Apparent Temperature and Cause-Specific Emergency Hospital Admissions in Greater Copenhagen, Denmark
2011

Temperature and Hospital Admissions in Copenhagen

Sample size: 70061 publication 10 minutes Evidence: moderate

Author Information

Author(s): Wichmann Janine, Andersen Zorana, Ketzel Matthias, Ellermann Thomas, Loft Steffen

Primary Institution: University of Copenhagen

Hypothesis

What is the association between daily maximum apparent temperature and emergency hospital admissions for respiratory, cardiovascular, and cerebrovascular diseases in Copenhagen?

Conclusion

An increase in apparent temperature is associated with a slight increase in respiratory disease admissions and a decrease in cardiovascular disease admissions during warmer months.

Supporting Evidence

  • An IQR increase in Tappmax was associated with a 7% increase in respiratory disease admissions during warm periods.
  • An IQR increase in Tappmax was associated with an 8% decrease in cardiovascular disease admissions during warm periods.
  • No association was found between Tappmax and cerebrovascular disease admissions.

Takeaway

When it gets hotter, more people go to the hospital for breathing problems, but fewer for heart problems.

Methodology

A case-crossover design was used to analyze hospital admission data from 2002 to 2006, controlling for air pollution and stratifying by age, sex, and socio-economic status.

Potential Biases

Potential bias due to misclassification of disease and the assumption that outdoor temperature reflects personal exposure.

Limitations

The study assumes that outdoor temperature and humidity are the same across Greater Copenhagen, which may not be accurate.

Participant Demographics

Participants were adults over 18 years old living in Greater Copenhagen, with a focus on different age and socio-economic status groups.

Statistical Information

P-Value

0.0001

Confidence Interval

95% CI: 1%, 13% for RD; 95% CI: -13%, -4% for CVD

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.1371/journal.pone.0022904

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