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Short-Term Effect of Ambient Temperature and the Risk of Stroke: A Systematic Review and Meta-Analysis

Author

Listed:
  • Hui Lian

    (Department of Cardiology, Peking Union Medical College Hospital, Peking Union Medical College, Chinese Academy of Medical Sciences, Beijing 100730, China)

  • Yanping Ruan

    (Department of Cardiology, Peking Union Medical College Hospital, Peking Union Medical College, Chinese Academy of Medical Sciences, Beijing 100730, China)

  • Ruijuan Liang

    (Department of Cardiology, Peking Union Medical College Hospital, Peking Union Medical College, Chinese Academy of Medical Sciences, Beijing 100730, China)

  • Xiaole Liu

    (Department of Cardiology, Peking Union Medical College Hospital, Peking Union Medical College, Chinese Academy of Medical Sciences, Beijing 100730, China)

  • Zhongjie Fan

    (Department of Cardiology, Peking Union Medical College Hospital, Peking Union Medical College, Chinese Academy of Medical Sciences, Beijing 100730, China)

Abstract

Background and Purpose: The relationship between stroke and short-term temperature changes remains controversial. Therefore, we conducted a systematic review and meta-analysis to investigate the association between stroke and both high and low temperatures, and health assessment. Methods: We searched PubMed, Embase, Cochrane, China National Knowledge Infrastructure (CNKI) and Wanfang Data up to 14 September 2014. Study selection, quality assessment, and author-contractions were steps before data extraction. We converted all estimates effects into relative risk (RR) per 1 °C increase/decrease in temperature from 75th to 99th or 25th to 1st percentiles, then conducted meta-analyses to combine the ultimate RRs, and assessed health impact among the population. Results: 20 articles were included in the final analysis. The overall analysis showed a positive relationship between 1 °C change and the occurrence of major adverse cerebrovascular events (MACBE), 1.1% (95% confidence intervals (CI), 0.6 to 1.7) and 1.2% (95% CI, 0.8 to 1.6) increase for hot and cold effects separately. The same trends can be found in both effects of mortality and the cold effect for morbidity. Hot temperature acted as a protective factor of hemorrhage stroke (HS), −1.9% (95% CI, −2.8 to −0.9), however, it acted as a risk factor for ischemic stroke (IS), 1.2% (95% CI, 0.7 to 1.8). Conclusion: Short-term changes of both low and high temperature had statistically significant impacts on MACBE.

Suggested Citation

  • Hui Lian & Yanping Ruan & Ruijuan Liang & Xiaole Liu & Zhongjie Fan, 2015. "Short-Term Effect of Ambient Temperature and the Risk of Stroke: A Systematic Review and Meta-Analysis," IJERPH, MDPI, vol. 12(8), pages 1-21, July.
  • Handle: RePEc:gam:jijerp:v:12:y:2015:i:8:p:9068-9088:d:53530
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    Citations

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    Cited by:

    1. Xia Wang & Yongjun Cao & Daqing Hong & Danni Zheng & Sarah Richtering & Else Charlotte Sandset & Tzen Hugh Leong & Hisatomi Arima & Shariful Islam & Abdul Salam & Craig Anderson & Thompson Robinson & , 2016. "Ambient Temperature and Stroke Occurrence: A Systematic Review and Meta-Analysis," IJERPH, MDPI, vol. 13(7), pages 1-12, July.
    2. Geraldine P. Y. Koo & Huili Zheng & Joel C. L. Aik & Benjamin Y. Q. Tan & Vijay K. Sharma & Ching Hui Sia & Marcus E. H. Ong & Andrew F. W. Ho, 2023. "Clustering of Environmental Parameters and the Risk of Acute Ischaemic Stroke," IJERPH, MDPI, vol. 20(6), pages 1-10, March.
    3. Andrea Conti & Martina Valente & Matteo Paganini & Marco Farsoni & Luca Ragazzoni & Francesco Barone-Adesi, 2022. "Knowledge Gaps and Research Priorities on the Health Effects of Heatwaves: A Systematic Review of Reviews," IJERPH, MDPI, vol. 19(10), pages 1-16, May.

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