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Short-term effect of extreme air temperature on hospital emergency room visits for cardiovascular diseases from 2009 to 2012 in Beijing, China

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Abstract

Extreme air temperature directly affected human health. However, the short-term effect of extreme air temperature on the incidence of cardiovascular diseases has rarely been reported in China. In this study, we focused on Beijing, China, and assessed the effects of cold/warm days and nights on the number of hospital emergency room (ER) visits for cardiovascular diseases from 2009 to 2012. We used a generalized additive model (GAM) to estimate the association between extreme air temperature and the number of hospital ER visits for cardiovascular diseases. We divided the entire study group into two gender subgroups and three age subgroups. The results showed that the short-term effect of extreme air temperature on hospital ER visits for cardiovascular diseases was more profound in females and the elderly (aged ≥ 75 years). Among all the study subgroups, the highest relative risk (RR) of cardiovascular diseases associated with extremely cold days, warm days, cold nights, and warm nights was 3.0% (95% CI, 1.6%–4.4%), 0.8% (95% CI, − 0.9%–2.6%), 2.8% (95% CI, 1.6%–4.2%), and 1.8% (95% CI, 0.6%–4.3%), respectively. Overall, the effect of extremely low air temperature (during both days and nights) on the incidence of cardiovascular diseases was stronger and more acute than that of extremely high air temperature.

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References

  • Anderson BG, Bell ML (2009) Weather-related mortality: how heat, cold, and heat waves affect mortality in the United States. Epidemiology 20(2):205

    Google Scholar 

  • Atsumi A, Ueda K, Irie F, Sairenchi T, Iimura K, Watanabe H, Iso H, Ota H, Aonuma K (2013) Relationship between cold temperature and cardiovascular mortality, with assessment of effect modification by individual characteristics[J]. Circ J 77(7):1854–1861

    Google Scholar 

  • Barnett AG (2007) Temperature and cardiovascular deaths in the US elderly: changes over time. Epidemiology 18(3):369–372

    Google Scholar 

  • Carder M, McNamee R, Beverland I, Elton R, Cohen GR, Boyd J, Agius RM (2005) The lagged effect of cold temperature and wind chill on cardiorespiratory mortality in Scotland. Occup Environ Med 62(10):702–710

    CAS  Google Scholar 

  • Chen H, Wang J, Li Q, Yagouti A, Lavigne E, Foty R, Burnett RT, Villeneuve PJ, Cakmak S, Copes R (2016) Assessment of the effect of cold and hot temperatures on mortality in Ontario, Canada: a population-based study. CMAJ open 4(1):E48–E58

    Google Scholar 

  • Cui L, Geng X, Ding T, Tang J, Xu J, Zhai J (2019) Impact of ambient temperature on hospital admissions for cardiovascular disease in Hefei City, China. Int J Biometeorol 63(6):723–734

    Google Scholar 

  • Curriero FC, Heiner KS, Samet JM, Zeger SL, Strug L, Patz JA (2002) Temperature and mortality in 11 cities of the eastern United States[J]. Am J Epidemiol 155(1):80–87

    Google Scholar 

  • Davídkovová H, Plavcová E, Kynčl J, Kyselý J (2014) Impacts of hot and cold spells differ for acute and chronic ischaemic heart diseases. BMC Public Health 14(1):480

    Google Scholar 

  • Díaz J, Garcia R, De Castro FV et al (2002) Effects of extremely hot days on people older than 65 years in Seville (Spain) from 1986 to 1997. Int J Biometeorol 46(3):145–149

    Google Scholar 

  • Díaz J, García R, López C et al (2005) Mortality impact of extreme winter temperatures. Int J Biometeorol 49(3):179–183

    Google Scholar 

  • Donat MG, Alexander LV, Yang H, Durre I, Vose R, Caesar J (2013) Global land-based datasets for monitoring climatic extremes. Bull Am Meteorol Soc 94(7):997–1006

    Google Scholar 

  • Gæde P, Vedel P, Larsen N, Jensen GVH, Parving HH, Pedersen O (2003) Multifactorial intervention and cardiovascular disease in patients with type 2 diabetes. N Engl J Med 348(5):383–393

    Google Scholar 

  • Gasparrini A, Armstrong B, Kenward MG (2010) Distributed lag non-linear models. Stat Med 29(21):2224–2234

    CAS  Google Scholar 

  • Grjibovski AM, Nurgaliyeva N, Kosbayeva A, Menne B (2012) No association between temperature and deaths from cardiovascular and cerebrovascular diseases during the cold season in Astana, Kazakhstan–the second coldest capital in the world. Int J Circumpolar health 71(1):19769

    Google Scholar 

  • Grjibovski AM, Nurgaliyeva N, Kosbayeva A et al (2013) Effect of high temperatures on daily counts of mortality from diseases of circulatory system in Astana, Kazakhstan[J]. Medicina 48(12):640–646

    Google Scholar 

  • Hess KL, Wilson TE, Sauder CL, Gao Z, Ray CA, Monahan KD (2009) Aging affects the cardiovascular responses to cold stress in humans. J Appl Physiol 107(4):1076–1082

    Google Scholar 

  • Huang J, Wang J, Yu W (2014) The lag effects and vulnerabilities of temperature effects on cardiovascular disease mortality in a subtropical climate zone in China. Int J Environ Res Public Health 11(4):3982–3994

    Google Scholar 

  • Huynen MM, Martens P, Schram D, Weijenberg MP, Kunst AE (2001) The impact of heat waves and cold spells on mortality rates in the Dutch population. Environ Health Perspect 109(5):463–470

    CAS  Google Scholar 

  • Iñiguez C, Ballester F, Ferrandiz J, Pérez-Hoyos S, Sáez M, López A, TEMPRO-EMECAS (2010) Relation between temperature and mortality in thirteen Spanish cities. Int J Environ Res Public Health 7(8):3196–3210

    Google Scholar 

  • IPCC (2013) Climate change 2013: the physical science basis. Contribution of Working Group I to the Fifth Assessment Report of the Intergovernmental Panel on Climate Change. Stocker, T.F., D. Qin, G.-K. Plattner, M. Tignor, S.K. Allen, J. Boschung, A. Nauels, Y. Xia, V. Bex and P.M. Midgley (eds.). Cambridge University Press, Cambridge, United Kingdom and New York, NY, USA

  • Isomaa BO, Almgren P, Tuomi T et al (2001) Cardiovascular morbidity and mortality associated with the metabolic syndrome [J]. Diabetes Care 24(4):683–689

    CAS  Google Scholar 

  • Keatinge WR, Donaldson GC (1995) Cardiovascular mortality in winter. Arctic Med Res 54:16–18

    Google Scholar 

  • Koken PJM, Piver WT, Ye F, Elixhauser A, Olsen LM, Portier CJ (2003) Temperature, air pollution, and hospitalization for cardiovascular diseases among elderly people in Denver. Environ Health Perspect 111(10):1312–1317

    Google Scholar 

  • Kovats RS, Hajat S (2008) Heat stress and public health: a critical review. Annu Rev Public Health 29:41–55

    Google Scholar 

  • Kwon B, Lee E, Lee S, Heo S, Jo K, Kim J, Park M (2015) Vulnerabilities to temperature effects on acute myocardial infarction hospital admissions in South Korea. Int J Environ Res Public Health 12(11):14571–14588

    CAS  Google Scholar 

  • LeBlanc J, Cote J, Jobin M, Labrie A (1979) Plasma catecholamines and cardiovascular responses to cold and mental activity. J Appl Physiol 47(6):1207–1211

    CAS  Google Scholar 

  • Li P et al (2013a) Time-series analysis of mortality effects from airborne particulate matter size fractions in Beijing. Atmos Environ 81:253–262

    CAS  Google Scholar 

  • Li P et al (2013b) The acute effects of fine particles on respiratory mortality and morbidity in Beijing, 2004-2009. Environ Sci Pollut Res 20:6433–6444

    CAS  Google Scholar 

  • Li P et al (2015) Association between particulate matter and its chemical constituents of urban air pollution and daily mortality or morbidity in Beijing City. Environ Sci Pollut Res 22(1):358–368

    CAS  Google Scholar 

  • Lim YH, Hong YC, Kim H (2012) Effects of diurnal temperature range on cardiovascular and respiratory hospital admissions in Korea. Sci Total Environ 417:55–60

    Google Scholar 

  • Lin S, Luo M, Walker RJ, Liu X, Hwang SA, Chinery R (2009) Extreme high temperatures and hospital admissions for respiratory and cardiovascular diseases. Epidemiology 20:738–746

    Google Scholar 

  • Liu L, Breitner S, Pan X, Franck U, Leitte AM, Wiedensohler A, von Klot S, Wichmann HE, Peters A, Schneider A (2011) Associations between air temperature and cardio-respiratory mortality in the urban area of Beijing, China: a time-series analysis. Environ Health 10(1):51

    Google Scholar 

  • Ma W, Chen R, Kan H (2014) Temperature-related mortality in 17 large Chinese cities: how heat and cold affect mortality in China. Environ Res 134:127–133

    CAS  Google Scholar 

  • Ma Y, Xiao B, Liu C et al (2016) Association between ambient air pollution and emergency room visits for respiratory diseases in spring dust storm season in Lanzhou, China. Int J Environ Res Public Health 13(6):13

    Google Scholar 

  • Ma Y, Zhou J, Yang S, Yu Z, Wang F, Zhou J (2019) Effects of extreme temperatures on hospital emergency room visits for respiratory diseases in Beijing, China. Environ Sci Pollut Res 26(3):3055–3064

    Google Scholar 

  • Malik S, Wong ND, Franklin SS, Kamath TV, L’Italien GJ, Pio JR, Williams GR (2004) Impact of the metabolic syndrome on mortality from coronary heart disease, cardiovascular disease, and all causes in United States adults. Circulation 110(10):1245–1250

    Google Scholar 

  • McMichael AJ, Wilkinson P, Kovats RS, Pattenden S, Hajat S, Armstrong B, Vajanapoom N, Niciu EM, Mahomed H, Kingkeow C, Kosnik M, O’Neill MS, Romieu I, Ramirez-Aguilar M, Barreto ML, Gouveia N, Nikiforov B (2008) International study of temperature, heat and urban mortality: the ‘ISOTHURM’ project. Int J Epidemiol 37(5):1121–1131

    Google Scholar 

  • Medina-Ramón M, Zanobetti A, Cavanagh DP, Schwartz J (2006) Extreme temperatures and mortality: assessing effect modification by personal characteristics and specific cause of death in a multi-city case-only analysis. Environ Health Perspect 114(9):1331–1336

    Google Scholar 

  • Mercer JB, Østerud B, Tveita T (1999) The effect of short-term cold exposure on risk factors for cardiovascular disease. Thromb Res 95(2):93–104

    CAS  Google Scholar 

  • O’Neill MS, Ebi KL (2009) Temperature extremes and health: impacts of climate variability and change in the United States. J Occup Environ Med 51(1):13–25

    Google Scholar 

  • Qiu H, Tian L, Ho K, Pun VC, Wang X, Yu ITS (2015) Air pollution and mortality: effect modification by personal characteristics and specific cause of death in a case-only study. Environ Pollut 199:192–197

    CAS  Google Scholar 

  • Revich B, Shaposhnikov D (2008) Temperature-induced excess mortality in Moscow, Russia. Int J Biometeorol 52(5):367–374

    Google Scholar 

  • Royé D (2017) The effects of hot nights on mortality in Barcelona, Spain. Int J Biometeorol 61(12):2127–2140

    Google Scholar 

  • Sacks JD, Stanek LW, Luben TJ, Johns DO, Buckley BJ, Brown JS, Ross M (2010) Particulate matter–induced health effects: who is susceptible? Environ Health Perspect 119(4):446–454

    Google Scholar 

  • Turner LR, Connell D, Tong S (2012) Exposure to hot and cold temperatures and ambulance attendances in Brisbane, Australia: a time-series study. BMJ Open 2(4):e001074

    Google Scholar 

  • Vincent LA, Peterson TC, Barros VR, Marino MB, Rusticucci M, Carrasco G, Ramirez E, Alves LM, Ambrizzi T, Berlato MA, Grimm AM, Marengo JA, Molion L, Moncunill DF, Rebello E, Anunciação YMT, Quintana J, Santos JL, Baez J, Coronel G, Garcia J, Trebejo I, Bidegain M, Haylock MR, Karoly D (2005) Observed trends in indices of daily temperature extremes in South America 1960–2000. J Clim 18(23):5011–5023

    Google Scholar 

  • Wang JJ, Guo YM (2009) Association of maximum temperature between daily hospital emergency visits for cardiovascular and cerebrovascular diseases: a case-crossover study. J Environ Health 26(12):1073–1076

    Google Scholar 

  • Wang Y, Shi L, Zanobetti A, Schwartz JD (2016) Estimating and projecting the effect of cold waves on mortality in 209 US cities. Environ Int 94:141–149

    Google Scholar 

  • Yu W, Mengersen K, Hu W, Guo Y, Pan X, Tong S (2011) Assessing the relationship between global warming and mortality: lag effects of temperature fluctuations by age and mortality categories. Environ Pollut 159(7):1789–1793

    CAS  Google Scholar 

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Funding

This work is supported by the National Natural Science Foundation of China (Grant Nos. 41975141 and 41961028).

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Correspondence to Yuxia Ma.

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Responsible editor: Lotfi Aleya

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Ma, Y., Jiao, H., Zhang, Y. et al. Short-term effect of extreme air temperature on hospital emergency room visits for cardiovascular diseases from 2009 to 2012 in Beijing, China. Environ Sci Pollut Res 27, 38029–38037 (2020). https://doi.org/10.1007/s11356-020-09814-w

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