Relationship of Meteorological Variable and Cerebrovascular Events: An Ecological Time Series Study

Background: Climatic conditions contribute to changes in red blood cells, thrombocyte count, and blood pressure. In cold weather, blood viscosity increases, but increasing body temperature raises coagulation factors. Also, plasma fibrinogen concentrations are higher in older patients. All of these f...

Full description

Bibliographic Details
Main Authors: Ghazal Saraei, Parisa Mehraeen, Mostafa Soodmand, Sara Khoshamuoz, Seyed Ali Majidi, Ali Ghanbari, Shadi Qatran, Mohammad Taghi Moghadamnia
Format: Article
Language:English
Published: Guilan University of Medical Sciences 2023-10-01
Series:Caspian Journal of Neurological Sciences
Subjects:
Online Access:http://cjns.gums.ac.ir/article-1-669-en.pdf
_version_ 1797336209429626880
author Ghazal Saraei
Parisa Mehraeen
Mostafa Soodmand
Sara Khoshamuoz
Seyed Ali Majidi
Ali Ghanbari
Shadi Qatran
Mohammad Taghi Moghadamnia
author_facet Ghazal Saraei
Parisa Mehraeen
Mostafa Soodmand
Sara Khoshamuoz
Seyed Ali Majidi
Ali Ghanbari
Shadi Qatran
Mohammad Taghi Moghadamnia
author_sort Ghazal Saraei
collection DOAJ
description Background: Climatic conditions contribute to changes in red blood cells, thrombocyte count, and blood pressure. In cold weather, blood viscosity increases, but increasing body temperature raises coagulation factors. Also, plasma fibrinogen concentrations are higher in older patients. All of these factors can contribute to the incidence of stroke. Objectives: Our purpose was to assess the relationships between metrological factors and the rate of stroke patients in the north of Iran. Materials & Methods: We used a time-series analysis to investigate the association between metrological factors and hospital admission of cerebrovascular events from 2014 to 2019 using distributed lag nonlinear models. Results: Hot temperature (≥34°C) was significantly associated with an increased risk of stroke admission. In the general population, severe cold (≤0°C) was significantly related to the risk of stroke on the third day after exposure (relative risk [RR]=1.017; 95% confidence interval [CI], 1.00%-1.035%). Also, a low temperature of 7°C on 5-6 lag days was significantly associated with the risk of stroke. The risk of stroke hospital admission was not significantly associated with low humidity. Humidity with a low percentage (8%-9%) two days after exposure was significantly related to the risk of intracerebral hemorrhage (RR=5.089; 95% CI, 1.002%-25.835% ) (RR=4.841; 95% CI, 1.014%-23.109%), respectively. Conclusion: The results show that hot and cold temperatures are associated with stroke admission, and low humidity increases the risk of intracranial hemorrhage. This study suggests that changes in meteorological variables can raise the risk of stroke and exacerbate the pathogenicity in vulnerable people to these diseases.
first_indexed 2024-03-08T08:50:56Z
format Article
id doaj.art-062752668d6544d59e36d313509e2957
institution Directory Open Access Journal
issn 2423-4818
language English
last_indexed 2024-03-08T08:50:56Z
publishDate 2023-10-01
publisher Guilan University of Medical Sciences
record_format Article
series Caspian Journal of Neurological Sciences
spelling doaj.art-062752668d6544d59e36d313509e29572024-02-01T09:30:56ZengGuilan University of Medical SciencesCaspian Journal of Neurological Sciences2423-48182023-10-0194268277Relationship of Meteorological Variable and Cerebrovascular Events: An Ecological Time Series StudyGhazal Saraei0Parisa Mehraeen1Mostafa Soodmand2Sara Khoshamuoz3Seyed Ali Majidi4Ali Ghanbari5Shadi Qatran6Mohammad Taghi Moghadamnia7 Research and Technology Deputy, Guilan University of Medical Sciences, Rasht, Iran Department of Medical-Surgical Nursing, School of Nursing and Midwifery, Guilan University of Medical Sciences, Rasht, Iran Department of Medical-Surgical Nursing, School of Nursing and Midwifery, Guilan University of Medical Sciences, Rasht, Iran Department of Medical-Surgical Nursing, School of Nursing and Midwifery, Guilan University of Medical Sciences, Rasht, Iran Department of Nursing & Midwifery, Rasht Branch, Islamic Azad University, Rasht, Iran Department of Epidemiology and Biostatistics, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran Department of Medical-Surgical Nursing, School of Nursing and Midwifery, Guilan University of Medical Sciences, Rasht, Iran Department of Medical-Surgical Nursing, School of Nursing and Midwifery, Guilan University of Medical Sciences, Rasht, Iran Background: Climatic conditions contribute to changes in red blood cells, thrombocyte count, and blood pressure. In cold weather, blood viscosity increases, but increasing body temperature raises coagulation factors. Also, plasma fibrinogen concentrations are higher in older patients. All of these factors can contribute to the incidence of stroke. Objectives: Our purpose was to assess the relationships between metrological factors and the rate of stroke patients in the north of Iran. Materials & Methods: We used a time-series analysis to investigate the association between metrological factors and hospital admission of cerebrovascular events from 2014 to 2019 using distributed lag nonlinear models. Results: Hot temperature (≥34°C) was significantly associated with an increased risk of stroke admission. In the general population, severe cold (≤0°C) was significantly related to the risk of stroke on the third day after exposure (relative risk [RR]=1.017; 95% confidence interval [CI], 1.00%-1.035%). Also, a low temperature of 7°C on 5-6 lag days was significantly associated with the risk of stroke. The risk of stroke hospital admission was not significantly associated with low humidity. Humidity with a low percentage (8%-9%) two days after exposure was significantly related to the risk of intracerebral hemorrhage (RR=5.089; 95% CI, 1.002%-25.835% ) (RR=4.841; 95% CI, 1.014%-23.109%), respectively. Conclusion: The results show that hot and cold temperatures are associated with stroke admission, and low humidity increases the risk of intracranial hemorrhage. This study suggests that changes in meteorological variables can raise the risk of stroke and exacerbate the pathogenicity in vulnerable people to these diseases.http://cjns.gums.ac.ir/article-1-669-en.pdfclimate changestrokecerebrovascular disorders
spellingShingle Ghazal Saraei
Parisa Mehraeen
Mostafa Soodmand
Sara Khoshamuoz
Seyed Ali Majidi
Ali Ghanbari
Shadi Qatran
Mohammad Taghi Moghadamnia
Relationship of Meteorological Variable and Cerebrovascular Events: An Ecological Time Series Study
Caspian Journal of Neurological Sciences
climate change
stroke
cerebrovascular disorders
title Relationship of Meteorological Variable and Cerebrovascular Events: An Ecological Time Series Study
title_full Relationship of Meteorological Variable and Cerebrovascular Events: An Ecological Time Series Study
title_fullStr Relationship of Meteorological Variable and Cerebrovascular Events: An Ecological Time Series Study
title_full_unstemmed Relationship of Meteorological Variable and Cerebrovascular Events: An Ecological Time Series Study
title_short Relationship of Meteorological Variable and Cerebrovascular Events: An Ecological Time Series Study
title_sort relationship of meteorological variable and cerebrovascular events an ecological time series study
topic climate change
stroke
cerebrovascular disorders
url http://cjns.gums.ac.ir/article-1-669-en.pdf
work_keys_str_mv AT ghazalsaraei relationshipofmeteorologicalvariableandcerebrovasculareventsanecologicaltimeseriesstudy
AT parisamehraeen relationshipofmeteorologicalvariableandcerebrovasculareventsanecologicaltimeseriesstudy
AT mostafasoodmand relationshipofmeteorologicalvariableandcerebrovasculareventsanecologicaltimeseriesstudy
AT sarakhoshamuoz relationshipofmeteorologicalvariableandcerebrovasculareventsanecologicaltimeseriesstudy
AT seyedalimajidi relationshipofmeteorologicalvariableandcerebrovasculareventsanecologicaltimeseriesstudy
AT alighanbari relationshipofmeteorologicalvariableandcerebrovasculareventsanecologicaltimeseriesstudy
AT shadiqatran relationshipofmeteorologicalvariableandcerebrovasculareventsanecologicaltimeseriesstudy
AT mohammadtaghimoghadamnia relationshipofmeteorologicalvariableandcerebrovasculareventsanecologicaltimeseriesstudy