Heat and emergency room admissions in the Netherlands
Open accessAbstract
BACKGROUND: Due to a global warming-related increase in heatwaves, it is important to obtain detailed understanding of the relationship between heat and health. We assessed the relationship between heat and urgent emergency room admissions in the Netherlands. METHODS: We collected daily maximum temperature and relative humidity data over the period 2002-2007. Daily urgent emergency room admissions were divided by sex, age group and disease category. We used distributed lag non-linear Poisson models, estimating temperature-admission associations. We estimated the relative risk (RR) for urgent hospital admissions for a range of temperatures compared to a baseline temperature of 21 °C. In addition, we compared the impact of three different temperature scenarios on admissions using the RR. RESULTS: There is a positive relationship between increasing temperatures above 21 °C and the RR for urgent emergency room admissions for the disease categories 'Potential heat-related diseases' and 'Respiratory diseases'. This relationship is strongest in the 85+ group. The RRs are strongest for lag 0. For admissions for 'circulatory diseases', there is only a small significant increase of RRs within the 85+ age group for moderate heat, but not for extreme heat. The RRs for a one-day event with extreme heat are comparable to the RRs for multiple-day events with moderate heat. CONCLUSIONS: Hospitals should adjust the capacity of their emergency departments on warm days, and the days immediately thereafter. The elderly in particular should be targeted through prevention programmes to reduce harmful effects of heat. The fact that this increase in admissions already occurs in temperatures above 21 °C is different from previous findings in warmer countries. Given the similar impact of three consecutive days of moderate heat and one day of extreme heat on admissions, criteria for activation of national heatwave plans need adjustments based on different temperature scenarios.
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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 [35]
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Climate change and child health: A scoping review and an expanded conceptual framework
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- Authors
- van Loenhout, J. A. F., Delbiso, T. D., Kiriliouk, A., Rodriguez-Llanes, J. M., Segers, J., & Guha-Sapir, D.
- Affiliations
- UCLouvain (BE)
- Venue
- BMC Public Health
- Published
- 2018-01-05
- Volume
- 18
- Issue
- 1
- Pages
- 108-108
- ISSN
- 1471-2458 (ISSN-L)
- PMC
- PMC5756417
- OpenAlex
- W2781767546
- Cited by
- 58
- References
- 49
- Citations by year
- 2026: 5 · 2025: 11 · 2024: 6 · 2023: 4 · 2022: 8 · 2021: 11 · 2020: 4 · 2019: 6 · 2018: 2 · 2017: 1
- FWCI
- 2.83
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- cc-by
- Locations
- BMC Public Health (publishedVersion, cc-by)
- Europe PMC (PubMed Central) (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- EUR Research Repository (Erasmus University Rotterdam) (publishedVersion)
- Lirias (submittedVersion, cc-by)
- Radboud Repository (Radboud University) (submittedVersion, other-oa)
- EUR Research Repository (Erasmus University Rotterdam) (submittedVersion)
- DIAL (Catholic University of Leuven) (submittedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Radboud Repository (Radboud University) (submittedVersion)
- Zenodo (CERN European Organization for Nuclear Research) (submittedVersion, cc-by)
- Funders
- Seventh Framework Programme (308438)
- Topics
- Physical Sciences › Environmental Science › Health, Toxicology and Mutagenesis › Climate Change and Health Impacts
- Health Sciences › Medicine › Physiology › Thermoregulation and physiological responses
- Physical Sciences › Environmental Science › Health, Toxicology and Mutagenesis › Air Quality and Health Impacts
- Keywords
- heat exposure, emergency department admission, heat waves, heat-related illness, respiratory diseases, circulatory diseases, older adults, relative humidity, emergency department capacity
- MeSH terms
- Adolescent, Adult, Aged, Aged, 80 and over, Child, Child, Preschool, Emergency Service, Hospital, Female, Hot Temperature, Hospitalization, Humans, Infant, Infant, Newborn, Male, Middle Aged, Netherlands, Risk, Poisson Distribution, Age Distribution, Heat Stress Disorders, Young Adult, Extreme Heat
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