ArticleNature medicine2024
Impact of extreme weather events on healthcare utilization and mortality in the United States.
Article in Nature medicine, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers.
What it found
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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.
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
24 citing papers in PubMed.
- Toward a Unified Framework for Climate and Health Research: Gaps in Exposure Metrics and Health Outcomes.Journal of Korean medical science · 2026Review
- Direct and spillover hospitalisation patterns during climate hazards across regions of different health-system resilience levels in China: a nationwide retrospective analysis.The Lancet. Planetary health · 2026Observational
- Climate hazards and mental health hospitalizations in China: socioeconomic disparities, demographic drivers, and adaptation - a nationwide population-based study.The Lancet regional health. Western Pacific · 2026Article
- Temporal Trends and Geographic Clustering of U.S. Weather-Related Disasters (1989-2019): A Foundational Baseline for Healthcare Preparedness.International journal of environmental research and public health · 2026Article
- Cross-Border Meteorological Disaster Medical Rescue Policies in the Guangdong-Hong Kong-Macao Greater Bay Area: A Policy Text Quality Evaluation by PMC Index Model.Healthcare (Basel, Switzerland) · 2026Article
- Impact of Snowfall on Ambulance Response Times to Out-of-Hospital Cardiac Arrest - Nationally-Representative Population-Based Registry Analysis, 2009-2019.Circulation reports · 2026Article
- Ambient temperature and the variability between neighbouring days impacts in-patient hospitalizations in the United Kingdom.Communications medicine · 2026Article
- Evaluating the effectiveness of disaster nursing programs based on Bloom's taxonomy: a meta-analysis.BMC nursing · 2026Article
- High-resolution imagery and neural networks link post-tsunami land cover changes to population health and well-being.Communications earth & environment · 2026Article
- Cause specific mortality risks associated with tropical cyclones in multiple countries and territories: two stage, time series study.BMJ (Clinical research ed.) · 2025Article
- Assessing the Impact of External and Internal Factors on Emergency Department Overcrowding.Healthcare (Basel, Switzerland) · 2025Article
- Older Age Is Associated with Fewer Depression and Anxiety Symptoms Following Extreme Weather Adversity.International journal of environmental research and public health · 2025Article
- Hurricane Exposure and Risk of Long-Term Cardiovascular Disease Outcomes.JAMA network open · 2025Article
- Cyclone exposure and mortality risk of children under 5 years old: An observational study in 34 low- and middle-income countries.PLoS medicine · 2025Observational
- Causal link between humid heatwaves and ischemic heart disease: assessing hospitalizations and economic burden across 955 Chinese counties.BMC medicine · 2025Article
- Climate change and environmental sustainability in emergency medicine: a narrative review.Annals of translational medicine · 2025Review
- Hurricane Helene Impact on Peritoneal Dialysis Supply Chain: A Case Study in Health Care System Vulnerability.Kidney360 · 2025Article
- Floods and cause-specific mortality in the United States applying a triply robust approach.Nature communications · 2025Article
- Emergency Care, Hospitalization Rates, and Floods.JAMA network open · 2025Article
- Climate resilient and environmentally sustainable radiology: a framework for implementation.Radiology advances · 2025Review
Corrections and comments
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Climate change is intensifying extreme weather events. Yet a systematic analysis of post-disaster healthcare utilization and outcomes for severe weather and climate disasters, as tracked by the US government, is lacking. Following exposure to 42 US billion-dollar weather disasters (severe storm, flood, flood/severe storm, tropical cyclone and winter storm) between 2011 and 2016, we used a difference-in-differences (DID) approach to quantify changes in the rates of emergency department (ED) visits, nonelective hospitalizations and mortality between fee-for-service Medicare beneficiaries in affected compared to matched control counties in post-disaster weeks 1, 1-2 and 3-6. Overall, disasters were associated with higher rates of ED utilization in affected counties in post-disaster week 1 (DID of 1.22% (95% CI, 0.20% to 2.25%; P < 0.020)) through week 2. Nonelective hospitalizations were unchanged. Mortality was higher in affected counties in week 1 (DID of 1.40% (95% CI, 0.08% to 2.74%; P = 0.037)) and persisted for 6 weeks. Counties with the greatest loss and damage experienced greater increases in ED and mortality rates compared to all affected counties. Thus, billion-dollar weather disasters are associated with excess ED visits and mortality in Medicare beneficiaries. Tracking these outcomes is important for adaptation that protects patients and communities, health system resilience and policy.
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Registered trials
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