气候变化领域集成服务门户(CCPortal): Long-term temperature variability and death among stroke patients: A cohort study in central Shandong province, China

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DOI	10.1016/j.buildenv.2024.111159
	Long-term temperature variability and death among stroke patients: A cohort study in central Shandong province, China
	Zhang, Peiyao; Kan, Zhe; Zhao, Ke; Liu, Chengrong; Liu, Chao; Xia, Wanning; Shi, Chunxiang; Wei, Jing; Zhang, Bingyin; Lu, ZiLong; Xue, Fuzhong; Guo, Xiaolei; Jia, Xianjie; Mi, Jing
发表日期	2024
ISSN	0360-1323
EISSN	1873-684X
起始页码	249
卷号	249
英文摘要	Our current understanding of the repercussions stemming from long-term temperature variability (TV) within the broader context of global climate change remains considerably limited. This study aims to investigate the influence of long-term temperature variability on the probability of death and mortality among stroke patients. For this study, a sample of stroke patients aged 40 years and above between 2016 and 2019 was taken from five districts/counties in central Shandong Province. We calculated the standard deviation (SD) of the annual mean daily temperature and the annual mean diurnal temperature range (DTR) obtained from the baseline survey to express the long-term TV. To assess the link between TV exposure and mortality among stroke patients, we utilized the Cox proportional hazards regression method. This statistical method allowed us to estimate the adjusted hazard ratio (HR) and 95 % confidence interval (CI) with regard to the risk of mortality. For stroke patients, there was a correlation between a 1 degrees C rise in the SD of temperature and an elevated risk of mortality (HR: 1.18, 95 % CI: 1.08-1.29). Additionally, each 1 degrees C increase in the DTR was associated with a further increase in the risk of death (HR: 1.69, 95 % CI: 1.59-1.79). In patients diagnosed with ischemic and hemorrhagic stroke, DTR was found to be positively associated with the risk of death. Temperature SD was found to be positively associated with the risk of death only in patients with ischemic stroke. Persistent exposure to TV was strongly linked to mortality risk among individuals with stroke. By devoting increased attention to TV, these organizations can develop strategies to mitigate its adverse effects on public health.
英文关键词	Stroke patients; Death; Long-term; Temperature variability; Cox proportional hazards regression
语种	英语
WOS研究方向	Construction & Building Technology ; Engineering
WOS类目	Construction & Building Technology ; Engineering, Environmental ; Engineering, Civil
WOS记录号	WOS:001156126000001
来源期刊	BUILDING AND ENVIRONMENT
文献类型	期刊论文
条目标识符	http://gcip.llas.ac.cn/handle/2XKMVOVA/302062
作者单位	Bengbu Medical College; University System of Maryland; University of Maryland College Park; Shandong University; Bengbu Medical College
推荐引用方式 GB/T 7714	Zhang, Peiyao,Kan, Zhe,Zhao, Ke,et al. Long-term temperature variability and death among stroke patients: A cohort study in central Shandong province, China[J],2024,249.
APA	Zhang, Peiyao.,Kan, Zhe.,Zhao, Ke.,Liu, Chengrong.,Liu, Chao.,...&Mi, Jing.(2024).Long-term temperature variability and death among stroke patients: A cohort study in central Shandong province, China.BUILDING AND ENVIRONMENT,249.
MLA	Zhang, Peiyao,et al."Long-term temperature variability and death among stroke patients: A cohort study in central Shandong province, China".BUILDING AND ENVIRONMENT 249(2024).