Temperature and hospital admissions in the Eastern Mediterranean: a case study in Cyprus
Exposure to extreme temperatures can trigger a cascade of adverse cardiovascular and respiratory events. However, in Cyprus, a hotspot of climate change in the Eastern Mediterranean region, little is known about the temperature-related cardiorespiratory morbidity risks. We analyzed daily counts of h...
| Main Authors: | , , , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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IOP Publishing
2024-01-01
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| Series: | Environmental Research: Health |
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| Online Access: | https://doi.org/10.1088/2752-5309/ad2780 |
| _version_ | 1797295117851164672 |
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| author | Yichen Wang Souzana Achilleos Pascale Salameh Panayiotis Kouis Panayiotis K Yiallouros Elena Critselis Kleanthis Nicolaides Filippos Tymvios Chrysanthos Savvides Emily Vasiliadou Stefania I Papatheodorou Petros Koutrakis Barrak Alahmad |
| author_facet | Yichen Wang Souzana Achilleos Pascale Salameh Panayiotis Kouis Panayiotis K Yiallouros Elena Critselis Kleanthis Nicolaides Filippos Tymvios Chrysanthos Savvides Emily Vasiliadou Stefania I Papatheodorou Petros Koutrakis Barrak Alahmad |
| author_sort | Yichen Wang |
| collection | DOAJ |
| description | Exposure to extreme temperatures can trigger a cascade of adverse cardiovascular and respiratory events. However, in Cyprus, a hotspot of climate change in the Eastern Mediterranean region, little is known about the temperature-related cardiorespiratory morbidity risks. We analyzed daily counts of hospital admissions for cardiovascular and respiratory diseases from four general hospitals in three districts in Cyprus from 2000 through 2019. For each district, we fitted time-series quasi-Poisson regression with distributed lag non-linear models to analyze the associations between daily mean temperature (lag 0–21 d) and hospital admissions for cardiorespiratory, cardiovascular, and respiratory diseases. A random-effects meta-analytical model was then applied to pool the district-specific estimates and obtain the national average associations. We analyzed 20 years of cause-specific hospitalization data with a total of 179 988 cardiovascular and respiratory events. The relationships between cardiorespiratory morbidity and temperature were overall U-shaped. During extreme temperature days, 15.85% (95% empirical CI [eCI]: 8.24, 22.40%) excess cardiovascular hospitalizations and 9.59% (95% eCI: −0.66, 18.69%) excess respiratory hospitalizations were attributable to extreme cold days (below the 2.5th percentile). Extreme hot days (above the 97.5th percentile) accounted for 0.17% (95% eCI: 0.03, 0.29%) excess cardiovascular hospitalizations and 0.23% (95% eCI: 0.07, 0.35%) excess respiratory hospitalizations. We found evidence of increased cardiovascular morbidity risk associated with extreme temperatures in Cyprus. Our study highlights the necessity to implement public health interventions and adaptive measures to mitigate the related temperature effects in an understudied region. |
| first_indexed | 2024-03-07T21:42:06Z |
| format | Article |
| id | doaj.art-fd6241f3eded41598c4425e5e0f53b3c |
| institution | Directory Open Access Journal |
| issn | 2752-5309 |
| language | English |
| last_indexed | 2024-03-07T21:42:06Z |
| publishDate | 2024-01-01 |
| publisher | IOP Publishing |
| record_format | Article |
| series | Environmental Research: Health |
| spelling | doaj.art-fd6241f3eded41598c4425e5e0f53b3c2024-02-26T08:00:14ZengIOP PublishingEnvironmental Research: Health2752-53092024-01-012202500410.1088/2752-5309/ad2780Temperature and hospital admissions in the Eastern Mediterranean: a case study in CyprusYichen Wang0https://orcid.org/0000-0003-3949-8996Souzana Achilleos1Pascale Salameh2Panayiotis Kouis3https://orcid.org/0000-0003-0511-5352Panayiotis K Yiallouros4Elena Critselis5Kleanthis Nicolaides6Filippos Tymvios7Chrysanthos Savvides8https://orcid.org/0000-0001-6865-7728Emily Vasiliadou9Stefania I Papatheodorou10Petros Koutrakis11Barrak Alahmad12Department of Environmental Health, Harvard T.H. Chan School of Public Health , Boston, MA, United States of AmericaDepartment of Primary Care and Population Health, University of Nicosia Medical School , Nicosia, CyprusDepartment of Primary Care and Population Health, University of Nicosia Medical School , Nicosia, Cyprus; School of Medicine, Lebanese American University , Byblos, Lebanon; Institute National de Santé Publique d’Épidémiologie Clinique et de Toxicologie-Liban (INSPECT-LB) , Beirut, Lebanon; Faculty of Pharmacy, Lebanese University , Hadat, LebanonRespiratory Physiology Laboratory, Medical School, University of Cyprus , Nicosia, CyprusRespiratory Physiology Laboratory, Medical School, University of Cyprus , Nicosia, CyprusDepartment of Primary Care and Population Health, University of Nicosia Medical School , Nicosia, CyprusCyprus Department of Meteorology, Ministry of Agriculture, Rural Development and Environment , Nicosia, CyprusCyprus Department of Meteorology, Ministry of Agriculture, Rural Development and Environment , Nicosia, Cyprus; The Cyprus Institute , Nicosia, CyprusAir Quality and Strategic Planning Section, Department of Labour Inspection, Ministry of Labour and Social Insurance , Nicosia, CyprusAir Quality and Strategic Planning Section, Department of Labour Inspection, Ministry of Labour and Social Insurance , Nicosia, CyprusDepartment of Epidemiology, Harvard T.H. Chan School of Public Health , Boston, MA, United States of AmericaDepartment of Environmental Health, Harvard T.H. Chan School of Public Health , Boston, MA, United States of AmericaDepartment of Environmental Health, Harvard T.H. Chan School of Public Health , Boston, MA, United States of America; Dasman Diabetes Institute (DDI) , Kuwait City, KuwaitExposure to extreme temperatures can trigger a cascade of adverse cardiovascular and respiratory events. However, in Cyprus, a hotspot of climate change in the Eastern Mediterranean region, little is known about the temperature-related cardiorespiratory morbidity risks. We analyzed daily counts of hospital admissions for cardiovascular and respiratory diseases from four general hospitals in three districts in Cyprus from 2000 through 2019. For each district, we fitted time-series quasi-Poisson regression with distributed lag non-linear models to analyze the associations between daily mean temperature (lag 0–21 d) and hospital admissions for cardiorespiratory, cardiovascular, and respiratory diseases. A random-effects meta-analytical model was then applied to pool the district-specific estimates and obtain the national average associations. We analyzed 20 years of cause-specific hospitalization data with a total of 179 988 cardiovascular and respiratory events. The relationships between cardiorespiratory morbidity and temperature were overall U-shaped. During extreme temperature days, 15.85% (95% empirical CI [eCI]: 8.24, 22.40%) excess cardiovascular hospitalizations and 9.59% (95% eCI: −0.66, 18.69%) excess respiratory hospitalizations were attributable to extreme cold days (below the 2.5th percentile). Extreme hot days (above the 97.5th percentile) accounted for 0.17% (95% eCI: 0.03, 0.29%) excess cardiovascular hospitalizations and 0.23% (95% eCI: 0.07, 0.35%) excess respiratory hospitalizations. We found evidence of increased cardiovascular morbidity risk associated with extreme temperatures in Cyprus. Our study highlights the necessity to implement public health interventions and adaptive measures to mitigate the related temperature effects in an understudied region.https://doi.org/10.1088/2752-5309/ad2780temperaturecardiovascularrespiratorymorbidityhospital admissionsCyprus |
| spellingShingle | Yichen Wang Souzana Achilleos Pascale Salameh Panayiotis Kouis Panayiotis K Yiallouros Elena Critselis Kleanthis Nicolaides Filippos Tymvios Chrysanthos Savvides Emily Vasiliadou Stefania I Papatheodorou Petros Koutrakis Barrak Alahmad Temperature and hospital admissions in the Eastern Mediterranean: a case study in Cyprus Environmental Research: Health temperature cardiovascular respiratory morbidity hospital admissions Cyprus |
| title | Temperature and hospital admissions in the Eastern Mediterranean: a case study in Cyprus |
| title_full | Temperature and hospital admissions in the Eastern Mediterranean: a case study in Cyprus |
| title_fullStr | Temperature and hospital admissions in the Eastern Mediterranean: a case study in Cyprus |
| title_full_unstemmed | Temperature and hospital admissions in the Eastern Mediterranean: a case study in Cyprus |
| title_short | Temperature and hospital admissions in the Eastern Mediterranean: a case study in Cyprus |
| title_sort | temperature and hospital admissions in the eastern mediterranean a case study in cyprus |
| topic | temperature cardiovascular respiratory morbidity hospital admissions Cyprus |
| url | https://doi.org/10.1088/2752-5309/ad2780 |
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