Prevention & lipids

Projected Change in the Burden of Excess Cardiovascular Deaths Associated With Extreme Heat by Midcentury (2036–2065) in the Contiguous United States

CirculationPublished Modelling study

Authors' conclusion

By midcentury, extreme heat is projected to be associated with a significantly greater burden of excess cardiovascular deaths in the contiguous United States.

Study context

Population
Adults in counties of the contiguous US; extreme heat day = maximum heat index ≥90 °F [32.2 °C]
Comparison
Projected midcentury (2036–2065) vs baseline (2008–2019) excess CV deaths associated with extreme heat
Outcome
Excess CV deaths per year associated with extreme heat
Follow-up
Midcentury (2036–2065)
Methodological detailshealth impact projection, county-level, Poisson fixed-effects model, 2 emissions/socioeconomic scenarios
  • Health impact projection
  • County-level
  • Poisson fixed-effects model
  • 2 emissions/socioeconomic scenarios

Main finding

As reported in the abstract

Annual excess CV deaths associated with extreme heat
GroupValueIncrease vs 2008–2019
2008–20191651 (95% CI 921–2381) excess deaths/year
SSP2-4.54320 (95% CI 2369–6272) excess deaths/year162% (95% CI, 142-182)
SSP5-8.55491 (95% CI 3011–7972) excess deaths/year233% (95% CI, 206-259)

Value

2008–20191651 (95% CI 921–2381) excess deaths/year
SSP2-4.54320 (95% CI 2369–6272) excess deaths/year
SSP5-8.55491 (95% CI 3011–7972) excess deaths/year

Increase vs 2008–2019

2008–2019Not reported in the abstract
SSP2-4.5162% (95% CI, 142-182)
SSP5-8.5233% (95% CI, 206-259)

Further findings

OutcomeTimes greater increase (95% CI)
Projected increase in deaths by age (SSP2-4.5) · midcentury3.5 (3.2–3.8)
Projected increase in deaths by race and ethnicity · midcentury4.6 (2.8–6.4)

Projected increase in deaths by race and ethnicity · midcentury

Not statistically significantly different for other race and ethnicity groups or between men and women

Original publication

Projected Change in the Burden of Excess Cardiovascular Deaths Associated With Extreme Heat by Midcentury (2036–2065) in the Contiguous United States. Circulation. Published 30 October 2023. doi:10.1161/circulationaha.123.066017

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

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