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Updated: Jul 16, 2025

Esophageal Heat Transfer for Patient Temperature Control and Targeted Temperature Management
Published on: November 21, 2017
A study of temperature variability on admissions and deaths for cardiovascular diseases in Northwestern China
Shan Zheng1, Xiaofei Zhang2, Wenzhi Zhu3
1Institute of Epidemiology and Statistics, School of Public Health, Lanzhou University, Lanzhou, 730000, China. zhengsh@lzu.edu.cn.
Insights
Temperature variability (TV) significantly increases cardiovascular disease (CVD) emergency visits. Daily and hourly temperature variability pose risks, especially for males and the elderly, highlighting the need for targeted prevention strategies.
Area of Science:
- Environmental Health
- Cardiovascular Epidemiology
- Climate Change Impact
Background:
- Cardiovascular diseases (CVDs) pose a significant public health burden.
- Understanding environmental risk factors for CVDs is crucial for effective public health interventions.
- Temperature variability (TV) is an emerging environmental stressor with potential health implications.
Purpose of the Study:
- To investigate the association between temperature variability (TV) and cardiovascular disease (CVD) admissions and deaths.
- To quantify the impact of daily temperature variability (DTV) and hourly temperature variability (HTV) on CVD emergency room visits.
- To evaluate the attribution risk of TV to CVD emergency visits and identify sensitive populations.
Main Methods:
- Utilized CVD admissions data (2013-2016) and mortality data (2013-2017) from Jinchang City.
- Employed a distributed lag nonlinear model (DLNM) to analyze the effects of DTV and HTV on CVD events.
- Conducted stratified analyses by age and gender, and evaluated attribution risk.
Main Results:
- TV showed a significant positive correlation with outpatient and emergency room (O&ER) visits for CVDs.
- A 1°C increase in DTV and HTV was associated with a 3.61% and 3.03% increase in CVD O&ER visits, respectively.
- DTV and HTV accounted for 22.75% and 14.15% of CVD O&ER visits; males and the elderly were more susceptible, with greater impacts observed in the non-heating season.
Conclusions:
- Temperature variability is an independent risk factor for increased CVD emergency visits.
- Strengthening timely prevention for vulnerable groups is essential for CVD risk management.
- These findings underscore the importance of considering environmental factors in public health strategies for CVDs.
Objective:
To explore the effect of temperature variability (TV) on admissions and deaths for cardiovascular diseases (CVDs).
Method:
The admissions data of CVDs were collected in 4 general hospitals in Jinchang City, Gansu Province from 2013 to 2016. The monitoring data of death for CVDs from 2013 to 2017 were collected through the Jinchang City Center for Disease Control and Prevention. Distributed lag nonlinear model (DLNM) was combined to analyze the effects of TV (daily temperature variability (DTV) and hourly temperature variability (HTV)) on the admissions and deaths for CVDs after adjusting confounding effects. Stratified analysis was conducted by age and gender. Then the attribution risk of TV was evaluated.
Results:
There was a broadly linear correlation between TV and the admissions and deaths for CVDs, but only the association between TV and outpatient and emergency room (O&ER) visits for CVDs have statistically significant. DTV and HTV have similar lag effect. Every 1 ℃ increase in DTV and HTV was associated with a 3.61% (95% CI: 1.19% ~ 6.08%), 3.03% (95% CI: 0.27% ~ 5.86%) increase in O&ER visits for CVDs, respectively. There were 22.75% and 14.15% O&ER visits for CVDs can attribute to DTV and HTV exposure during 2013-2016. Males and the elderly may be more sensitive to the changes of TV. Greater effect of TV was observed in non-heating season than in heating season.
Conclusion:
TV was an independent risk factor for the increase of O&ER visits for CVDs, suggesting effective guidance such as strengthening the timely prevention for vulnerable groups before or after exposure, which has important implications for risk management of CVDs.
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