Journal of Environmental and Occupational Medicine, Volume. 42, Issue 7, 808(2025)

Impact of cold spells on hospitalizations of residents in Hengyang City from 2017 to 2023: A time series study based on different definitions of cold spells

DENG Xiaoming, ZOU Guanxiang*, PENG Weixiong, and LI Bin
Author Affiliations
  • Department of Occupational and Environmental Health, Hengyang Center for Disease Control and Prevention, Hengyang, Hunan 421001, China
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    References(22)

    [1] [1] LIONELLO P, BOLDRIN U, GIORGI F, et al. Future changes in cyclone climatology over Europe as inferred from a regional climate simulation[J]. Climate Dyn, 2008, 30(6): 657-671.

    [2] [2] IPCC. Climate change 2013: the physical science basis: working group I contribution to the fifth assessment report of the intergovernmental panel on climate change[M]. Cambridge: Cambridge University Press, 2014.

    [3] [3] MA C, YANG J, NAKAYAMA S F, et al. Cold spells and cause-specific mortality in 47 Japanese prefectures: a systematic evaluation[J]. Environ Health Perspect, 2021, 129(6): 067001.

    [4] [4] SHI J, CUI L, WEN K, et al. Trends in the consecutive days of temperature and precipitation extremes in China during 1961-2015[J]. Environ Res, 2018, 161: 381-391.

    [5] [5] COHEN J, PFEIFFER K, FRANCIS J A. Warm arctic episodes linked with increased frequency of extreme winter weather in the United States[J]. Nat Commun, 2018, 9(1): 869.

    [6] [6] HE C, YIN P, LIU Z, et al. Projections of excess deaths related to cold spells under climate and population change scenarios: a nationwide time series modeling study[J]. Environ Int, 2023, 178: 108034.

    [7] [7] MA W, WANG L, LIN H, et al. The temperature–mortality relationship in China: an analysis from 66 Chinese communities[J]. Environ Res, 2015, 137: 72-77.

    [8] [8] MA W, CHEN R, KAN H. Temperature-related mortality in 17 large Chinese cities: how heat and cold affect mortality in China[J]. Environ Res, 2014, 134: 127-133.

    [9] [9] FAN J F, XIAO Y C, FENG Y F, et al. A systematic review and meta-analysis of cold exposure and cardiovascular disease outcomes[J]. Front Cardiovasc Med, 2023, 10: 1084611.

    [10] [10] GASPARRINI A, GUO Y, HASHIZUME M, et al. Mortality risk attributable to high and low ambient temperature: a multicountry observational study[J]. Lancet, 2015, 386(9991): 369-375.

    [11] [11] HAJAT S, ARMSTRONG B, BACCINI M, et al. Impact of high temperatures on mortality: is there an added heat wave effect?[J]. Epidemiology, 2006, 17(6): 632-638.

    [12] [12] GASPARRINI A, ARMSTRONG B. The impact of heat waves on mortality[J]. Epidemiology, 2011, 22(1): 68-73.

    [13] [13] LEI J, CHEN R, YIN P, et al. Association between cold spells and mortality risk and burden: a nationwide study in China[J]. Environ Health Perspect, 2022, 130(2): 027006.

    [15] [15] CHEN J, ZHOU M, YANG J, et al. The modifying effects of heat and cold wave characteristics on cardiovascular mortality in 31 major Chinese cities[J]. Environ Res Lett, 2020, 15(10): 105009.

    [17] [17] GAO J, YU F, XU Z, et al. The association between cold spells and admissions of ischemic stroke in Hefei, China: modified by gender and age[J]. Sci Total Environ, 2019, 669: 140-147.

    [19] [19] WANG L, LIU T, HU M, et al. The impact of cold spells on mortality and effect modification by cold spell characteristics[J]. Sci Rep, 2016, 6: 38380.

    [20] [20] FENG J, CAO D, ZHENG D, et al. Cold spells linked with respiratory disease hospitalization, length of hospital stay, and hospital expenses: exploring cumulative and harvesting effects[J]. Sci Total Environ, 2023, 863: 160726.

    [21] [21] WANG Y, LIN L, XU Z, et al. Have residents adapted to heat wave and cold spell in the 21st century? Evidence from 136 Chinese cities[J]. Environ Int, 2023, 173: 107811.

    [22] [22] CHEN J, YANG J, ZHOU M, et al. Cold spell and mortality in 31 Chinese capital cities: definitions, vulnerability and implications[J]. Environ Int, 2019, 128: 271-278.

    [23] [23] MA W, YANG C, CHU C, et al. The impact of the 2008 cold spell on mortality in Shanghai, China[J]. Int J Biometeorol, 2013, 57(1): 179-184.

    [24] [24] HUANG Z, LIN H, LIU Y, et al. Individual-level and community-level effect modifiers of the temperature–mortality relationship in 66 Chinese communities[J]. BMJ Open, 2015, 5(9): e009172.

    [25] [25] DE'DONATO F K, LEONE M, NOCE D, et al. The impact of the February 2012 cold spell on health in Italy using surveillance data[J]. PLoS One, 2013, 8(4): e61720.

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    DENG Xiaoming, ZOU Guanxiang, PENG Weixiong, LI Bin. Impact of cold spells on hospitalizations of residents in Hengyang City from 2017 to 2023: A time series study based on different definitions of cold spells[J]. Journal of Environmental and Occupational Medicine, 2025, 42(7): 808

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    Paper Information

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    Received: Nov. 23, 2024

    Accepted: Aug. 25, 2025

    Published Online: Aug. 25, 2025

    The Author Email: ZOU Guanxiang (254201004@qq.com)

    DOI:10.11836/jeom24568

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