Diurnal temperature range and hospital admission due to cardiovascular and respiratory diseases in Dezful, a city with hot climate and high DTR fluctuation in Iran: an ecological time-series study
The results of previous studies have indicated the effects of temperature changes on health status. The present study was conducted to investigate the effects of diurnal temperature range (DTR) and hospital admission on cardiovascular and respiratory diseases in Dezful, in Iran. In this ecological t...
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Veröffentlicht in: | Environmental geochemistry and health 2023-07, Vol.45 (7), p.4915-4927 |
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creator | Aghababaeian, Hamidreza Sharafkhani, Rahim Kiarsi, Maryam Mehranfar, Shahzad Moosavi, Ahmad Araghi Ahvazi, Ladan Aboubakri, Omid |
description | The results of previous studies have indicated the effects of temperature changes on health status. The present study was conducted to investigate the effects of diurnal temperature range (DTR) and hospital admission on cardiovascular and respiratory diseases in Dezful, in Iran. In this ecological time-series study, data related to hospital admissions based on ICD-10, meteorological, and climatological data were gathered over a period of six years from 2014 to 2019. A distributed lag nonlinear model combined with a quasi-Poisson regression was then used to assess the impact of DTR on cardiovascular and respiratory hospital admissions. Potential confounders, including wind speed, air pollution, seasonality, time trend, weekends and holidays, days of week, and humidity were controlled. In extreme low DTRs, the cumulative effects of cardiovascular admissions significantly increased in total, and in warm and cold seasons (Lag
0–21
,
P
≤ 0.05). In addition, in extreme high DTRs, the cumulative effects of cardiovascular significantly decreased in total (Lag
0–13
and Lag
0–21
,
P
≤ 0.05), and in warm (Lag
0–21
,
P
≤ 0.05) and cold seasons (Lag
0–21
,
P
≤ 0.05). Moreover, respiratory admissions significantly decreased in total (Lag
0–21
,
P
≤ 0.05) and in warm season (Lag
0–21
,
P
≤ 0.05).Our result indicates that extreme low DTRs could increase the risk of daily cardiovascular admissions, and extreme high DTRs may cause a protective effect on daily respiratory and cardiovascular admissions in some regions with high fluctuations in DTR. |
doi_str_mv | 10.1007/s10653-023-01533-8 |
format | Article |
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0–21
,
P
≤ 0.05). In addition, in extreme high DTRs, the cumulative effects of cardiovascular significantly decreased in total (Lag
0–13
and Lag
0–21
,
P
≤ 0.05), and in warm (Lag
0–21
,
P
≤ 0.05) and cold seasons (Lag
0–21
,
P
≤ 0.05). Moreover, respiratory admissions significantly decreased in total (Lag
0–21
,
P
≤ 0.05) and in warm season (Lag
0–21
,
P
≤ 0.05).Our result indicates that extreme low DTRs could increase the risk of daily cardiovascular admissions, and extreme high DTRs may cause a protective effect on daily respiratory and cardiovascular admissions in some regions with high fluctuations in DTR.</description><identifier>ISSN: 0269-4042</identifier><identifier>EISSN: 1573-2983</identifier><identifier>DOI: 10.1007/s10653-023-01533-8</identifier><identifier>PMID: 37000334</identifier><language>eng</language><publisher>Dordrecht: Springer Netherlands</publisher><subject>Air pollution ; Cardiovascular diseases ; climate ; Climatic data ; cold ; Cold season ; Diseases ; Diurnal ; Earth and Environmental Science ; Ecological effects ; Environment ; Environmental Chemistry ; Environmental Health ; Extreme values ; Geochemistry ; health status ; hospitals ; Hot climates ; humidity ; Iran ; meteorological data ; nonlinear models ; Original Paper ; Patient admissions ; protective effect ; Public Health ; Respiratory diseases ; Respiratory disorders ; risk ; Seasonal variations ; Seasonality ; Seasons ; Soil Science & Conservation ; temperature ; Temperature effects ; Terrestrial Pollution ; Time series ; time series analysis ; warm season ; Wind speed</subject><ispartof>Environmental geochemistry and health, 2023-07, Vol.45 (7), p.4915-4927</ispartof><rights>The Author(s), under exclusive licence to Springer Nature B.V. 2023. Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.</rights><rights>2023. The Author(s), under exclusive licence to Springer Nature B.V.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c408t-a64b8c3c19673e9af665f7cfb2dd7b8e215838a6a8449b73237709f56a4e32713</citedby><cites>FETCH-LOGICAL-c408t-a64b8c3c19673e9af665f7cfb2dd7b8e215838a6a8449b73237709f56a4e32713</cites><orcidid>0000-0002-2355-3500 ; 0000-0002-6761-5056 ; 0000-0003-3339-5507 ; 0000-0003-1134-1022 ; 0000-0002-2666-322X ; 0000-0002-0213-5203</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s10653-023-01533-8$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s10653-023-01533-8$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,776,780,27901,27902,41464,42533,51294</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/37000334$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Aghababaeian, Hamidreza</creatorcontrib><creatorcontrib>Sharafkhani, Rahim</creatorcontrib><creatorcontrib>Kiarsi, Maryam</creatorcontrib><creatorcontrib>Mehranfar, Shahzad</creatorcontrib><creatorcontrib>Moosavi, Ahmad</creatorcontrib><creatorcontrib>Araghi Ahvazi, Ladan</creatorcontrib><creatorcontrib>Aboubakri, Omid</creatorcontrib><title>Diurnal temperature range and hospital admission due to cardiovascular and respiratory diseases in Dezful, a city with hot climate and high DTR fluctuation in Iran: an ecological time-series study</title><title>Environmental geochemistry and health</title><addtitle>Environ Geochem Health</addtitle><addtitle>Environ Geochem Health</addtitle><description>The results of previous studies have indicated the effects of temperature changes on health status. The present study was conducted to investigate the effects of diurnal temperature range (DTR) and hospital admission on cardiovascular and respiratory diseases in Dezful, in Iran. In this ecological time-series study, data related to hospital admissions based on ICD-10, meteorological, and climatological data were gathered over a period of six years from 2014 to 2019. A distributed lag nonlinear model combined with a quasi-Poisson regression was then used to assess the impact of DTR on cardiovascular and respiratory hospital admissions. Potential confounders, including wind speed, air pollution, seasonality, time trend, weekends and holidays, days of week, and humidity were controlled. In extreme low DTRs, the cumulative effects of cardiovascular admissions significantly increased in total, and in warm and cold seasons (Lag
0–21
,
P
≤ 0.05). In addition, in extreme high DTRs, the cumulative effects of cardiovascular significantly decreased in total (Lag
0–13
and Lag
0–21
,
P
≤ 0.05), and in warm (Lag
0–21
,
P
≤ 0.05) and cold seasons (Lag
0–21
,
P
≤ 0.05). Moreover, respiratory admissions significantly decreased in total (Lag
0–21
,
P
≤ 0.05) and in warm season (Lag
0–21
,
P
≤ 0.05).Our result indicates that extreme low DTRs could increase the risk of daily cardiovascular admissions, and extreme high DTRs may cause a protective effect on daily respiratory and cardiovascular admissions in some regions with high fluctuations in DTR.</description><subject>Air pollution</subject><subject>Cardiovascular diseases</subject><subject>climate</subject><subject>Climatic data</subject><subject>cold</subject><subject>Cold season</subject><subject>Diseases</subject><subject>Diurnal</subject><subject>Earth and Environmental Science</subject><subject>Ecological effects</subject><subject>Environment</subject><subject>Environmental Chemistry</subject><subject>Environmental Health</subject><subject>Extreme values</subject><subject>Geochemistry</subject><subject>health status</subject><subject>hospitals</subject><subject>Hot climates</subject><subject>humidity</subject><subject>Iran</subject><subject>meteorological data</subject><subject>nonlinear models</subject><subject>Original Paper</subject><subject>Patient admissions</subject><subject>protective effect</subject><subject>Public Health</subject><subject>Respiratory diseases</subject><subject>Respiratory disorders</subject><subject>risk</subject><subject>Seasonal variations</subject><subject>Seasonality</subject><subject>Seasons</subject><subject>Soil Science & Conservation</subject><subject>temperature</subject><subject>Temperature effects</subject><subject>Terrestrial Pollution</subject><subject>Time series</subject><subject>time series analysis</subject><subject>warm season</subject><subject>Wind 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temperature range and hospital admission due to cardiovascular and respiratory diseases in Dezful, a city with hot climate and high DTR fluctuation in Iran: an ecological time-series study</title><author>Aghababaeian, Hamidreza ; Sharafkhani, Rahim ; Kiarsi, Maryam ; Mehranfar, Shahzad ; Moosavi, Ahmad ; Araghi Ahvazi, Ladan ; Aboubakri, Omid</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c408t-a64b8c3c19673e9af665f7cfb2dd7b8e215838a6a8449b73237709f56a4e32713</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2023</creationdate><topic>Air pollution</topic><topic>Cardiovascular diseases</topic><topic>climate</topic><topic>Climatic data</topic><topic>cold</topic><topic>Cold season</topic><topic>Diseases</topic><topic>Diurnal</topic><topic>Earth and Environmental Science</topic><topic>Ecological effects</topic><topic>Environment</topic><topic>Environmental Chemistry</topic><topic>Environmental Health</topic><topic>Extreme values</topic><topic>Geochemistry</topic><topic>health status</topic><topic>hospitals</topic><topic>Hot climates</topic><topic>humidity</topic><topic>Iran</topic><topic>meteorological data</topic><topic>nonlinear models</topic><topic>Original Paper</topic><topic>Patient admissions</topic><topic>protective effect</topic><topic>Public Health</topic><topic>Respiratory diseases</topic><topic>Respiratory disorders</topic><topic>risk</topic><topic>Seasonal variations</topic><topic>Seasonality</topic><topic>Seasons</topic><topic>Soil Science & Conservation</topic><topic>temperature</topic><topic>Temperature effects</topic><topic>Terrestrial Pollution</topic><topic>Time series</topic><topic>time series analysis</topic><topic>warm season</topic><topic>Wind speed</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Aghababaeian, Hamidreza</creatorcontrib><creatorcontrib>Sharafkhani, Rahim</creatorcontrib><creatorcontrib>Kiarsi, Maryam</creatorcontrib><creatorcontrib>Mehranfar, Shahzad</creatorcontrib><creatorcontrib>Moosavi, Ahmad</creatorcontrib><creatorcontrib>Araghi Ahvazi, Ladan</creatorcontrib><creatorcontrib>Aboubakri, Omid</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Environment Abstracts</collection><collection>Water Resources Abstracts</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Science Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Public Health Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 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health</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Aghababaeian, Hamidreza</au><au>Sharafkhani, Rahim</au><au>Kiarsi, Maryam</au><au>Mehranfar, Shahzad</au><au>Moosavi, Ahmad</au><au>Araghi Ahvazi, Ladan</au><au>Aboubakri, Omid</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Diurnal temperature range and hospital admission due to cardiovascular and respiratory diseases in Dezful, a city with hot climate and high DTR fluctuation in Iran: an ecological time-series study</atitle><jtitle>Environmental geochemistry and health</jtitle><stitle>Environ Geochem Health</stitle><addtitle>Environ Geochem Health</addtitle><date>2023-07-01</date><risdate>2023</risdate><volume>45</volume><issue>7</issue><spage>4915</spage><epage>4927</epage><pages>4915-4927</pages><issn>0269-4042</issn><eissn>1573-2983</eissn><abstract>The results of previous studies have indicated the effects of temperature changes on health status. The present study was conducted to investigate the effects of diurnal temperature range (DTR) and hospital admission on cardiovascular and respiratory diseases in Dezful, in Iran. In this ecological time-series study, data related to hospital admissions based on ICD-10, meteorological, and climatological data were gathered over a period of six years from 2014 to 2019. A distributed lag nonlinear model combined with a quasi-Poisson regression was then used to assess the impact of DTR on cardiovascular and respiratory hospital admissions. Potential confounders, including wind speed, air pollution, seasonality, time trend, weekends and holidays, days of week, and humidity were controlled. In extreme low DTRs, the cumulative effects of cardiovascular admissions significantly increased in total, and in warm and cold seasons (Lag
0–21
,
P
≤ 0.05). In addition, in extreme high DTRs, the cumulative effects of cardiovascular significantly decreased in total (Lag
0–13
and Lag
0–21
,
P
≤ 0.05), and in warm (Lag
0–21
,
P
≤ 0.05) and cold seasons (Lag
0–21
,
P
≤ 0.05). Moreover, respiratory admissions significantly decreased in total (Lag
0–21
,
P
≤ 0.05) and in warm season (Lag
0–21
,
P
≤ 0.05).Our result indicates that extreme low DTRs could increase the risk of daily cardiovascular admissions, and extreme high DTRs may cause a protective effect on daily respiratory and cardiovascular admissions in some regions with high fluctuations in DTR.</abstract><cop>Dordrecht</cop><pub>Springer Netherlands</pub><pmid>37000334</pmid><doi>10.1007/s10653-023-01533-8</doi><tpages>13</tpages><orcidid>https://orcid.org/0000-0002-2355-3500</orcidid><orcidid>https://orcid.org/0000-0002-6761-5056</orcidid><orcidid>https://orcid.org/0000-0003-3339-5507</orcidid><orcidid>https://orcid.org/0000-0003-1134-1022</orcidid><orcidid>https://orcid.org/0000-0002-2666-322X</orcidid><orcidid>https://orcid.org/0000-0002-0213-5203</orcidid></addata></record> |
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source | SpringerLink Journals |
subjects | Air pollution Cardiovascular diseases climate Climatic data cold Cold season Diseases Diurnal Earth and Environmental Science Ecological effects Environment Environmental Chemistry Environmental Health Extreme values Geochemistry health status hospitals Hot climates humidity Iran meteorological data nonlinear models Original Paper Patient admissions protective effect Public Health Respiratory diseases Respiratory disorders risk Seasonal variations Seasonality Seasons Soil Science & Conservation temperature Temperature effects Terrestrial Pollution Time series time series analysis warm season Wind speed |
title | Diurnal temperature range and hospital admission due to cardiovascular and respiratory diseases in Dezful, a city with hot climate and high DTR fluctuation in Iran: an ecological time-series study |
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