Evidence map›Paper›PMID 42036123›Full record

ArticleAge and ageing2026

Heat-related deaths in social care in England: can the Care Quality Commission ratings system be used to identify care homes that would benefit most from heat adaptation measures?

Shakoor Hajat, Shereen Hussein, Keyi Li, Sari Kovats, Michael Davies, Anna Mavrogianni, Rajat Gupta

Abstract read
In one paragraph

Article in Age and ageing, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0citing papers in PubMed
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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

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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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

7 authors.

Shakoor HajatFaculty of Public Health and Policy, London School of Hygiene & Tropical Medicine, London, UK.
Shereen HusseinFaculty of Public Health and Policy, London School of Hygiene & Tropical Medicine, London, UK.
Keyi LiFaculty of Public Health and Policy, London School of Hygiene & Tropical Medicine, London, UK.
Sari KovatsFaculty of Public Health and Policy, London School of Hygiene & Tropical Medicine, London, UK.
Michael DaviesThe Bartlett Faculty of the Built Environment, University College London, London, UK.
Anna MavrogianniThe Bartlett Faculty of the Built Environment, University College London, London, UK.
Rajat GuptaOxford Institute for Sustainable Development, Oxford Brookes University, Oxford, UK.

Funding

Natural Environment Research Council NE/Y503253/1UK Research and Innovation Building a Green Future strategic theme UKRI278
6 · The paper itself

Abstract

backgroundThe health impacts of rising temperatures in care home settings are of growing concern. We seek to characterise the risk of heat-related mortality in nursing and residential care home settings in England and to assess potential modification of heat effects by Care Quality Commission (CQC) ratings.

methodsHeat episode analysis was used to assess excess mortality during the heatwave of 16-20 July 2022. Daily time-series regression analysis employing Distributed Lag Non-linear Models was used to assess short-term associations between daily mean temperature and daily number of deaths in care home residents during 2022-24, adjusting for season and day-of-week effects.

resultsNursing home deaths increased by 34.1% (95% CI 21.1, 48.2) and residential care home deaths by 13.0% (0.1, 27.0) during the July 2022 heatwave. During 2022-24, the relative risk of death on a day of 25°C compared to a day of 16°C was 2.09 (95% CI 1.68, 2.60) among nursing home residents and 1.56 (1.24, 1.96) in residential care homes. There was a gradient of increasing heat-related mortality risk associated with poorer CQC rating, although almost all CQC categories were associated with raised risks. Heat-related mortality risk in care homes was greatest in the West Midlands and London regions.

conclusionsOur findings indicate a growing need for heat stress to be recognised as an important risk factor for care home residents. Urgent and wide-scale improvements in heat adaptation strategies are needed in care homes across England to help improve the resilience of the social care system to climate change.

Indexed as

Heat Stress DisordersHomes for the AgedHot TemperatureNursing HomesQuality Indicators, Health CareAgedAged, 80 and overEnglandHumansNursing Home ResidentsRisk AssessmentRisk FactorsTime Factorscare home residentsclimate changeheat stressolder people

Identifiers

PMID42036123
PMCPMC13110879

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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.