Evidence map›Paper›PMID 39929981›Full record

ArticleScientific reports2025

Associations of heatwaves and their characteristics with ischaemic stroke hospital admissions.

Jinyu Yin, Shiwen Wang, Jing Deng, Ning Yang, Zihui Zhou, Hao Zhou, Zhiying Qin, Qianshan Shi, Jingcheng Shi

Erratum issuedAbstract read
In one paragraph

Article in Scientific reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing 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

5 citing papers in PubMed.

  1. Article
  2. Review
  3. Review
  4. Article
  5. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

9 authors.

Jinyu YinDepartment of Epidemiology and Medical Statistics, Xiangya School of Public Health, Central South University, Tongzipo Road 172, Yuelu District, Changsha, 410006, Hunan, China.
Shiwen WangDepartment of Epidemiology and Medical Statistics, Xiangya School of Public Health, Central South University, Tongzipo Road 172, Yuelu District, Changsha, 410006, Hunan, China.
Jing DengDepartment of Epidemiology and Medical Statistics, Xiangya School of Public Health, Central South University, Tongzipo Road 172, Yuelu District, Changsha, 410006, Hunan, China.
Ning YangDepartment of Epidemiology and Medical Statistics, Xiangya School of Public Health, Central South University, Tongzipo Road 172, Yuelu District, Changsha, 410006, Hunan, China.
Zihui ZhouDepartment of Epidemiology and Medical Statistics, Xiangya School of Public Health, Central South University, Tongzipo Road 172, Yuelu District, Changsha, 410006, Hunan, China.
Hao ZhouDepartment of Epidemiology and Medical Statistics, Xiangya School of Public Health, Central South University, Tongzipo Road 172, Yuelu District, Changsha, 410006, Hunan, China.
Zhiying QinDepartment of Epidemiology and Medical Statistics, Xiangya School of Public Health, Central South University, Tongzipo Road 172, Yuelu District, Changsha, 410006, Hunan, China.
Qianshan ShiInformation Statistics Center of Health Commission of Hunan Province, Changsha, Hunan, China.
Jingcheng ShiDepartment of Epidemiology and Medical Statistics, Xiangya School of Public Health, Central South University, Tongzipo Road 172, Yuelu District, Changsha, 410006, Hunan, China. jingzhengs@126.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Ischaemic stroke (IS) has a heavy disease burden. Although epidemiological research has suggested that heatwaves are associated with cardiovascular disease, there is a lack of empirical evidence for a correlation between heatwaves and IS. The China Meteorological Administration defines a heatwave as a wave lasting ≥ 3 days, with a maximum temperature of ≥ 35℃. We collected data on daily meteorological conditions, air pollution, and IS admissions in Hunan Province from 2018 to 2019. A generalized additive model and distributed lag nonlinear model were used to determine the associations between heatwaves and IS admissions. We analysed 329,876 admitted patients with IS in Hunan Province from 2018 to 2019. The main effect of heatwaves was that they significantly increased the risk of hospitalization for IS. The single-day lag maximum risk occurred at a daily average temperature of 30.88℃ (RR = 1.05, 95% CI: 1.04–1.06) and at a daily maximum temperature of 35.82℃ (RR = 1.05, 95% CI: 1.03–1.06). The use of the 5th and subsequent days of a heatwave as a reference showed that the 1st–2nd days (RR = 1.07, 95% CI: 1.02–1.12) and the 3rd–4th days (RR = 1.06, 95% CI: 1.03–1.10) of the heatwave increased the risk of hospitalization for IS. Compared with the third and subsequent heatwaves, the first (RR = 1.27, 95% CI: 1.19–1.35) and second (RR = 1.24, 95% CI: 1.16–1.32) heatwaves had greater impacts on the risk of hospitalization for IS. The risk of IS hospitalization was also exacerbated by high relative humidity (RR = 1.25, 95% CI: 1.16–1.35) and a low diurnal temperature range (RR = 1.08, 95% CI: 1.02–1.14) during the heatwave period. In our study, the main effects of heatwaves increased the risk of IS hospitalization. The effects varied according to the day of the heatwave, the timing of the heatwave, the DTR during the heatwave, and the humidity during the heatwave. This evidence has significant implications for the strategic planning of public health interventions to mitigate adverse health outcomes associated with heatwaves.

Indexed as

Extreme HeatHospitalizationIschemic StrokeAir PollutionChinaFemaleHumansMaleRisk Factors

Identifiers

PMID39929981
PMCPMC11811277

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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.