IDEAS home Printed from https://ideas.repec.org/a/gam/jijerp/v21y2024i8p1099-d1460067.html
   My bibliography  Save this article

Association between Heat Vulnerability Index and Stroke Severity

Author

Listed:
  • Jason J. Wang

    (Northwell Health, New Hyde Park, NY 11040, USA
    Institute of Health System Science, The Feinstein Institutes for Medical Research, Manhasset, NY 11030, USA
    Departments of Radiology, Donald and Barbara Zucker School of Medicine at Hofstra/Northwell, Hempstead, NY 11549, USA)

  • Jeffrey M. Katz

    (Northwell Health, New Hyde Park, NY 11040, USA
    Departments of Radiology, Donald and Barbara Zucker School of Medicine at Hofstra/Northwell, Hempstead, NY 11549, USA
    Departments of Neurology, Donald and Barbara Zucker School of Medicine at Hofstra/Northwell, Hempstead, NY 11549, USA)

  • Maria X. Sanmartin

    (Northwell Health, New Hyde Park, NY 11040, USA
    Institute of Health System Science, The Feinstein Institutes for Medical Research, Manhasset, NY 11030, USA
    Departments of Radiology, Donald and Barbara Zucker School of Medicine at Hofstra/Northwell, Hempstead, NY 11549, USA)

  • Liron D. Sinvani

    (Northwell Health, New Hyde Park, NY 11040, USA
    Institute of Health System Science, The Feinstein Institutes for Medical Research, Manhasset, NY 11030, USA
    Departments of Medicine, Donald and Barbara Zucker School of Medicine at Hofstra/Northwell, Hempstead, NY 11549, USA)

  • Jason J. Naidich

    (Northwell Health, New Hyde Park, NY 11040, USA
    Departments of Radiology, Donald and Barbara Zucker School of Medicine at Hofstra/Northwell, Hempstead, NY 11549, USA)

  • Elizabeth Y. Rula

    (Harvey L. Neiman Health Policy Institute, Reston, VA 20191, USA)

  • Pina C. Sanelli

    (Northwell Health, New Hyde Park, NY 11040, USA
    Institute of Health System Science, The Feinstein Institutes for Medical Research, Manhasset, NY 11030, USA
    Departments of Radiology, Donald and Barbara Zucker School of Medicine at Hofstra/Northwell, Hempstead, NY 11549, USA)

Abstract

Background: Socioeconomically disadvantaged neighborhoods are particularly vulnerable to heat-related illnesses. We aim to investigate the association between the heat vulnerability index (HVI), an established neighborhood-level metric of heat-related mortality risk, and acute ischemic stroke (AIS) severity. Methods: We conducted a retrospective analysis of consecutive AIS admissions to a comprehensive stroke center between 2012 and 2021. Stroke severity was defined upon admission based on the National Institutes of Health Stroke Scale (NIHSS). Demographic, socioeconomic, and clinical characteristics were extracted from electronic health records. HVI status was assigned using residential ZIP codes. Multivariable logistic regression analyses were performed. Results: Of 3429 AIS admissions, 1123 (32.8%) were from high-HVI (scores 4–5) neighborhoods and 868 (25.3%) had severe stroke (NIHSS score ≥ 10). In the multivariable regression model with stepwise selection, a high HVI was independently associated with severe stroke (adjusted odds ratio: 1.40 [95% confidence interval 1.16–1.69]). Conclusions: The association between a high HVI and severe stroke underscores the importance of targeting policy interventions to mitigate heat-related illness in socioeconomically disadvantaged neighborhoods.

Suggested Citation

  • Jason J. Wang & Jeffrey M. Katz & Maria X. Sanmartin & Liron D. Sinvani & Jason J. Naidich & Elizabeth Y. Rula & Pina C. Sanelli, 2024. "Association between Heat Vulnerability Index and Stroke Severity," IJERPH, MDPI, vol. 21(8), pages 1-8, August.
    • Handle: RePEc:gam:jijerp:v:21:y:2024:i:8:p:1099-:d:1460067
    as

    Download full text from publisher

    File URL: https://www.mdpi.com/1660-4601/21/8/1099/pdf
    Download Restriction: no
    File URL: https://www.mdpi.com/1660-4601/21/8/1099/
    Download Restriction: no
    ---><---

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:gam:jijerp:v:21:y:2024:i:8:p:1099-:d:1460067. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    We have no bibliographic references for this item. You can help adding them by using this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: MDPI Indexing Manager (email available below). General contact details of provider: https://www.mdpi.com .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.