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Impact of Extremely Hot Days on Emergency Department Visits for Cardiovascular Disease among Older Adults in New York State

Author

Listed:
  • Mengxuan Li

    (Department of Epidemiology and Biostatistics, University at Albany School of Public Health, Rensselaer, NY 12144, USA)

  • Benjamin A. Shaw

    (Department of Health Policy, Management and Behavior, University at Albany School of Public Health, Rensselaer, NY 12144, USA)

  • Wangjian Zhang

    (Department of Environmental Health Sciences, University at Albany School of Public Health, Rensselaer, NY 12144, USA)

  • Elizabeth Vásquez

    (Department of Epidemiology and Biostatistics, University at Albany School of Public Health, Rensselaer, NY 12144, USA)

  • Shao Lin

    (Department of Environmental Health Sciences, University at Albany School of Public Health, Rensselaer, NY 12144, USA)

Abstract

Prior studies have reported the impact of ambient heat exposure on heat-related illnesses and mortality in summer, but few have assessed its effect on cardiovascular diseases (CVD) morbidity, and the association difference by demographics and season. This study examined how extremely hot days affected CVD-related emergency department (ED) visits among older adults from 2005–2013 in New York State. A time-stratified case-crossover design was used to assess the heat–CVD association in summer and transitional months (April–May and September–October). Daily mean temperature >95th percentile of regional monthly mean temperature was defined as an extremely hot day. Extremely hot days were found to be significantly associated with increased risk of CVD-related ED visits at lag day 5 (OR: 1.02, 95% CI: 1.01–1.04) and lag day 6 (OR: 1.01, 95% CI: 1.00–1.03) among older adults in summer after controlling for PM 2.5 concentration, relative humidity, and barometric pressure. Specifically, there was a 7% increased risk of ischemic heart disease on the day of extreme heat, and increased risks of hypertension (4%) and cardiac dysrhythmias (6%) occurred on lag days 5 and 6, respectively. We also observed large geographic variations in the heat–CVD associations.

Suggested Citation

  • Mengxuan Li & Benjamin A. Shaw & Wangjian Zhang & Elizabeth Vásquez & Shao Lin, 2019. "Impact of Extremely Hot Days on Emergency Department Visits for Cardiovascular Disease among Older Adults in New York State," IJERPH, MDPI, vol. 16(12), pages 1-13, June.
    • Handle: RePEc:gam:jijerp:v:16:y:2019:i:12:p:2119-:d:240006
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    References listed on IDEAS

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    1. Xuying Wang & Guoxing Li & Liqun Liu & Dane Westerdahl & Xiaobin Jin & Xiaochuan Pan, 2015. "Effects of Extreme Temperatures on Cause-Specific Cardiovascular Mortality in China," IJERPH, MDPI, vol. 12(12), pages 1-21, December.
    2. Rochelle Green & Rupa Basu & Brian Malig & Rachel Broadwin & Janice Kim & Bart Ostro, 2010. "The effect of temperature on hospital admissions in nine California counties," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 55(2), pages 113-121, April.
    3. Christopher R. De Freitas & Elena A. Grigorieva, 2015. "Role of Acclimatization in Weather-Related Human Mortality During the Transition Seasons of Autumn and Spring in a Thermally Extreme Mid-Latitude Continental Climate," IJERPH, MDPI, vol. 12(12), pages 1-14, November.
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    3. Ying Li & Cem Akkus & Xinhua Yu & Andrew Joyner & Jennifer Kmet & David Sweat & Chunrong Jia, 2019. "Heatwave Events and Mortality Outcomes in Memphis, Tennessee: Testing Effect Modification by Socioeconomic Status and Urbanicity," IJERPH, MDPI, vol. 16(22), pages 1-14, November.

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