Evidence map›Paper›PMID 37558698›Full record

ReviewJournal of exposure science & environmental epidemiology2024

Impact of heat on emergency hospital admission in Texas: geographic and racial/ethnic disparities.

Chunyu Guo, Erjia Ge, Sungmin Lee, Yongmei Lu, Nick P Bassill, Nanhua Zhang, Wei Zhang, Yi Lu, Yuqing Hu, Jayajit Chakraborty and 2 more

Abstract readReview
PubMed Publisher
In one paragraph

Review in Journal of exposure science & environmental epidemiology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

6 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Building the model: a review of input structures in extreme temperature-health.Environmental health : a global access science source · 2026
    Pooled it
  2. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors.

Chunyu GuoDepartment of Economics, School of Art and Science, University at Albany, State University of New York, Albany, NY, USA.
Erjia GeDivision of Epidemiology, Dalla Lana School of Public Health, University of Toronto, Toronto, ON, Canada.
Sungmin LeeDepartment of Landscape Architecture and Urban Planning, School of Architecture, Texas A&M University, College Station, TX, USA.
Yongmei LuDepartment of Geography and Environmental Studies, Texas State University, San Marcos, TX, USA.
Nick P BassillCenter of Excellence in Weather & Climate Analytics, University at Albany, State University of New York, Albany, NY, USA.
Nanhua ZhangDivision of Biostatistics & Epidemiology, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, USA.
Wei ZhangDepartment of Plants, Soils and Climate, Utah State University, Logan, UT, USA.
Yi LuDepartment of Architecture and Civil Engineering, City University of Hong Kong, Hong Kong, Hong Kong.
Yuqing HuDepartment of Architectural Engineering, The Pennsylvania State University, University Park, PA, USA.
Jayajit ChakrabortyDepartment of Sociology and Anthropology, University of Texas at El Paso, El Paso, TX, USA.
Rebecca T EmenyDepartment of Internal Medicine, Division of Molecular Medicine, Albuquerque, University of New Mexico Health Sciences Center, Albuquerque, NM, USA.
Kai ZhangDepartment of Environmental Health Sciences, School of Public Health, University at Albany, State University of New York, Rensselaer, NY, USA. kzhang9@albany.edu.ORCID 0000-0003-0393-5955

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundStudies exploring the racial/ethnicity disparity of the impact of heat on hospital admission are notably limited, especially in Texas, a state with a diverse population and consistently ranking among the top ten U.S. states for heat-related deaths per capita from 2018 to 2020.

objectiveOur objective is to determine the correlation between elevated temperatures and emergency hospital admissions for various causes and age groups across 12 Metropolitan Statistical Areas(MSAs) in Texas. Additionally, we aim to investigate health inequalities in the five largest MSAs in Texas between 2004 and 2013.

methodsWe used MSA-level hospital admission and weather data to estimate the relationship between heat and emergency hospital admissions. We applied a Generalized Additive Model and random effects meta-analysis to calculate MSA-specific associations and overall correlation, repeating the analysis for age groups and specific causes of admission. We also investigated health disparities across racial and ethnic groups and performed a sensitivity analysis.

resultsThe results showed that a 1 °C increase in temperature was associated with a 0.50% (95% CI [0.38%, 0.63%]) increase in all-cause emergency hospital admissions. Heat's impact on hospital admissions varied among age groups and causes, with children under 6 years showing the highest effect estimate (0.64% (95% CI [0.32%,0.96%])). Statistically significant associations were found for Cardiovascular Diseases (0.27% (95% CI [0.07%,0.47%])), Ischemic Heart Diseases (0.53% (95% CI [0.15%,0.92%])), Pneumonia (0.70% (95% CI [0.25%,1.16%])), and Respiratory Diseases (0.67% (95% CI [0.18%,1.17%])). Health disparities were found among racial and ethnic groups in the five largest MSAs. IMPACT STATEMENT: Studies exploring the impact of heat on hospital admission in Texas are notably limited. Our research provided a comprehensive examination of the connection between heat and emergency hospital admissions throughout Texas. Furthermore, we are the first to examine racial/ethnic disparities, identifying African American and Hispanic groups as disproportionately affected. These insights provide valuable insights for policymakers to allocate resources and implement strategies to mitigate the negative consequences of rising temperatures.

Indexed as

Emergency Service, HospitalHospitalizationHot TemperatureAdolescentAdultAgedCardiovascular DiseasesChildChild, PreschoolEthnicityFemaleHealth Status DisparitiesHumansInfantInfant, NewbornMaleEmergency Hospital AdmissionHeatHot weather

Identifiers

What OpenQuestion holds

Textmetadata
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.