ArticleThorax2022
Ambient heat exposure and COPD hospitalisations in England: a nationwide case-crossover study during 2007-2018.
Article in Thorax, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 34 papers, 1 of them a synthesis that pooled it.
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Who cites it
34 citing papers in PubMed, 1 synthesis or guideline pooled it.
- The impact of climate change on airborne and droplet-borne diseases and hospital response measures.Frontiers in public health · 2026Pooled it
- Asthma hospitalisations and heat exposure in England: a case-crossover study during 2002-2019.Thorax · 2023Trial
- Emergency Preparedness in Older Adults With and Without COPD During Power Outages and Natural Disasters.Journal of applied gerontology : the official journal of the Southern Gerontological Society · 2026Article
- Attributing heatwave mortality to human-induced climate change in Greece: a case-crossover and attribution analysis for 2000-2019.Environmental health : a global access science source · 2026Article
- Decarbonising Respiratory Care: The Impact of a Low-Carbon Salbutamol Pressurised Metered-Dose Inhalers.Allergy · 2026Article
- Global trends and inequalities in environmental risk-attributable chronic obstructive pulmonary disease mortality among adults aged 80+ years, 1990-2021: an analysis of the Global Burden of Disease Study 2021.Journal of thoracic disease · 2026Article
- Extreme heat and cause-specific risk of hospital admission in the adult population in England: a case time series analysis.BMJ open · 2026Article
- Heat-related illness and chronic obstructive pulmonary disease: causal inference using marginal structural models.BMC public health · 2026Article
- Associations of daily air temperature with lung function and biomarkers of inflammation and oxidative stress in chronic obstructive pulmonary disease.Annals of the American Thoracic Society · 2026Article
- Climate change and respiratory health: implications for respiratory clinicians in primary and specialist care.NPJ primary care respiratory medicine · 2026Review
- Burden of Non-communicable Diseases Attributable to High and Low Ambient Temperatures, 1990-2031: A Forecasting Analysis for GBD 2021.Current medical science · 2026Article
- Association between extreme temperature exposure and COPD health outcomes in China: study protocol for a systematic review.Frontiers in medicine · 2026Article
- Longitudinal multi-omics evidence reveals lung injury and concurrent disruption of intestinal flora and serum metabolism by cigarette smoke and influenza virus.Frontiers in cellular and infection microbiology · 2026Article
- Scarlet fever and meteorological exposures in Jiangsu, China: a time-stratified case-crossover study.BMC public health · 2025Article
- Global trends and future projections of COPD burden under low-temperature risk: a 1990-2041 analysis based on GBD 2021.BMC pulmonary medicine · 2025Article
- Ramping up the Heat: Induction of Systemic and Pulmonary Immune Responses and Metabolic Adaptations in Mice.bioRxiv : the preprint server for biology · 2025Article
- The impact of ambient air pollution and meteorological factors on emergency hospital admissions of COPD patients in Poland (2012-2019).Scientific reports · 2025Article
- Compound drought and heatwave extreme weather events: Mortality risk in individuals with chronic respiratory disease.Environmental epidemiology (Philadelphia, Pa.) · 2025Article
- Temperature directly correlates with emergency surgical case admissions independent of seasonality.Scientific reports · 2025Article
- Extreme heat impacts on daily life and adaptive behaviours captured through lived experience.Environmental research letters : ERL [Web site] · 2025Article
Corrections and comments
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Authors and funding
6 authors.
Funding
Abstract
backgroundThere is emerging evidence suggesting a link between ambient heat exposure and chronic obstructive pulmonary disease (COPD) hospitalisations. Individual and contextual characteristics can affect population vulnerabilities to COPD hospitalisation due to heat exposure. This study quantifies the effect of ambient heat on COPD hospitalisations and examines population vulnerabilities by age, sex and contextual characteristics.
methodsIndividual data on COPD hospitalisation at high geographical resolution (postcodes) during 2007-2018 in England was retrieved from the small area health statistics unit. Maximum temperature at 1 km ×1 km resolution was available from the UK Met Office. We employed a case-crossover study design and fitted Bayesian conditional Poisson regression models. We adjusted for relative humidity and national holidays, and examined effect modification by age, sex, green space, average temperature, deprivation and urbanicity.
resultsAfter accounting for confounding, we found 1.47% (95% Credible Interval (CrI) 1.19% to 1.73%) increase in the hospitalisation risk for every 1°C increase in temperatures above 23.2°C (lags 0-2 days). We reported weak evidence of an effect modification by sex and age. We found a strong spatial determinant of the COPD hospitalisation risk due to heat exposure, which was alleviated when we accounted for contextual characteristics. 1851 (95% CrI 1 576 to 2 079) COPD hospitalisations were associated with temperatures above 23.2°C annually.
conclusionOur study suggests that resources should be allocated to support the public health systems, for instance, through developing or expanding heat-health alerts, to challenge the increasing future heat-related COPD hospitalisation burden.
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