ArticleFrontiers in public health2022
Effect of ambient temperature and other environmental factors on stroke emergency department visits in Beijing: A distributed lag non-linear model.
Article in Frontiers in public health, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.
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Who cites it
7 citing papers in PubMed, 1 synthesis or guideline pooled it, 18 citations in OpenAlex.
- Lag effect of ambient temperature on respiratory emergency department visits in Beijing: a time series and pooled analysis.BMC public health · 2024Pooled it
- Prognostic Value of Elevated miR-502-3p in Patients With Post-Stroke Cognitive Impairment.Brain and behavior · 2026Article
- Temperature Exposure and Acute Cardiovascular Disease Risk in New York City: Case Time Series.Journal of the American Heart Association · 2025Article
- Impact of rapid temperature fluctuations on acute stroke risk: a nationwide case-crossover study from 2001 to 2020.The Lancet regional health. Western Pacific · 2025Article
- Climate change and ocular health: temperature-pollution synergies amplify uveitis burden.Frontiers in public health · 2025Article
- The correlation between temperature and the incidence of acute ischaemic stroke in Yanji, China: a time series study.Frontiers in public health · 2025Article
- Risk and attributable fraction estimation for the impact of exposure to compound drought and hot events on daily stroke admissions.Environmental health and preventive medicine · 2024Article
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Authors and funding
10 authors at 4 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Background: Most studies have focused on the relationship between ambient temperature and stroke mortality, but studies on the relationship between ambient temperature and stroke occurrence are still limited and inconsistent. Objective: This study aimed to analyze the effect of ambient temperature and other environmental factors on emergency stroke visits in Beijing. Methods: Our study utilized stroke visit data from the Beijing Red Cross Emergency Medical Center during 2017-2018, and applied a generalized additive model (GAM) as well as a distributed lag non-linear model (DLNM), respectively, regarding the direct, lagged, and cumulative effects of ambient temperature alone and with correction for other environmental factors on stroke occurrence. Results: With a total of 26,984 emergency stroke patients in 2017-2018, both cold and hot effects were observed and weakened after correction for other environmental factors. Compared to the reference temperature, in the multi-factor model, extreme cold (-10°C) reached a maximum relative risk (RR) of 1.20 [95% Confidence Interval (CI): 1.09, 1.32] at lag 14 days, and extreme hot (30°C) had a maximum RR of 1.07 (95% CI: 1.04, 1.11) at lag 6 days. The cumulative effect of extreme cold reached a maximum of 2.02 (95% CI: 1.11, 3.67) at lag 0-14 days, whereas the cumulative effect of extreme hot temperature is greatest at lag 0-10 days, but no statistically significant effect was found. In addition, ischemic stroke patients, the elderly, and males were more susceptible to the effects of cold temperature. Conclusions: There is a non-linear relationship between ambient temperature and stroke occurrence, with cold temperature having a greater and longer-lasting impact than hot temperature.
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