Meteorological and chronobiological factors and the occurrence of acute aortic dissection

Sadamatsu, Kenji; Sagara, Shuichiro; Oe, Kensuke; Tashiro, Hironori; Yagi, Hiroshi

doi:10.1007/s00380-020-01569-1

Cited by 8 publications

(10 citation statements)

References 27 publications

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“…In a study between incidence of AAD and climatic factors, it was found that the frequency of AAD reached its peak in winter (Ma et al, 2020). In addition, the study by Sadamatsu et al showed that cold weather and a sudden drop in temperature may trigger the occurrence of aortic dissection (Sadamatsu et al, 2020). Our result is consistent with above studies.…”

Section: Discussionsupporting

confidence: 92%

“…The incidence rate of AAD was the highest in winter and the lowest in summer (Xia et al, 2020). A study has found that a low temperature environment can increase the risk of AAD (Yu et al, 2021), and a signi cant association between cold temperature and the AAD was discovered by a linear regression analysis (Sadamatsu et al, 2020). Seasonal variation suggests that ambient temperature may be an important environmental risk factor for AAD.…”

Section: Introductionmentioning

confidence: 99%

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The cold effect of ambient temperature on acute aortic dissection hospital admission: utilizing distributed lag nonlinear analysis

Zhang

Wang

et al. 2022

Preprint

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The effects of ambient temperature on acute aortic dissection (AAD) admissions in China have not been well addressed. So, the aim of study was to explore the effect of ambient daily mean temperature for AAD admissions, especially in Hefei, China. Data on daily mean temperature, daily maximum temperature, daily minimum temperature, air pressure, relative humidity and AAD admissions in Hefei were obtained between 2015 and 2020. Distributed lag non-linear model was employed to determine the association between daily ambient temperature and AAD admissions. Relative risk (RR) with 95% confidence interval (CI) were calculated based on gender, age group and hypertensive status. A total number of 1648 AAD admitted cases were documented. A non-linear acute effect of cold temperature on AAD was evaluated. Compared with median reference temperature (17.56 °C), the cumulative RR of extreme low temperature increased the risk of AAD admissions. The cumulative effect was at lag 0 day (RR: 1.639, 95% CI: 1.120, 2.398), and got the peak at lag 3 days (RR: 2.176, 95% CI: 1.345, 3.519). Then the effect size was gradually reduced until lag 8 days (RR: 1.953, 95% CI: 1.010, 3.776). The impact of extreme low temperature on AAD admissions was found to be more obvious in male, the elderly, and hypertensive patients. Overall, exposure to extreme low temperature was associated with increasing AAD daily admissions risk in Hefei, China.

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Section: Discussionsupporting

confidence: 92%

Section: Introductionmentioning

confidence: 99%

The cold effect of ambient temperature on acute aortic dissection hospital admission: utilizing distributed lag nonlinear analysis

Zhang

Wang

et al. 2022

Preprint

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“…Nevertheless, the overall trend of the associations between cold weather and AAD onset in our study were consistent with previous ones. 5 , 6 , 9 , 10 , 24 In addition to low ambient temperature, we found temperature decline between two neighboring days was also associated with higher AAD onset. To the best of our knowledge, only one previous study has examined the associations of AAD onset with TCN besides absolute temperature, and the findings were consistent with ours.…”

Section: Discussionmentioning

confidence: 72%

“…Previous studies have observed that AAD incidence was higher in winter than in summer, and presumably ambient temperature may explain such seasonal variation. 4 , 5 , 6 However, very few studies have examined the association of AAD with temperature and temperature variations, and these studies were generally limited by small sample size. 6 , 7 , 8 , 9 Moreover, all previous studies lack the sub-daily information of AAD onset and therefore only examined the associations on a daily basis, which might attenuate the causality due to the unclear chronological order of exposure and events within the same day.…”

Section: Introductionmentioning

confidence: 99%

Low temperature and temperature decline increase acute aortic dissection risk and burden: A nationwide case crossover analysis at hourly level among 40,270 patients

Zhang¹,

P²,

Hu³

et al. 2022

The Lancet Regional Health - Western Pacific

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“…There are few studies on the association of other meteorological factors, particularly rainfall, with AAD, and the conclusions are inconsistent. For example, studies in three Chinese cities, Beijing ( 13 ), Hong Kong ( 14 ), and Urumqi ( 15 ), showed that the incidence of AAD was not associated with daily rainfall, but a study in western Japan suggested that rainy days were a risk factor for cardiovascular events in older adults ( 16 ). Notably, no studies have examined the risk of extreme precipitation and the incidence of AAD.…”

Section: Introductionmentioning

confidence: 99%

Risk assessment and disease burden of extreme precipitation on hospitalizations for acute aortic dissection in a subtropical coastal Chinese city

Xiong

Yuan

et al. 2023

Front. Public Health

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BackgroundExtreme precipitation events are becoming more frequent due to climate change. The present study aimed to explore the impacts of extreme precipitation on hospitalizations for acute aortic dissection (AAD) and to identify susceptible populations and quantify the corresponding disease burden.MethodsThe present study used a distributed lag nonlinear model (DLNM) with a quasi-Poisson function to investigate the association between extreme precipitation (≥95th percentile) and the risk of hospitalizations for AAD from 2015 to 2020 in Shantou, Guangdong Province, China.ResultsThe significant adverse effects of extreme precipitation (relative to no precipitation) on daily AAD hospitalizations lasted from lag 5 [relative risk (RR): 1.0318, 95% confidence interval (CI): 1.0067–1.0575] to lag 9 (RR: 1.0297, 95% CI: 1.0045–1.0555) and reached its maximum at lag 7 (RR: 1.0382, 95% CI: 1.0105–1.0665). Males and older adult individuals (≥60 years) were more susceptible to extreme precipitation. A total of 3.68% (118 cases) of AAD hospitalizations were due to extreme precipitation.ConclusionExtreme precipitation was significantly correlated with AAD hospitalizations. Government departments should actively implement extreme precipitation intervention measures to strengthen the protection of males and the older adult (≥60 years) and effectively reduce AAD hospitalizations.

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Meteorological and chronobiological factors and the occurrence of acute aortic dissection

Cited by 8 publications

References 27 publications

The cold effect of ambient temperature on acute aortic dissection hospital admission: utilizing distributed lag nonlinear analysis

The cold effect of ambient temperature on acute aortic dissection hospital admission: utilizing distributed lag nonlinear analysis

Low temperature and temperature decline increase acute aortic dissection risk and burden: A nationwide case crossover analysis at hourly level among 40,270 patients

Risk assessment and disease burden of extreme precipitation on hospitalizations for acute aortic dissection in a subtropical coastal Chinese city

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