Effects of extreme temperatures on cerebrovascular mortality in Lisbon: a distributed lag non-linear model

International Journal of Biometeorology
Mónica RodriguesAlfredo Rocha

Abstract

Cerebrovascular diseases are the leading cause of mortality in Portugal, especially when related with extreme temperatures. This study highlights the impacts of the exposure-response relationship or lagged effect of low and high temperatures on cerebrovascular mortality, which can be important to reduce the health burden from cerebrovascular diseases. The purpose of this study was to assess the effects of weather on cerebrovascular mortality, measured by ambient temperature in the District of Lisbon, Portugal. A quasi-Poisson generalized additive model combined with a distributed lag non-linear model was applied to estimate the delayed effects of temperature on cerebrovascular mortality up to 30 days. With reference to minimum mortality temperature threshold of 22 °C, there was a severe risk (RR = 2.09, 95% CI 1.74, 2.51) of mortality for a 30-day-cumulative exposure to extreme cold temperatures of 7.3 °C (1st percentile). Similarly, the cumulative effect of a 30-day exposure to an extreme hot temperature of 30 °C (99th percentile) was 52% (RR = 1.65, 95% CI 1.37, 1.98) higher than same-day exposure. Over the 13 years of study, non-linear effects of temperature on mortality were identified, and the probability of dying from cer...Continue Reading

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Citations

Mar 30, 2019·Environmental Health : a Global Access Science Source·Mónica RodriguesAlfredo Rocha
Jan 1, 2020·International Journal of Environmental Research and Public Health·Xuemei SuXiaoyuan Yao
Jul 8, 2020·Environmental Health : a Global Access Science Source·Iara da SilvaLeila Droprinchinski Martins
Jul 28, 2019·International Journal of Environmental Research and Public Health·Ana CasanuevaCornelia Schwierz
Feb 3, 2021·International Journal of Hygiene and Environmental Health·Veronika WeilnhammerStefanie Heinze
Apr 13, 2021·Journal of Urban Health : Bulletin of the New York Academy of Medicine·Mónica RodriguesAlfredo Rocha
Aug 10, 2019·Environment International·Khaiwal RavindraAshutosh Nath Aggarwal
Jan 9, 2021·International Journal of Biometeorology·Elisaveta P PetkovaAntonio Gasparrini
Jun 8, 2021·The Science of the Total Environment·Apolline SaucyMartin Röösli
Jul 3, 2021·International Journal of Environmental Research and Public Health·Jae Young LeeMartina S Ragettli

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