates of cold spell. We also quantified the nationwide mortality burden and pooled the estimated association at national and different climatic levels with meta-regression models.
resultsFor the cold-spell definition of daily mean temperatures of DISCUSSION: Our study provides evidence for the significant relative risks of non-accidental, cardiovascular, and respiratory mortality associated with cold spells. The findings on vulnerable populations and differential risks in different climatic zones may help establish region-specific forecasting systems against the hazardous impact of cold spells. https://doi.org/10.1289/EHP9284.
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