Heart failure & cardiomyopathies

The Impact of Meteorological Variables on Heart Failure Hospitalizations

JACC AdvPublication date not resolvedRetrospective cohort study

Authors' conclusion

Temperature is independently associated with HF hospitalizations, with the risk increasing up to 1 week of exposure.

Study context

Population
Patients admitted for acute dyspnoea and diagnosed with acute heart failure (HF) at the emergency department (ED) of Nancy University Hospital, January 2010 to October 2022 (PARADISE study)
Participants
4,512 patients
Exposure
Meteorological variables and HF hospitalization risk
Outcome
HF hospitalization risk by temperature, relative humidity, atmospheric pressure and rainfall over different exposure timeframes (3 days, 7 days, 14 days, 1 month)
Methodological detailssingle-centre
  • Single-centre

Main finding

As reported in the abstract

HF hospitalizations
Temperature (per 5 °C increase) · all timeframes
IRR ∼0.90; P < 0.001
Rainfall over 1 week (per 5 mm)
IRR 1.11; P < 0.035
Rainfall over 1 month (per 5 mm)
IRR 1.18; P < 0.035
Atmospheric pressure over 1 month (per 5 hPa)
IRR 1.06; P = 0.003

Observational data: associations, not effects.

Further findings

Model performance and exposure duration

Models including temperature significantly outperformed those excluding it
Stepwise increase in HF risk with prolonged temperature exposure up to 1 week, then plateau (likelihood ratio test)

Original publication

The Impact of Meteorological Variables on Heart Failure Hospitalizations. JACC Adv. doi:10.1016/j.jacadv.2025.102359

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

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