Evidence map›Paper›PMID 42477331›Full record

ArticleNature communications2026

Excess mortality attributable to the 2025 Iberian Peninsula blackout.

Garyfallos Konstantinoudis, Julien Riou

Abstract read
In one paragraph

Article in Nature communications, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Article
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

2 authors.

Garyfallos KonstantinoudisGrantham Institute for Climate Change and the Environment, Imperial College London, London, UK. g.konstantinoudis@imperial.ac.uk.ORCID http://orcid.org/0000-0001-7493-9334
Julien RiouDepartment of Epidemiology and Health Systems, Unisanté, Center for Primary Care and Public Health & University of Lausanne, Lausanne, Switzerland.ORCID http://orcid.org/0000-0002-3808-2852

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

On 28 April 2025, a widespread power outage affected mainland Portugal and Spain for around ten hours, causing major disruptions and eight reported deaths. Health impacts of blackouts range from direct effects, such as medical equipment failure, to indirect effects such as disrupted healthcare. Here we show that the 2025 Iberian blackout is associated with increased mortality in Spain, but not in Portugal. We find little evidence of excess mortality on the day of the event itself. In Spain, however, mortality rises over the next two days (+167 deaths; 95% credible interval: +28 to +300; +2.4% relative increase), particularly among women aged 85+. We also observe regional differences, but their drivers remain uncertain and may include variation in outage severity, underlying vulnerabilities, or local health-system and infrastructure conditions. These findings highlight the underestimated health burden of blackouts and the need for improved preparedness in a changing climate.

Indexed as

MortalityHumansPortugalSpain

Identifiers

PMID42477331
PMCPMC13493769

What OpenQuestion holds

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LicenceCC BY
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Registered trials

None linked

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.