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The impact of extremely high temperatures on mortality and mortality cost

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The aim of this study was to determine the temperature threshold that triggers an increase in heat-induced mortality in Zaragoza, Spain to determine the impact of extreme heat on mortality and in-hospital cost. A longitudinal ecological study was conducted according to an autoregressive integrated moving average model of a time series for daily deaths and to determine the relative risk of mortality for each degree that the temperature threshold was exceeded. Mortality showed a statistically significant increase when the daily maximum temperature exceeded 38 °C. A Relative Risk was 1.28 with a 95 % confidence interval (95 %CI:1.08–1.57) This threshold temperature didn’t change over time. A total of 107 (95 %CI:42–173) heat-attributable deaths were estimated for the period 2002–2006, and the in-hospital estimated cost of these deaths reach € 426,087(95 %CI.€167,249–€688,907). The articulation of preventive measures to minimize the impact of extreme heat on human health is necessary because of the mortality–temperature relationship.
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Keywords: economic impact; heat waves; temperature; threshold; total mortality

Document Type: Research Article

Affiliations: 1: Health Faculty Sciences, San Jorge University, Zaragoza, Spain 2: National School of Health, Carlos III Institute, Madrid, Spain

Publication date: May 4, 2015

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