The relationship between ambient temperature and acute respiratory and cardiovascular diseases in Shenyang, China

Shen, Yang; Zhang, Xudong; Chen, Cai; Lin, Qianqian; Li, Xiyuan; Qu, Wenxiu; Liu, Xuejian; Zhao, Li; Chang, Shijie

The purpose of this study was to analyze the acute effect of ambient temperature on hospitalization due to acute exacerbation of chronic obstructive pulmonary disease (AECOPD), stroke, and myocardial infarction (MI) in Shenyang, China. We used the distributed delayed nonlinear model to evaluate the impact of ambient temperature on respiratory and cardiovascular diseases. The study population was divided into four groups: < 65 group and ≥ 65 age groups, female and male groups. The < 65 age group of AECOPD patients was more likely to be affected by high ambient temperature, while the ≥ 65 age group of AECOPD patients was more sensitive to low ambient temperature. The hospitalization risk of MI admission increased in the ≥ 65 age group at 1–8 days delay under low ambient temperature conditions. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1007/s11356-020-11934-2.