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Sohail, H.* ; Kollanus, V.* ; Tiittanen, P.* ; Schneider, A.E. ; Lanki, T.*

Heat, heatwaves and cardiorespiratory hospital admissions in Helsinki, Finland.

Int. J. Environ. Res. Public Health 17:7892 (2020)
Publ. Version/Full Text Research data DOI PMC
Open Access Gold
Creative Commons Lizenzvertrag
Background: There is a lack of knowledge concerning the effects of ambient heat exposure on morbidity in Northern Europe. Therefore, this study aimed to evaluate the relationships of daily summertime temperature and heatwaves with cardiorespiratory hospital admissions in the Helsinki metropolitan area, Finland. Methods: Time series models adjusted for potential confounders, such as air pollution, were used to investigate the associations of daily temperature and heatwaves with cause-specific cardiorespiratory hospital admissions during summer months of 2001-2017. Daily number of hospitalizations was obtained from the national hospital discharge register and weather information from the Finnish Meteorological Institute. Results: Increased daily temperature was associated with a decreased risk of total respiratory hospital admissions and asthma. Heatwave days were associated with 20.5% (95% CI: 6.9, 35.9) increased risk of pneumonia admissions and during long or intense heatwaves also with total respiratory admissions in the oldest age group (>= 75 years). There were also suggestive positive associations between heatwave days and admissions due to myocardial infarction and cerebrovascular diseases. In contrast, risk of arrhythmia admissions decreased 20.8% (95% CI: 8.0, 31.8) during heatwaves. Conclusions: Heatwaves, rather than single hot days, are a health threat affecting morbidity even in a Northern climate.
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Publication type Article: Journal article
Document type Scientific Article
Corresponding Author
Keywords Heat ; Heatwave ; Cardiovascular Diseases ; Respiratory Diseases ; Hospital Admissions ; Climate Change ; Ambient Temperature ; Public Health ; Time Series ; Summer Months; Myocardial-infarction; Ambient-temperature; Waves; Morbidity; Mortality; Time; Health; Impact; Diseases; Visits
ISSN (print) / ISBN 1661-7827
e-ISSN 1660-4601
Quellenangaben Volume: 17, Issue: 21, Pages: , Article Number: 7892 Supplement: ,
Publisher MDPI
Publishing Place Basel, Switzerland
Non-patent literature Publications
Reviewing status Peer reviewed
Grants Academy of Finland
Ministry of Social Affairs and Health
University of Eastern Finland