Evidence map›Paper›PMID 39260482›Full record

ArticleThe Science of the total environment2024

Exposure to acute ambient temperature extremes and neonatal intensive care unit admissions: A case-crossover study.

Sarah LaPointe, Jing Nie, Danielle R Stevens, Jessica L Gleason, Sandie Ha, Indulaxmi Seeni, Katherine L Grantz, Pauline Mendola

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Article in The Science of the total environment, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

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2citing papers in PubMed
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1 · What the graph read from it

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.

2 · The registry

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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

2 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

8 authors.

Sarah LaPointeDepartment of Epidemiology and Environmental Health, University at Buffalo, Buffalo, NY, USA.
Jing NieDepartment of Epidemiology and Environmental Health, University at Buffalo, Buffalo, NY, USA.
Danielle R StevensEpidemiology Branch, National Institute of Environmental Health Sciences, Research Triangle Park, NC, USA.
Jessica L GleasonEpidemiology Branch, Division of Population Health Research, Division of Intramural Research, Eunice Kennedy Shriver National Institute of Child Health and Human Development, Bethesda, MD, USA.
Sandie HaDepartment of Public Health, Health Science Research Institute, University of California Merced, Merced, CA, USA.
Indulaxmi SeeniDepartment of Pediatrics, Children's Hospital Los Angeles, Los Angeles, CA, USA.
Katherine L GrantzEpidemiology Branch, Division of Population Health Research, Division of Intramural Research, Eunice Kennedy Shriver National Institute of Child Health and Human Development, Bethesda, MD, USA.
Pauline MendolaDepartment of Epidemiology and Environmental Health, University at Buffalo, Buffalo, NY, USA. Electronic address: pmendola@buffalo.edu.

Funding

Intramural NIH HHS Z99 ES999999NICHD NIH HHS HHSN267200603425CNICHD NIH HHS HHSN275200800002CNICHD NIH HHS HHSN275200800002I
6 · The paper itself

Abstract

backgroundExtreme in utero temperatures have been associated with adverse birth outcomes, including preterm birth and low birthweight. However, there is limited evidence on associations with neonatal intensive care unit (NICU) admissions, which reflect a range of poor neonatal health outcomes.

methodsThis case-crossover study assesses the associations between ambient temperature changes during the week of delivery and risk of NICU admission. Data from the Consortium on Safe Labor (2002-2008) were linked to ambient temperature at hospital referral regions. Adjusted hazard ratios (HR) and 95 % confidence intervals (CI) estimated NICU admission risk with a 1 °C increase on each day of the week of delivery and of the average weekly temperature, adjusted for particulate matter ≤2.5 μm (PM

resultsThere were 27,188 NICU admissions with median (25th, 75th) temperature of 16.4 °C (5.8, 23.0) during the week before delivery. A 1 °C increase in temperature during the week of delivery was not associated with risk of NICU admission. However, analyses of extreme temperatures found that a 1 °C decrease in weekly average temperatures below the 10th and 5th percentiles was associated with 30 % (aHR = 1.30, 95 % CI 1.28, 1.31) and 47 % (aHR = 1.47, 95 % CI 1.45, 1.50) increased risk of NICU admissions, while a 1 °C increase in weekly average temperatures above the 90th and 95th percentiles was associated with more than two- (aHR = 2.29, 95 % CI 2.17, 2.42) and four-fold (aHR = 4.30, 95 % CI 3.68, 5.03) higher risk of NICU admission, respectively.

conclusionsOur study found temperature extremes in the week before delivery increased NICU admission risk, particularly during extreme heat, which may translate to more adverse neonatal outcomes as extreme temperatures persist.

Indexed as

Cross-Over StudiesIntensive Care Units, NeonatalEnvironmental ExposureFemaleHumansInfant, NewbornPregnancyTemperatureCase-crossoverExtreme temperaturesNeonatal healthNICU admissions

Identifiers

PMID39260482
PMCPMC11684093

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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.