Cited by 90Climate Change and Health ImpactsInjury Epidemiology and PreventionThermoregulation and physiological responses

Impact of high ambient temperature on unintentional injuries in high-income countries: a narrative systematic literature review

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Otte im Kampe, Eveline, Kovats, Sari, Hajat, Shakoor·2016·BMJ Open

Abstract

OBJECTIVES: Given the likelihood of increased hot weather due to climate change, it is crucial to have prevention measures in place to reduce the health burden of high temperatures and heat waves. The aim of this review is to summarise and evaluate the evidence on the effects of summertime weather on unintentional injuries in high-income countries. DESIGN: 3 databases (Global Public Health, EMBASE and MEDLINE) were searched by using related keywords and their truncations in the title and abstract, and reference lists of key studies were scanned. Studies reporting heatstroke and intentional injuries were excluded. RESULTS: 13 studies met our inclusion criteria. 11 out of 13 studies showed that the risk of unintentional injuries increases with increasing ambient temperatures. On days with moderate temperatures, the increased risk varied between 0.4% and 5.3% for each 1 °C increase in ambient temperature. On extreme temperature days, the risk of injuries decreased. 2 out of 3 studies on occupational accidents found an increase in work-related accidents during high temperatures. For trauma hospital admissions, 6 studies reported an increase during hot weather, whereas 1 study found no association. The evidence for impacts on injuries by subgroups such as children, the elderly and drug users was limited and inconsistent. CONCLUSIONS: The present review describes a broader range of types of unintentional fatal and non-fatal injuries (occupational, trauma hospital admissions, traffic, fire entrapments, poisoning and drug overdose) than has previously been reported. Our review confirms that hot weather can increase the risk of unintentional injuries and accidents in high-income countries. The results are useful for injury prevention strategies.

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Authors
Otte im Kampe, E., Kovats, S., & Hajat, S.
Affiliations
London School of Hygiene & Tropical Medicine (GB)
Venue
BMJ Open
Publisher
BMJ
Published
2016-02
Volume
6
Issue
2
Pages
e010399
ISSN
2044-6055 (ISSN-L)
OpenAlex
W2258120249
Cited by
90
References
32
Citations by year
2026: 4 · 2025: 6 · 2024: 16 · 2023: 12 · 2022: 12 · 2021: 8 · 2020: 9 · 2019: 8 · 2018: 9 · 2017: 5 · 2016: 1
FWCI
0.85
Type
journal article
Language
en
Open access
Licence
cc-by
Locations
  • BMJ Open (publishedVersion, cc-by)
  • Europe PMC (PubMed Central) (publishedVersion, cc-by)
  • PubMed Central (publishedVersion, cc-by)
  • PubMed (publishedVersion)
  • LSHTM Research Online (London School of Hygiene and Tropical Medicine) (acceptedVersion)
  • HighWire Press Open Archive (submittedVersion)
Funders
  • National Institute for Health Research Health Protection Research Unit
  • National Institute for Health and Care Research
  • Public Health England
Topics
  • Physical Sciences › Environmental Science › Health, Toxicology and Mutagenesis › Climate Change and Health Impacts
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Injury Epidemiology and Prevention
  • Health Sciences › Medicine › Physiology › Thermoregulation and physiological responses
Keywords
ambient temperature, heat waves, unintentional injuries, hot weather, climate change, occupational accidents, road traffic injuries, poisoning, drug overdose, injury prevention, high-income countries
MeSH terms
Accidents, Climate, Humans, Temperature, Weather, Developed Countries

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