Extreme temperatures and emergency department admissions for childhood asthma in Brisbane, Australia
Open accessAbstract
OBJECTIVES: To examine the effect of extreme temperatures on emergency department admissions (EDAs) for childhood asthma. METHODS: An ecological design was used in this study. A Poisson linear regression model combined with a distributed lag non-linear model was used to quantify the effect of temperature on EDAs for asthma among children aged 0-14 years in Brisbane, Australia, during January 2003-December 2009, while controlling for air pollution, relative humidity, day of the week, season and long-term trends. The model residuals were checked to identify whether there was an added effect due to heat waves or cold spells. RESULTS: There were 13 324 EDAs for childhood asthma during the study period. Both hot and cold temperatures were associated with increases in EDAs for childhood asthma, and their effects both appeared to be acute. An added effect of heat waves on EDAs for childhood asthma was observed, but no added effect of cold spells was found. Male children and children aged 0-4 years were most vulnerable to heat effects, while children aged 10-14 years were most vulnerable to cold effects. CONCLUSIONS: Both hot and cold temperatures seemed to affect EDAs for childhood asthma. As climate change continues, children aged 0-4 years are at particular risk for asthma.
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Asthma might be the most common cause for heatwave-associated respiratory disease.
“Asthma might be the most common cause for heatwave-associated respiratory disease.35,36”
From Climate change and child health: A scoping review and an expanded conceptual framework (2021) · cites this paper as [36]
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Self-citation
- Authors
- Xu, Z., Huang, C., Hu, W., Turner, L. R., Su, H., & Tong, S.
- Affiliations
- Queensland University of Technology (AU)
- Griffith University (AU)
- The University of Queensland (AU)
- Anhui Medical University (CN)
- Corresponding author
- Tong, Shilu
- Venue
- Occupational and Environmental Medicine
- Publisher
- BMJ
- Published
- 2013-07-24
- Volume
- 70
- Issue
- 10
- Pages
- 730-735
- ISSN
- 0007-1072 (ISSN-L)
- 1351-0711
- 1470-7926
- OpenAlex
- W2012473304
- Cited by
- 129
- References
- 42
- Citations by year
- 2026: 10 · 2025: 14 · 2024: 15 · 2023: 12 · 2022: 15 · 2021: 9 · 2020: 17 · 2019: 10 · 2018: 7 · 2017: 5 · 2016: 3 · 2015: 4 · 2014: 8
- FWCI
- 3.67
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Occupational and Environmental Medicine (publishedVersion)
- PubMed (publishedVersion)
- HighWire Press Open Archive (submittedVersion)
- Griffith Research Online (submittedVersion)
- Faculty of Health; Institute of Health and Biomedical Innovation
- Funders
- Commonwealth Scientific and Industrial Research Organisation
- Queensland University of Technology
- China Scholarship Council
- Medical Research Council
- National Health and Medical Research Council (553043)
- Topics
- Physical Sciences › Environmental Science › Health, Toxicology and Mutagenesis › Climate Change and Health Impacts
- Physical Sciences › Environmental Science › Health, Toxicology and Mutagenesis › Air Quality and Health Impacts
- Health Sciences › Medicine › Physiology › Asthma and respiratory diseases
- Keywords
- childhood asthma, temperature extremes, heat waves, cold waves, emergency department admission, climate change, vulnerable populations, children aged 0-4 years
- MeSH terms
- Adolescent, Asthma, Australia, Child, Child, Preschool, Cold Temperature, Emergency Service, Hospital, Female, Hot Temperature, Hospitalization, Humans, Infant, Male, Sex Factors, Urban Health, Linear Models
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