Aarhus University Seal / Aarhus Universitets segl

Extreme diurnal temperature range and cardiovascular emergency hospitalisations in a Mediterranean region

Publikation: Bidrag til tidsskrift/Konferencebidrag i tidsskrift /Bidrag til avisTidsskriftartikelForskningpeer review

Standard

Extreme diurnal temperature range and cardiovascular emergency hospitalisations in a Mediterranean region. / Ponjoan, Anna; Blanch, Jordi; Alves-Cabratosa, Lia et al.

I: Occupational and Environmental Medicine, Bind 78, Nr. 1, 01.2021, s. 62-68.

Publikation: Bidrag til tidsskrift/Konferencebidrag i tidsskrift /Bidrag til avisTidsskriftartikelForskningpeer review

Harvard

Ponjoan, A, Blanch, J, Alves-Cabratosa, L, Marti Lluch, R, Comas-Cufi, M, Parramon, D, Garcia-Gil, MM, Ramos, R & Petersen, I 2021, 'Extreme diurnal temperature range and cardiovascular emergency hospitalisations in a Mediterranean region', Occupational and Environmental Medicine, bind 78, nr. 1, s. 62-68. https://doi.org/10.1136/oemed-2019-106245

APA

Ponjoan, A., Blanch, J., Alves-Cabratosa, L., Marti Lluch, R., Comas-Cufi, M., Parramon, D., Garcia-Gil, M. M., Ramos, R., & Petersen, I. (2021). Extreme diurnal temperature range and cardiovascular emergency hospitalisations in a Mediterranean region. Occupational and Environmental Medicine, 78(1), 62-68. https://doi.org/10.1136/oemed-2019-106245

CBE

Ponjoan A, Blanch J, Alves-Cabratosa L, Marti Lluch R, Comas-Cufi M, Parramon D, Garcia-Gil MM, Ramos R, Petersen I. 2021. Extreme diurnal temperature range and cardiovascular emergency hospitalisations in a Mediterranean region. Occupational and Environmental Medicine. 78(1):62-68. https://doi.org/10.1136/oemed-2019-106245

MLA

Vancouver

Ponjoan A, Blanch J, Alves-Cabratosa L, Marti Lluch R, Comas-Cufi M, Parramon D et al. Extreme diurnal temperature range and cardiovascular emergency hospitalisations in a Mediterranean region. Occupational and Environmental Medicine. 2021 jan.;78(1):62-68. https://doi.org/10.1136/oemed-2019-106245

Author

Ponjoan, Anna ; Blanch, Jordi ; Alves-Cabratosa, Lia et al. / Extreme diurnal temperature range and cardiovascular emergency hospitalisations in a Mediterranean region. I: Occupational and Environmental Medicine. 2021 ; Bind 78, Nr. 1. s. 62-68.

Bibtex

@article{ecdfdc01d4c54f78bedf2db799861018,
title = "Extreme diurnal temperature range and cardiovascular emergency hospitalisations in a Mediterranean region",
abstract = "Objectives The impact of extreme diurnal temperature range (DTR) on cardiovascular morbidity in Mediterranean regions remains uncertain. We aimed to analyse the impact of extreme low DTR (stable temperature) or high DTR (changeable temperature) on cardiovascular hospitalisations in Catalonia (Southern Europe). Methods We conducted a self-controlled case series study using whole-year data from the System for the Development of Research in Primary Care database and 153 weather stations from the Catalan Meteorological Service. The outcome was first emergency hospitalisation. Monthly DTR percentiles were used to define extreme DTR as low (DTR 95th percentile). We assessed two effects: same-day (1-day exposure, coinciding with the extreme DTR episode) and cumulative (3-day exposure, adding two subsequent days). Incidence rate ratios (IRR) were calculated adjusted by age, season and air pollution. Stratified analyses by gender, age or cardiovascular type and regions are provided. Results We computed 121 206 cardiovascular hospitalisations from 2006 to 2013. The IRR was 1.032 (95% CI 1.005 to 1.061) for same day and 1.024 (95% CI 1.006 to 1.042) for cumulative effects of extreme high DTR. The impact was significant for stroke and heart failure, but not for coronary heart disease. Conversely, extreme low DTR did not increase cardiovascular hospitalisations. Conclusions Extreme high DTR increased the incidence of cardiovascular hospitalisations, but not extreme low DTR. Same-day effects of extreme high DTR were stronger than cumulative effects. These findings contribute to better understand the impact of outdoor temperature on health, and to help defining public health strategies to mitigate such impact.",
keywords = "cardiovascular, climate, epidemiology, health promotion",
author = "Anna Ponjoan and Jordi Blanch and Lia Alves-Cabratosa and {Marti Lluch}, Ruth and Marc Comas-Cufi and D{\'i}dac Parramon and Garcia-Gil, {Maria M.} and Rafel Ramos and Irene Petersen",
note = "Funding Information: Funding This work was supported by the Daniel Bravo Private Foundation, the Agency for Management of University and Research Grants (AGAUR) and from Carlos III Health Institute of the Ministry of Economy and Competitiveness (Spain) through the Network for Prevention and Health Promotion in Primary Care (redIAPP, RD12/0005/0002), cofinanced with European Union Health Institute/European Regional Development Fund (ERDF). Publisher Copyright: {\textcopyright} 2021 BMJ Publishing Group. All rights reserved. Copyright: Copyright 2021 Elsevier B.V., All rights reserved.",
year = "2021",
month = jan,
doi = "10.1136/oemed-2019-106245",
language = "English",
volume = "78",
pages = "62--68",
journal = "Occupational and Environmental Medicine",
issn = "1351-0711",
publisher = "B M J Group",
number = "1",

}

RIS

TY - JOUR

T1 - Extreme diurnal temperature range and cardiovascular emergency hospitalisations in a Mediterranean region

AU - Ponjoan, Anna

AU - Blanch, Jordi

AU - Alves-Cabratosa, Lia

AU - Marti Lluch, Ruth

AU - Comas-Cufi, Marc

AU - Parramon, Dídac

AU - Garcia-Gil, Maria M.

AU - Ramos, Rafel

AU - Petersen, Irene

N1 - Funding Information: Funding This work was supported by the Daniel Bravo Private Foundation, the Agency for Management of University and Research Grants (AGAUR) and from Carlos III Health Institute of the Ministry of Economy and Competitiveness (Spain) through the Network for Prevention and Health Promotion in Primary Care (redIAPP, RD12/0005/0002), cofinanced with European Union Health Institute/European Regional Development Fund (ERDF). Publisher Copyright: © 2021 BMJ Publishing Group. All rights reserved. Copyright: Copyright 2021 Elsevier B.V., All rights reserved.

PY - 2021/1

Y1 - 2021/1

N2 - Objectives The impact of extreme diurnal temperature range (DTR) on cardiovascular morbidity in Mediterranean regions remains uncertain. We aimed to analyse the impact of extreme low DTR (stable temperature) or high DTR (changeable temperature) on cardiovascular hospitalisations in Catalonia (Southern Europe). Methods We conducted a self-controlled case series study using whole-year data from the System for the Development of Research in Primary Care database and 153 weather stations from the Catalan Meteorological Service. The outcome was first emergency hospitalisation. Monthly DTR percentiles were used to define extreme DTR as low (DTR 95th percentile). We assessed two effects: same-day (1-day exposure, coinciding with the extreme DTR episode) and cumulative (3-day exposure, adding two subsequent days). Incidence rate ratios (IRR) were calculated adjusted by age, season and air pollution. Stratified analyses by gender, age or cardiovascular type and regions are provided. Results We computed 121 206 cardiovascular hospitalisations from 2006 to 2013. The IRR was 1.032 (95% CI 1.005 to 1.061) for same day and 1.024 (95% CI 1.006 to 1.042) for cumulative effects of extreme high DTR. The impact was significant for stroke and heart failure, but not for coronary heart disease. Conversely, extreme low DTR did not increase cardiovascular hospitalisations. Conclusions Extreme high DTR increased the incidence of cardiovascular hospitalisations, but not extreme low DTR. Same-day effects of extreme high DTR were stronger than cumulative effects. These findings contribute to better understand the impact of outdoor temperature on health, and to help defining public health strategies to mitigate such impact.

AB - Objectives The impact of extreme diurnal temperature range (DTR) on cardiovascular morbidity in Mediterranean regions remains uncertain. We aimed to analyse the impact of extreme low DTR (stable temperature) or high DTR (changeable temperature) on cardiovascular hospitalisations in Catalonia (Southern Europe). Methods We conducted a self-controlled case series study using whole-year data from the System for the Development of Research in Primary Care database and 153 weather stations from the Catalan Meteorological Service. The outcome was first emergency hospitalisation. Monthly DTR percentiles were used to define extreme DTR as low (DTR 95th percentile). We assessed two effects: same-day (1-day exposure, coinciding with the extreme DTR episode) and cumulative (3-day exposure, adding two subsequent days). Incidence rate ratios (IRR) were calculated adjusted by age, season and air pollution. Stratified analyses by gender, age or cardiovascular type and regions are provided. Results We computed 121 206 cardiovascular hospitalisations from 2006 to 2013. The IRR was 1.032 (95% CI 1.005 to 1.061) for same day and 1.024 (95% CI 1.006 to 1.042) for cumulative effects of extreme high DTR. The impact was significant for stroke and heart failure, but not for coronary heart disease. Conversely, extreme low DTR did not increase cardiovascular hospitalisations. Conclusions Extreme high DTR increased the incidence of cardiovascular hospitalisations, but not extreme low DTR. Same-day effects of extreme high DTR were stronger than cumulative effects. These findings contribute to better understand the impact of outdoor temperature on health, and to help defining public health strategies to mitigate such impact.

KW - cardiovascular

KW - climate

KW - epidemiology

KW - health promotion

UR - http://www.scopus.com/inward/record.url?scp=85093497282&partnerID=8YFLogxK

U2 - 10.1136/oemed-2019-106245

DO - 10.1136/oemed-2019-106245

M3 - Journal article

C2 - 33051384

AN - SCOPUS:85093497282

VL - 78

SP - 62

EP - 68

JO - Occupational and Environmental Medicine

JF - Occupational and Environmental Medicine

SN - 1351-0711

IS - 1

ER -