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

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  • Janine Wichmann
  • Zorana Andersen
  • Matthias Ketzel
  • Thomas Ellermann
  • Steffen Loft

Abstract

One of the key climate change factors, temperature, has potentially grave implications for human health. We report the first attempt to investigate the association between the daily 3-hour maximum apparent temperature (Tappmax) and respiratory (RD), cardiovascular (CVD), and cerebrovascular (CBD) emergency hospital admissions in Copenhagen, controlling for air pollution. The study period covered 1 January 2002−31 December 2006, stratified in warm and cold periods. A case-crossover design was applied. Susceptibility (effect modification) by age, sex, and socio-economic status was investigated. For an IQR (8°C) increase in the 5-day cumulative average of Tappmax, a 7% (95% CI: 1%, 13%) increase in the RD admission rate was observed in the warm period whereas an inverse association was found with CVD (−8%, 95% CI: −13%, −4%), and none with CBD. There was no association between the 5-day cumulative average of Tappmax during the cold period and any of the cause-specific admissions, except in some susceptible groups: a negative association for RD in the oldest age group and a positive association for CVD in men and the second highest SES group. In conclusion, an increase in Tappmax is associated with a slight increase in RD and decrease in CVD admissions during the warmer months.

Suggested Citation

  • Janine Wichmann & Zorana Andersen & Matthias Ketzel & Thomas Ellermann & Steffen Loft, 2011. "Apparent Temperature and Cause-Specific Emergency Hospital Admissions in Greater Copenhagen, Denmark," PLOS ONE, Public Library of Science, vol. 6(7), pages 1-7, July.
    • Handle: RePEc:plo:pone00:0022904
    DOI: 10.1371/journal.pone.0022904
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    References listed on IDEAS

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    1. 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.
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    2. Jacqueline Lisa Bühler & Shreya Shrikhande & Thandi Kapwata & Guéladio Cissé & Yajun Liang & Hugo Pedder & Marek Kwiatkowski & Zamantimande Kunene & Angela Mathee & Nasheeta Peer & Caradee Y. Wright, 2022. "The Association between Apparent Temperature and Hospital Admissions for Cardiovascular Disease in Limpopo Province, South Africa," IJERPH, MDPI, vol. 20(1), pages 1-14, December.
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    4. Manuela K. Fritz, 2021. "Temperature and non-communicable diseases: Evidence from Indonesia's primary health care system," Working Papers 206, Bavarian Graduate Program in Economics (BGPE).

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