Aortic & peripheral vascular diseaseCohort study

Nationwide analysis of the relationship between low ambient temperature and acute aortic dissection-related hospitalizations

Eur J Prev CardiolPublished

  • Time-stratified case-crossover study
  • nationwide
  • claims-based database
  • conditional logistic regression
  • distributed lag non-linear models

Authors' conclusion

Low AT is associated with an increased risk of AAD-related hospitalization.

Study context

Population
Patients hospitalized with acute aortic dissection at 1119 certified Japanese hospitals (JROAD-DPC), 2012–2020cases analysed
Participants
96,812 patients
Exposure
Low vs moderate ambient temperature
Outcome
AAD-related hospitalization by average daily ambient temperature

Main finding

AAD-related hospitalization

Odds ratio

2.28

95% CI 1.92–2.71

−10°C vs 20°C
OR 2.28 (95% CI 1.92–2.71)

As reported in the abstract

Observational data: associations, not effects.

Further findings

Acute aortic dissection (AAD)-related hospitalization by subgroup (stratified analyses)

Greater association with older age (≥75 years), female sex, low BMI (<22), winter season and warmer regions

Original publication

Nationwide analysis of the relationship between low ambient temperature and acute aortic dissection-related hospitalizations. Eur J Prev Cardiol. Published 21 August 2024. doi:10.1093/eurjpc/zwae278

Summarised from the published abstract; every number is checked against it