Effects of Air Temperature on Climate-Sensitive Mortality and Morbidity Outcomes in the Elderly; a Systematic Review and Meta-analysis of Epidemiological Evidence. Bunker, A., Wildenhain, J., Vandenbergh, A., Henschke, N., Rocklöv, J., Hajat, S., & Sauerborn, R. EBioMedicine, 6(Supplement C):258–268, April, 2016. Paper doi abstract bibtex Climate change and rapid population ageing are significant public health challenges. Understanding which health problems are affected by temperature is important for preventing heat and cold-related deaths and illnesses, particularly in the elderly. Here we present a systematic review and meta-analysis on the effects of ambient hot and cold temperature (excluding heat/cold wave only studies) on elderly (65+ years) mortality and morbidity. Time-series or case-crossover studies comprising cause-specific cases of elderly mortality (n=3,933,398) or morbidity (n=12,157,782) were pooled to obtain a percent change (%) in risk for temperature exposure on cause-specific disease outcomes using a random-effects meta-analysis. A 1°C temperature rise increased cardiovascular (3.44%, 95% CI 3.10–3.78), respiratory (3.60%, 3.18–4.02), and cerebrovascular (1.40%, 0.06–2.75) mortality. A 1°C temperature reduction increased respiratory (2.90%, 1.84–3.97) and cardiovascular (1.66%, 1.19–2.14) mortality. The greatest risk was associated with cold-induced pneumonia (6.89%, 20–12.99) and respiratory morbidity (4.93% 1.54–8.44). A 1°C temperature rise increased cardiovascular, respiratory, diabetes mellitus, genitourinary, infectious disease and heat-related morbidity. Elevated risks for the elderly were prominent for temperature-induced cerebrovascular, cardiovascular, diabetes, genitourinary, infectious disease, heat-related, and respiratory outcomes. These risks will likely increase with climate change and global ageing.
@article{bunker_effects_2016,
title = {Effects of {Air} {Temperature} on {Climate}-{Sensitive} {Mortality} and {Morbidity} {Outcomes} in the {Elderly}; a {Systematic} {Review} and {Meta}-analysis of {Epidemiological} {Evidence}},
volume = {6},
issn = {2352-3964},
url = {http://www.sciencedirect.com/science/article/pii/S2352396416300731},
doi = {10.1016/j.ebiom.2016.02.034},
abstract = {Climate change and rapid population ageing are significant public health challenges. Understanding which health problems are affected by temperature is important for preventing heat and cold-related deaths and illnesses, particularly in the elderly. Here we present a systematic review and meta-analysis on the effects of ambient hot and cold temperature (excluding heat/cold wave only studies) on elderly (65+ years) mortality and morbidity. Time-series or case-crossover studies comprising cause-specific cases of elderly mortality (n=3,933,398) or morbidity (n=12,157,782) were pooled to obtain a percent change (\%) in risk for temperature exposure on cause-specific disease outcomes using a random-effects meta-analysis. A 1°C temperature rise increased cardiovascular (3.44\%, 95\% CI 3.10–3.78), respiratory (3.60\%, 3.18–4.02), and cerebrovascular (1.40\%, 0.06–2.75) mortality. A 1°C temperature reduction increased respiratory (2.90\%, 1.84–3.97) and cardiovascular (1.66\%, 1.19–2.14) mortality. The greatest risk was associated with cold-induced pneumonia (6.89\%, 20–12.99) and respiratory morbidity (4.93\% 1.54–8.44). A 1°C temperature rise increased cardiovascular, respiratory, diabetes mellitus, genitourinary, infectious disease and heat-related morbidity. Elevated risks for the elderly were prominent for temperature-induced cerebrovascular, cardiovascular, diabetes, genitourinary, infectious disease, heat-related, and respiratory outcomes. These risks will likely increase with climate change and global ageing.},
number = {Supplement C},
urldate = {2017-11-30},
journal = {EBioMedicine},
author = {Bunker, Aditi and Wildenhain, Jan and Vandenbergh, Alina and Henschke, Nicholas and Rocklöv, Joacim and Hajat, Shakoor and Sauerborn, Rainer},
month = apr,
year = {2016},
keywords = {GA, Untagged},
pages = {258--268},
}
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Here we present a systematic review and meta-analysis on the effects of ambient hot and cold temperature (excluding heat/cold wave only studies) on elderly (65+ years) mortality and morbidity. Time-series or case-crossover studies comprising cause-specific cases of elderly mortality (n=3,933,398) or morbidity (n=12,157,782) were pooled to obtain a percent change (%) in risk for temperature exposure on cause-specific disease outcomes using a random-effects meta-analysis. A 1°C temperature rise increased cardiovascular (3.44%, 95% CI 3.10–3.78), respiratory (3.60%, 3.18–4.02), and cerebrovascular (1.40%, 0.06–2.75) mortality. A 1°C temperature reduction increased respiratory (2.90%, 1.84–3.97) and cardiovascular (1.66%, 1.19–2.14) mortality. The greatest risk was associated with cold-induced pneumonia (6.89%, 20–12.99) and respiratory morbidity (4.93% 1.54–8.44). A 1°C temperature rise increased cardiovascular, respiratory, diabetes mellitus, genitourinary, infectious disease and heat-related morbidity. Elevated risks for the elderly were prominent for temperature-induced cerebrovascular, cardiovascular, diabetes, genitourinary, infectious disease, heat-related, and respiratory outcomes. These risks will likely increase with climate change and global ageing.","number":"Supplement C","urldate":"2017-11-30","journal":"EBioMedicine","author":[{"propositions":[],"lastnames":["Bunker"],"firstnames":["Aditi"],"suffixes":[]},{"propositions":[],"lastnames":["Wildenhain"],"firstnames":["Jan"],"suffixes":[]},{"propositions":[],"lastnames":["Vandenbergh"],"firstnames":["Alina"],"suffixes":[]},{"propositions":[],"lastnames":["Henschke"],"firstnames":["Nicholas"],"suffixes":[]},{"propositions":[],"lastnames":["Rocklöv"],"firstnames":["Joacim"],"suffixes":[]},{"propositions":[],"lastnames":["Hajat"],"firstnames":["Shakoor"],"suffixes":[]},{"propositions":[],"lastnames":["Sauerborn"],"firstnames":["Rainer"],"suffixes":[]}],"month":"April","year":"2016","keywords":"GA, Untagged","pages":"258–268","bibtex":"@article{bunker_effects_2016,\n\ttitle = {Effects of {Air} {Temperature} on {Climate}-{Sensitive} {Mortality} and {Morbidity} {Outcomes} in the {Elderly}; a {Systematic} {Review} and {Meta}-analysis of {Epidemiological} {Evidence}},\n\tvolume = {6},\n\tissn = {2352-3964},\n\turl = {http://www.sciencedirect.com/science/article/pii/S2352396416300731},\n\tdoi = {10.1016/j.ebiom.2016.02.034},\n\tabstract = {Climate change and rapid population ageing are significant public health challenges. 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