Evidence map›Paper›PMID 42547751›Full record

ArticleCanadian journal of public health = Revue canadienne de sante publique2026

Evaluation of a Canadian heat illness-related emergency department visit surveillance system.

Christopher Wituik, Ellen Demlow, Eric Grafstein, Siu-Kae Yeong, Geoff Ramler, Martin StJean, Heather Lindsay, Michael Schwandt, Adrienne MacDonald

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Article in Canadian journal of public health = Revue canadienne de sante publique, 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

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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

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No citing paper in PubMed yet.

4 · The record

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5 · Who and what money

Authors and funding

9 authors.

Christopher WituikCanadian Field Epidemiology Program, Public Health Agency of Canada, Ottawa, ON, Canada. christopher.wituik@ucalgary.ca.ORCID http://orcid.org/0000-0002-9476-900X
Ellen DemlowPublic Health Surveillance Unit, Vancouver Coastal Health, Vancouver, BC, Canada.
Eric GrafsteinDepartment of Emergency Medicine, University of British Columbia, Vancouver, BC, Canada.
Siu-Kae YeongPublic Health and Preventative Medicine, University of British Columbia, Vancouver, BC, Canada.
Geoff RamlerPublic Health Surveillance Unit, Vancouver Coastal Health, Vancouver, BC, Canada.
Martin StJeanPublic Health Surveillance Unit, Vancouver Coastal Health, Vancouver, BC, Canada.
Heather LindsayVancouver General Emergency Department, Vancouver Coastal Health, Vancouver, BC, Canada.
Michael SchwandtOffice of the Chief Medical Health Officer, Vancouver Coastal Health, Vancouver, BC, Canada.
Adrienne MacDonaldPublic Health Surveillance Unit, Vancouver Coastal Health, Vancouver, BC, Canada.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesIn the summer of 2021, the Canadian province of British Columbia (B.C.) experienced an unprecedented extreme heat event, which resulted in 619 heat-related deaths across the province (Henderson et al., 2022). This evaluation aims to assess the sensitivity and specificity of a surveillance algorithm to identify heat illness-related emergency department (ED) visits during this period, as well as to explore the impact of adjusting the case definition to enhance algorithm performance.

methodsA chart review of ED visits across a regional health authority in B.C. during the 2021 period of extreme heat was conducted. This was considered the most accurate information to which the algorithm was compared. Sensitivity and specificity were calculated for the original algorithm, as well as for an expanded algorithm including heat-related illnesses and the following additional diagnoses: syncope, altered level of consciousness, acute kidney injury, acute renal failure, and general weakness.

resultsThe original algorithm focusing on explicitly recorded heat illnesses has a sensitivity of 59% and a specificity of 100%. The expanded algorithm produced a sensitivity of 80% and a specificity of 96%.

conclusionSurveillance sensitivity for heat-related illness may be substantially impacted by the inclusion of diagnoses not explicitly naming effects of heat. Other jurisdictions could consider expanding heat-related illness definitions to include additional heat-associated diagnoses to gain a more comprehensive understanding of the impact of heat on health to support monitoring and action.

Indexed as

AlgorithmEvaluationHeat illnessSurveillance

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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.