Advanced Search

CN 34-1304/RISSN 1674-3679

Volume 28 Issue 6
Jun.  2024
Turn off MathJax
Article Contents
WANG Ying, HU Wanqin, SUN Haoxiang, YANG Jidan, KANG Ruihan, HU Huaqing. Impact of temperature changes between neighboring days on ischemic stroke[J]. CHINESE JOURNAL OF DISEASE CONTROL & PREVENTION, 2024, 28(6): 678-684. doi: 10.16462/j.cnki.zhjbkz.2024.06.010
Citation: WANG Ying, HU Wanqin, SUN Haoxiang, YANG Jidan, KANG Ruihan, HU Huaqing. Impact of temperature changes between neighboring days on ischemic stroke[J]. CHINESE JOURNAL OF DISEASE CONTROL & PREVENTION, 2024, 28(6): 678-684. doi: 10.16462/j.cnki.zhjbkz.2024.06.010

Impact of temperature changes between neighboring days on ischemic stroke

doi: 10.16462/j.cnki.zhjbkz.2024.06.010
Funds:

National Key Research and Development Program of China 2020YFC2006506

More Information
  • Corresponding author: HU Huaqing, E-mail: huhuaqing_ayfy@163.com
  • Received Date: 2023-11-15
  • Rev Recd Date: 2024-03-18
  • Available Online: 2024-07-13
  • Publish Date: 2024-06-10
  •   Objective  To assess the effect of temperature changes between neighboring days on the risk of ischemic stroke outpatient visits.  Methods  A distributional lag nonlinear model combined with a Poisson generalised linear regression model was used to analyse the relationship between temperature changes between neighboring days and ischemic stroke outpatient visits at a large tertiary hospital in Hefei city, with corrections for relevant environmental factors and stratified by different gender and age groups.  Results  In this study, there were 32 560 ischemic stroke patients, with an average of 17.8 ischemic stroke visits per day. Exposure relationship curves show significant association between TCN and ischemic stroke outpatient visits. The relative risk over 0-7days Reached 1.796(95% CI: 1.150-2.805) for extreme negative temperature changes between neighboring days (5th percentile), whereas the relative risk of extreme positive temperature changes between neighboring days (95th percentile) was 0.686(95% CI: 0.499-0.945) and maximized at a cumulative lag of 6 days. Subgroup studies revealed that men and ischemic stroke patients over the age of 65 were more vulnerable to negative temperature changes between neighboring days.  Conclusions  Temperature changes between neighboring days and ischemic stroke are nonlinearly related in Hefei; with negative temperature changes between neighboring days increases the likelihood for ischemic stroke patients, watch for ischemic stroke when temperature drops suddenly; and positive temperature changes between neighboring days decreases the risk of ischemic stroke patients, who require protection from heat and other health concerns induced by rising temperature.
  • loading
  • [1]
    Collaborators G2D. Global age-sex-specific fertility, mortality, healthy life expectancy (HALE), and population estimates in 204 countries and territories, 1950-2019: a comprehensive demographic analysis for the global burden of disease study 2019[J]. Lancet, 2020, 396(10258): 1160-1203. DOI: 10.1016/S0140-6736(20)30977-6.
    [2]
    Collaborators G2DAI. Global burden of 369 diseases and injuries in 204 countries and territories, 1990-2019: a systematic analysis for the global burden of disease study 2019[J]. Lancet, 2020, 396(10258): 1204-1222. DOI: 10.1016/S0140-6736(20)30925-9.
    [3]
    刘丽萍, 周宏宇, 段婉莹, 等. 中国脑血管病临床管理指南(第2版)(节选): 第4章缺血性脑血管病临床管理推荐意见[J]. 中国卒中杂志, 2023, 18(8): 910-933. DOI: 10.3969/j.issn.1673-5765.2019.07.014.

    Liu LP, Zhou HY, Duan WY, et al. Chinese stroke association guidelines for clinical management of cerebrovascular diseases(second edition)(excerpt)-chapter four clinical management of ischemic cerebrovascular diseases[J]. Chin J Stroke, 2023, 18(8): 910-933. DOI: 10.3969/j.issn.1673-5765.2019.07.014.
    [4]
    巢宝华, 刘建民, 王伊龙, 等. 中国脑卒中防治: 成就、挑战和应对[J]. 中国循环杂志, 2019, 34(7): 625-631. DOI: 10.3969/j.issn.1000-3614.2019.07.001.

    Chao BH, Liu JM, Wang YL, et al. Stroke prevention and control in China: achievements, challenges and responses[J]. Chin Circul J, 2019, 34(7): 625-631. DOI: 10.3969/j.issn.1000-3614.2019.07.001.
    [5]
    Cheng J, Zhu R, Xu ZW, et al. Impact of temperature variation between adjacent days on childhood hand, foot and mouth disease during April and July in urban and rural Hefei, China[J]. Int J Biometeorol, 2016, 60(6): 883-890. DOI: 10.1007/s00484-015-1082-y.
    [6]
    Guo YM, Barnett AG, Yu WW, et al. A large change in temperature between neighbouring days increases the risk of mortality[J]. PLoS One, 2011, 6(2): e16511. DOI: 10.1371/journal.pone.0016511.
    [7]
    Lin HL, Zhang YH, Xu YJ, et al. Temperature changes between neighboring days and mortality in summer: a distributed lag non-linear time series analysis[J]. PLoS One, 2013, 8(6): e66403. DOI: 10.1371/journal.pone.0066403.
    [8]
    Zhan ZY, Zhao Y, Pang SJ, et al. Temperature change between neighboring days and mortality in United States: a nationwide study[J]. Sci Total Environ, 2017, 584-585: 1152-1161. DOI: 10.1016/j.scitotenv.2017.01.177.
    [9]
    Sun ZY, Chen C, Yan ML, et al. Heat wave characteristics, mortality and effect modification by temperature zones: a time-series study in 130 counties of China[J]. Int J Epidemiol, 2021, 49(6): 1813-1822. DOI: 10.1093/ije/dyaa104.
    [10]
    Allen MJ, Sheridan SC. Mortality risks during extreme temperature events (ETEs) using a distributed lag non-linear model[J]. Int J Biometeorol, 2018, 62(1): 57-67. DOI: 10.1007/s00484-015-1117-4.
    [11]
    Gasparrini A. Distributed lag linear and non-linear models in R: the package dlnm[J]. J Stat Softw, 2011, 43(8): 1-20.
    [12]
    Lin ZJ, Meng X, Chen RJ, et al. Ambient air pollution, temperature and Kawasaki disease in Shanghai, China[J]. Chemosphere, 2017, 186: 817-822. DOI: 10.1016/j.chemosphere.2017.08.054.
    [13]
    Li A, Fan L, Xie L, et al. Associations between air pollution, climate factors and outpatient visits for eczema in West China Hospital, Chengdu, south-western China: a time series analysis[J]. J Eur Acad Dermatol Venereol, 2018, 32(3): 486-494. DOI: 10.1111/jdv.14730.
    [14]
    Chen JM, Gao Y, Jiang YX, et al. Low ambient temperature and temperature drop between neighbouring days and acute aortic dissection: a case-crossover study[J]. Eur Heart J, 2022, 43(3): 228-235. DOI: 10.1093/eurheartj/ehab803.
    [15]
    Liu JW, Varghese BM, Hansen A, et al. Heat exposure and cardiovascular health outcomes: a systematic review and meta-analysis[J]. Lancet Planet Health, 2022, 6(6): e484-e495. DOI: 10.1016/S2542-5196(22)00117-6.
    [16]
    Phung D, Guo YM, Thai P, et al. The effects of high temperature on cardiovascular admissions in the most populous tropical city in Vietnam[J]. Environ Pollut, 2016, 208(Pt A): 33-39. DOI: 10.1016/j.envpol.2015.06.004.
    [17]
    董继元, 陈永聪, 张本忠, 等. 兰州市气温对脑卒中发病的滞后效应研究[J]. 气候变化研究进展, 2017, 13(4): 366-374. DOI: 10.12006/j.issn.1673-1719.2016.222.

    Dong JY, Chen YC, Zhang BZ, et al. Distributed lag effects in the relationship between daily mean temperature and the incidence of stroke in Lanzhou[J]. Climate Change Research, 2017, 13(4): 366-374. DOI: 10.12006/j.issn.1673-1719.2016.222.
    [18]
    Li A, Fan L, Xie L, et al. Associations between air pollution, climate factors and outpatient visits for eczema in West China Hospital, Chengdu, south-western China: a time series analysis[J]. J Eur Acad Dermatol Venereol, 2018, 32(3): 486-494. DOI: 10.1111/jdv.14730.
    [19]
    Wen J, Zou L, Jiang ZW, et al. Association between ambient temperature and risk of stroke morbidity and mortality: a systematic review and meta-analysis[J]. Brain Behav, 2023, 13(7): e3078. DOI: 10.1002/brb3.3078.
    [20]
    Lu C, Zhang YP, Li BZ, et al. Interaction effect of prenatal and postnatal exposure to ambient air pollution and temperature on childhood asthma[J]. Environ Int, 2022, 167: 107456. DOI: 10.1016/j.envint.2022.107456.
    [21]
    Luo YX, Li HB, Huang FF, et al. The cold effect of ambient temperature on ischemic and hemorrhagic stroke hospital admissions: a large database study in Beijing, China between years 2013 and 2014-Utilizing a distributed lag non-linear analysis[J]. Environ Pollut, 2018, 232: 90-96. DOI: 10.1016/j.envpol.2017.09.021.
    [22]
    Yin P, Chen RJ, Wang LJ, et al. The added effects of heatwaves on cause-specific mortality: a nationwide analysis in 272 Chinese cities[J]. Environ Int, 2018, 121(Pt 1): 898-905. DOI: 10.1016/j.envint.2018.10.016.
    [23]
    Lian H, Ruan YP, Liang RJ, et al. Short-term effect of ambient temperature and the risk of stroke: a systematic review and meta-analysis[J]. Int J Environ Res Public Health, 2015, 12(8): 9068-9088. DOI: 10.3390/ijerph120809068.
  • 加载中

Catalog

    通讯作者: 陈斌, bchen63@163.com
    • 1. 

      沈阳化工大学材料科学与工程学院 沈阳 110142

    1. 本站搜索
    2. 百度学术搜索
    3. 万方数据库搜索
    4. CNKI搜索

    Figures(2)  / Tables(4)

    Article Metrics

    Article views (95) PDF downloads(11) Cited by()
    Proportional views
    Related

    /

    DownLoad:  Full-Size Img  PowerPoint
    Return
    Return