Evidence map›Paper›PMID 39883533›Full record

ArticleEnvironmental health perspectives2025

Spatial Variation in the Association between Extreme Heat Events and Warm Season Pediatric Acute Care Utilization: A Small-Area Assessment of Multiple Health Conditions and Environmental Justice Implications in California (2005-2019).

Allan Ndovu, Chen Chen, Lara Schwarz, Emma Lasky, Sheri D Weiser, Tarik Benmarhnia

Abstract read
In one paragraph

Article in Environmental health perspectives, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–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

2 citing papers in PubMed.

  1. 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

6 authors.

Allan NdovuDepartment of Emergency Medicine, Highland Hospital-Alameda Health System, Oakland, California, USA.ORCID 0000-0003-3025-5189
Chen ChenScripps Institution of Oceanography, San Diego, California, USA.
Lara SchwarzSchool of Public Health, University of California, Berkeley, California, USA.ORCID 0000-0003-2567-0986
Emma LaskyCollege of Environmental Design, University of California, Berkeley, California, USA.
Sheri D WeiserDepartment of Medicine, University of California, San Francisco, California, USA.
Tarik BenmarhniaScripps Institution of Oceanography, San Diego, California, USA.

Funding

NRSA Training CoreTL1TR001871 · NCATS · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI KANAYA, ALKA M., SOMSOUK, MA · 2016 to 2025
$10.1M
NCATS NIH HHS TL1 TR001871
6 · The paper itself

Abstract

backgroundThe increasing frequency and severity of extreme heat events due to climate change present unique risks to children and adolescents. There is a lack of evidence regarding how heat's impacts on pediatric patients vary spatially and how structural and sociodemographic factors drive this heterogeneity.

objectivesWe examined the association between extreme heat events and pediatric acute care utilization in California for 19 distinct health conditions. We then assessed how extreme heat's consequences varied at the ZIP code level and identified environmental justice metrics that modulated children's vulnerability to extreme heat.

methodsThis study analyzed 7.2 million unscheduled hospitalizations and emergency department visits for children

resultsExtreme heat events were associated with substantial increases in acute care utilization for all causes [odds ratio

conclusionsExtreme heat events in California are associated with increased pediatric care utilization. There is significant variation in heat's consequences, and historically disadvantaged and under-resourced communities are most impacted. These findings suggest that interventions designed to improve heat resilience should be targeted to protect vulnerable children. https://doi.org/10.1289/EHP14236.

Indexed as

Emergency Service, HospitalExtreme HeatHospitalizationHot TemperaturePatient Acceptance of Health CareAdolescentCaliforniaChildChild, PreschoolClimate ChangeFemaleHumansInfantInfant, NewbornMaleSeasons

Identifiers

PMID39883533
PMCPMC11781562

What OpenQuestion holds

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Registered trials

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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.