{"id":"https://openalex.org/W7201865855","doi":"https://doi.org/10.1097/ee9.0000000000000510","title":"Association between ambient temperature and all-cause hospitalization by functional status in Japan: A time-stratified case-crossover study","display_name":"Association between ambient temperature and all-cause hospitalization by functional status in Japan: A time-stratified case-crossover study","publication_year":2026,"publication_date":"2026-08-01","ids":{"openalex":"https://openalex.org/W7201865855","doi":"https://doi.org/10.1097/ee9.0000000000000510","pmid":"https://pubmed.ncbi.nlm.nih.gov/42578127","pmcid":"https://www.ncbi.nlm.nih.gov/pmc/articles/13456780"},"language":"en","primary_location":{"id":"doi:10.1097/ee9.0000000000000510","doi":"https://doi.org/10.1097/ee9.0000000000000510","is_oa":true,"landing_page_url":"https://doi.org/10.1097/ee9.0000000000000510","pdf_url":null,"source":{"id":"https://openalex.org/S4210236793","display_name":"Environmental Epidemiology","issn_l":"2474-7882","issn":["2474-7882"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","dongbi-c","jufo-1","ki-jl-1","norway-1","oarl","poland-20","russia-white-list-2","vabb-shw"],"host_organization":"https://openalex.org/P4310318547","host_organization_name":"Wolters Kluwer","host_organization_lineage":["https://openalex.org/P4310318547"],"host_organization_lineage_names":["Wolters Kluwer"],"type":"journal"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Environmental Epidemiology","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref","doaj","pubmed"],"open_access":{"is_oa":true,"oa_status":"gold","oa_url":"https://doi.org/10.1097/ee9.0000000000000510","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5146047676","display_name":"Hana Takeuchi","orcid":"https://orcid.org/0009-0007-9079-8755","observed_orcids":["https://orcid.org/0009-0007-9079-8755"]},"institutions":[{"id":"https://openalex.org/I74801974","display_name":"The University of Tokyo","ror":"https://ror.org/057zh3y96","country_code":"JP","type":"education","lineage":["https://openalex.org/I74801974"]}],"countries":["JP"],"is_corresponding":false,"raw_author_name":"Hana Takeuchi","raw_affiliation_strings":["Department of Global Health Policy, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan"],"raw_orcid":"https://orcid.org/0009-0007-9079-8755","affiliations":[{"raw_affiliation_string":"Department of Global Health Policy, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan","institution_ids":["https://openalex.org/I74801974"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5043028515","display_name":"Vera Ling Hui Phung","orcid":"https://orcid.org/0000-0003-2669-4891","observed_orcids":["https://orcid.org/0000-0003-2669-4891"]},"institutions":[{"id":"https://openalex.org/I205349734","display_name":"Hokkaido University","ror":"https://ror.org/02e16g702","country_code":"JP","type":"education","lineage":["https://openalex.org/I205349734"]},{"id":"https://openalex.org/I74801974","display_name":"The University of Tokyo","ror":"https://ror.org/057zh3y96","country_code":"JP","type":"education","lineage":["https://openalex.org/I74801974"]}],"countries":["JP"],"is_corresponding":true,"raw_author_name":"Vera Ling Hui Phung","raw_affiliation_strings":["Department of Global Health Policy, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan","Department of Hygiene, Graduate School of Medicine, Hokkaido University, Sapporo, Japan"],"raw_orcid":"https://orcid.org/0000-0003-2669-4891","affiliations":[{"raw_affiliation_string":"Department of Global Health Policy, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan","institution_ids":["https://openalex.org/I74801974"]},{"raw_affiliation_string":"Department of Hygiene, Graduate School of Medicine, Hokkaido University, Sapporo, Japan","institution_ids":["https://openalex.org/I205349734"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5006429271","display_name":"Yoshihisa Miyamoto","orcid":"https://orcid.org/0000-0003-2852-2946","observed_orcids":["https://orcid.org/0000-0003-2852-2946"]},"institutions":[{"id":"https://openalex.org/I74801974","display_name":"The University of Tokyo","ror":"https://ror.org/057zh3y96","country_code":"JP","type":"education","lineage":["https://openalex.org/I74801974"]}],"countries":["JP"],"is_corresponding":false,"raw_author_name":"Yoshihisa Miyamoto","raw_affiliation_strings":["Department of Real-world Evidence, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Real-world Evidence, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan","institution_ids":["https://openalex.org/I74801974"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5051660622","display_name":"Shotaro Aso","orcid":"https://orcid.org/0000-0002-7804-2433","observed_orcids":["https://orcid.org/0000-0002-7804-2433"]},"institutions":[{"id":"https://openalex.org/I74801974","display_name":"The University of Tokyo","ror":"https://ror.org/057zh3y96","country_code":"JP","type":"education","lineage":["https://openalex.org/I74801974"]}],"countries":["JP"],"is_corresponding":false,"raw_author_name":"Shotaro Aso","raw_affiliation_strings":["Department of Health Services Research, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Health Services Research, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan","institution_ids":["https://openalex.org/I74801974"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5042810100","display_name":"Chris Fook Sheng Ng","orcid":"https://orcid.org/0000-0003-1025-0807","observed_orcids":["https://orcid.org/0000-0003-1025-0807"]},"institutions":[{"id":"https://openalex.org/I74801974","display_name":"The University of Tokyo","ror":"https://ror.org/057zh3y96","country_code":"JP","type":"education","lineage":["https://openalex.org/I74801974"]}],"countries":["JP"],"is_corresponding":false,"raw_author_name":"Chris Fook Sheng Ng","raw_affiliation_strings":["Department of Global Health Policy, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Global Health Policy, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan","institution_ids":["https://openalex.org/I74801974"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5036636593","display_name":"Lei Yuan","orcid":"https://orcid.org/0000-0002-4493-701X","observed_orcids":["https://orcid.org/0000-0002-4493-701X"]},"institutions":[{"id":"https://openalex.org/I74801974","display_name":"The University of Tokyo","ror":"https://ror.org/057zh3y96","country_code":"JP","type":"education","lineage":["https://openalex.org/I74801974"]}],"countries":["JP"],"is_corresponding":false,"raw_author_name":"Lei Yuan","raw_affiliation_strings":["Department of Global Health Policy, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Global Health Policy, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan","institution_ids":["https://openalex.org/I74801974"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5111342728","display_name":"Hideo Yasunaga","orcid":"https://orcid.org/0000-0002-6017-469X","observed_orcids":["https://orcid.org/0000-0002-6017-469X"]},"institutions":[{"id":"https://openalex.org/I74801974","display_name":"The University of Tokyo","ror":"https://ror.org/057zh3y96","country_code":"JP","type":"education","lineage":["https://openalex.org/I74801974"]}],"countries":["JP"],"is_corresponding":false,"raw_author_name":"Hideo Yasunaga","raw_affiliation_strings":["Department of Clinical Epidemiology and Health Economics, School of Public Health, The University of Tokyo, Tokyo, Japan"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Clinical Epidemiology and Health Economics, School of Public Health, The University of Tokyo, Tokyo, Japan","institution_ids":["https://openalex.org/I74801974"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5006719537","display_name":"Masahiro Hashizume","orcid":"https://orcid.org/0000-0003-4720-1750","observed_orcids":["https://orcid.org/0000-0003-4720-1750"]},"institutions":[{"id":"https://openalex.org/I74801974","display_name":"The University of Tokyo","ror":"https://ror.org/057zh3y96","country_code":"JP","type":"education","lineage":["https://openalex.org/I74801974"]}],"countries":["JP"],"is_corresponding":false,"raw_author_name":"Masahiro Hashizume","raw_affiliation_strings":["Department of Global Health Policy, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Global Health Policy, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan","institution_ids":["https://openalex.org/I74801974"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":2,"corresponding_author_ids":["https://openalex.org/A5043028515"],"corresponding_institution_ids":["https://openalex.org/I205349734","https://openalex.org/I74801974"],"apc_list":{"value":1200,"currency":"USD","value_usd":1200},"apc_paid":{"value":1200,"currency":"USD","value_usd":1200},"fwci":0.0,"has_fulltext":true,"cited_by_count":0,"citation_normalized_percentile":{"value":0.0,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":"10","issue":"4","first_page":"e510","last_page":"e510"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T11244","display_name":"Climate Change and Health Impacts","score":0.9994999766349792,"subfield":{"id":"https://openalex.org/subfields/2307","display_name":"Health, Toxicology and Mutagenesis"},"field":{"id":"https://openalex.org/fields/23","display_name":"Environmental Science"},"domain":{"id":"https://openalex.org/domains/3","display_name":"Physical Sciences"}},"topics":[{"id":"https://openalex.org/T11244","display_name":"Climate Change and Health Impacts","score":0.9994999766349792,"subfield":{"id":"https://openalex.org/subfields/2307","display_name":"Health, Toxicology and Mutagenesis"},"field":{"id":"https://openalex.org/fields/23","display_name":"Environmental Science"},"domain":{"id":"https://openalex.org/domains/3","display_name":"Physical Sciences"}},{"id":"https://openalex.org/T10190","display_name":"Air Quality and Health Impacts","score":0.00019999999494757503,"subfield":{"id":"https://openalex.org/subfields/2307","display_name":"Health, Toxicology and Mutagenesis"},"field":{"id":"https://openalex.org/fields/23","display_name":"Environmental Science"},"domain":{"id":"https://openalex.org/domains/3","display_name":"Physical Sciences"}},{"id":"https://openalex.org/T11109","display_name":"Thermoregulation and physiological responses","score":0.0,"subfield":{"id":"https://openalex.org/subfields/2737","display_name":"Physiology (medical)"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/ambient-temperature","display_name":"ambient temperature","score":0.9980000257492065},{"id":"https://openalex.org/keywords/all-cause-hospitalization","display_name":"all-cause hospitalization","score":0.9350000023841858},{"id":"https://openalex.org/keywords/functional-status","display_name":"functional status","score":0.9039999842643738},{"id":"https://openalex.org/keywords/functional-dependencies","display_name":"functional dependencies","score":0.8930000066757202},{"id":"https://openalex.org/keywords/cold-exposure","display_name":"cold exposure","score":0.7730000019073486},{"id":"https://openalex.org/keywords/heat-exposure","display_name":"heat exposure","score":0.9430000185966492},{"id":"https://openalex.org/keywords/vulnerable-populations","display_name":"vulnerable populations","score":0.6520000100135803},{"id":"https://openalex.org/keywords/barthel-index","display_name":"Barthel Index","score":0.656000018119812},{"id":"https://openalex.org/keywords/japan","display_name":"Japan","score":0.6589999794960022}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.7053999900817871},{"id":"https://openalex.org/C122048520","wikidata":"https://www.wikidata.org/wiki/Q2913954","display_name":"Percentile","level":2,"score":0.675599992275238},{"id":"https://openalex.org/C44249647","wikidata":"https://www.wikidata.org/wiki/Q208498","display_name":"Confidence interval","level":2,"score":0.6262999773025513},{"id":"https://openalex.org/C2993190167","wikidata":"https://www.wikidata.org/wiki/Q215864","display_name":"Extreme heat","level":3,"score":0.5892999768257141},{"id":"https://openalex.org/C2908525100","wikidata":"https://www.wikidata.org/wiki/Q1277161","display_name":"Extreme Cold","level":2,"score":0.5648999810218811},{"id":"https://openalex.org/C82789193","wikidata":"https://www.wikidata.org/wiki/Q2142611","display_name":"Relative risk","level":3,"score":0.4602999985218048},{"id":"https://openalex.org/C149923435","wikidata":"https://www.wikidata.org/wiki/Q37732","display_name":"Demography","level":1,"score":0.36410000920295715},{"id":"https://openalex.org/C99454951","wikidata":"https://www.wikidata.org/wiki/Q932068","display_name":"Environmental health","level":1,"score":0.34619998931884766},{"id":"https://openalex.org/C74909509","wikidata":"https://www.wikidata.org/wiki/Q10387","display_name":"Gerontology","level":1,"score":0.32339999079704285},{"id":"https://openalex.org/C2991681754","wikidata":"https://www.wikidata.org/wiki/Q2273097","display_name":"Barthel index","level":3,"score":0.31700000166893005},{"id":"https://openalex.org/C79544238","wikidata":"https://www.wikidata.org/wiki/Q423243","display_name":"Activities of daily living","level":2,"score":0.29670000076293945},{"id":"https://openalex.org/C12174686","wikidata":"https://www.wikidata.org/wiki/Q1058438","display_name":"Risk assessment","level":2,"score":0.2953000068664551},{"id":"https://openalex.org/C3020637660","wikidata":"https://www.wikidata.org/wiki/Q1665869","display_name":"Effect modification","level":3,"score":0.27059999108314514},{"id":"https://openalex.org/C142853389","wikidata":"https://www.wikidata.org/wiki/Q744778","display_name":"Association (psychology)","level":2,"score":0.26499998569488525},{"id":"https://openalex.org/C2993643576","wikidata":"https://www.wikidata.org/wiki/Q1277161","display_name":"Climate extremes","level":3,"score":0.25589999556541443}],"mesh":[],"locations_count":3,"locations":[{"id":"doi:10.1097/ee9.0000000000000510","doi":"https://doi.org/10.1097/ee9.0000000000000510","is_oa":true,"landing_page_url":"https://doi.org/10.1097/ee9.0000000000000510","pdf_url":null,"source":{"id":"https://openalex.org/S4210236793","display_name":"Environmental Epidemiology","issn_l":"2474-7882","issn":["2474-7882"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","dongbi-c","jufo-1","ki-jl-1","norway-1","oarl","poland-20","russia-white-list-2","vabb-shw"],"host_organization":"https://openalex.org/P4310318547","host_organization_name":"Wolters Kluwer","host_organization_lineage":["https://openalex.org/P4310318547"],"host_organization_lineage_names":["Wolters Kluwer"],"type":"journal"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Environmental Epidemiology","raw_type":"journal-article"},{"id":"pmh:oai:pubmedcentral.nih.gov:13456780","doi":null,"is_oa":true,"landing_page_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC13456780/","pdf_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC13456780/pdf/ee9-10-e510.pdf","source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Environ Epidemiol","raw_type":"Text"},{"id":"pmid:42578127","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/42578127","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Environmental epidemiology (Philadelphia, Pa.)","raw_type":"Journal Article"}],"best_oa_location":{"id":"doi:10.1097/ee9.0000000000000510","doi":"https://doi.org/10.1097/ee9.0000000000000510","is_oa":true,"landing_page_url":"https://doi.org/10.1097/ee9.0000000000000510","pdf_url":null,"source":{"id":"https://openalex.org/S4210236793","display_name":"Environmental Epidemiology","issn_l":"2474-7882","issn":["2474-7882"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","dongbi-c","jufo-1","ki-jl-1","norway-1","oarl","poland-20","russia-white-list-2","vabb-shw"],"host_organization":"https://openalex.org/P4310318547","host_organization_name":"Wolters Kluwer","host_organization_lineage":["https://openalex.org/P4310318547"],"host_organization_lineage_names":["Wolters Kluwer"],"type":"journal"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Environmental Epidemiology","raw_type":"journal-article"},"sustainable_development_goals":[{"display_name":"Good health and well-being","score":1.0,"id":"https://metadata.un.org/sdg/3"}],"study_designs":[{"display_name":"Observational Study","id":"https://openalex.org/study-designs/observational-study"}],"awards":[{"id":"https://openalex.org/G8411830942","display_name":"Evaluating the Influence of Flood Dynamics and Hydrometeorological Drivers on Diarrhea Risks: A Pioneering Approach Bridging Hydrological Insights with Public Health Implications in Southeast Asia","funder_award_id":"25K20593","funder_id":"https://openalex.org/F4320334764","funder_display_name":"Japan Society for the Promotion of Science"}],"funders":[{"id":"https://openalex.org/F4320322832","display_name":"University of Tokyo","ror":"https://ror.org/057zh3y96"},{"id":"https://openalex.org/F4320334764","display_name":"Japan Society for the Promotion of Science","ror":"https://ror.org/00hhkn466"}],"has_content":{"grobid_xml":true,"pdf":true},"content_urls":{"pdf":"https://content.openalex.org/works/W7201865855.pdf","grobid_xml":"https://content.openalex.org/works/W7201865855.grobid-xml"},"referenced_works_count":35,"referenced_works":["https://openalex.org/W1578440943","https://openalex.org/W1600041372","https://openalex.org/W2000362445","https://openalex.org/W2021538926","https://openalex.org/W2078591428","https://openalex.org/W2084209181","https://openalex.org/W2094545459","https://openalex.org/W2106881702","https://openalex.org/W2114423803","https://openalex.org/W2150180906","https://openalex.org/W2162768498","https://openalex.org/W2768021733","https://openalex.org/W3003500060","https://openalex.org/W3082139416","https://openalex.org/W3092584689","https://openalex.org/W3117964973","https://openalex.org/W4214589574","https://openalex.org/W4294826717","https://openalex.org/W4300690178","https://openalex.org/W4323030797","https://openalex.org/W4366264586","https://openalex.org/W4378418144","https://openalex.org/W4385118605","https://openalex.org/W4386496061","https://openalex.org/W4389432173","https://openalex.org/W4391733605","https://openalex.org/W4393858236","https://openalex.org/W4394715476","https://openalex.org/W4394835246","https://openalex.org/W4398206153","https://openalex.org/W4399952998","https://openalex.org/W4402178498","https://openalex.org/W4402312362","https://openalex.org/W4403099107","https://openalex.org/W4414564265"],"related_works":["https://openalex.org/W7125676250","https://openalex.org/W2724681555","https://openalex.org/W4328054875","https://openalex.org/W4320065789","https://openalex.org/W6884879266","https://openalex.org/W7160935617","https://openalex.org/W4229014669","https://openalex.org/W4393940249","https://openalex.org/W4406542849","https://openalex.org/W7203689808"],"abstract_inverted_index":{"Background:":[0],"Older":[1],"adults,":[2],"children,":[3],"and":[4,33,53,62,87,127,179,212,226],"low-income":[5],"populations":[6],"are":[7,240],"recognized":[8],"as":[9,84,89],"vulnerable":[10,242],"to":[11,102,243],"climate-related":[12],"health":[13],"risks.":[14],"However,":[15],"evidence":[16],"on":[17],"morbidity":[18],"risks":[19,112,162,173,232],"by":[20,36,234],"functional":[21,37,235],"status":[22,70],"remains":[23],"limited.":[24],"This":[25],"study":[26],"investigated":[27],"the":[28,48,76,139,148,247],"association":[29],"between":[30,60],"ambient":[31],"temperature":[32,140],"all-cause":[34],"hospitalization":[35,45,231],"dependency":[38],"in":[39],"Japan.":[40],"Methods:":[41],"We":[42],"obtained":[43],"daily":[44],"data":[46,55],"from":[47],"Diagnosis":[49],"Procedure":[50],"Combination":[51],"database":[52],"meteorological":[54],"for":[56],"nine":[57],"Japanese":[58],"prefectures":[59],"2012":[61],"2019,":[63],"comprising":[64],"over":[65],"10":[66],"million":[67],"admissions.":[68],"Functional":[69],"at":[71,122,133,147,163,174,209,218],"admission":[72],"was":[73,100],"assessed":[74],"using":[75],"Barthel":[77],"Index":[78],"(0-100),":[79],"with":[80,96,138,189,199],"scores":[81],">60":[82],"classified":[83],"functionally":[85,90,108,192],"independent":[86,109,190],"\u226460":[88],"dependent.":[91],"A":[92],"time-stratified":[93],"case-crossover":[94],"design":[95],"conditional":[97],"quasi-Poisson":[98],"regression":[99],"applied":[101],"estimate":[103],"temperature-hospitalization":[104],"associations.":[105],"Results:":[106],"Among":[107],"individuals,":[110,191],"relative":[111],"(RRs)":[113],"were":[114],"0.93":[115],"(95%":[116,129,205,214],"confidence":[117],"interval":[118],"[CI]:":[119],"0.90,":[120],"0.96)":[121],"extreme":[123,134,164,180,210],"cold":[124,165,197,211,244],"(5th":[125],"percentile)":[126],"1.02":[128],"CI:":[130,169,185,206,215],"1.01,":[131,216],"1.04)":[132],"heat":[135,181],"(95th":[136],"percentile),":[137,178],"of":[141,201,203,249],"peak":[142],"risk":[143],"(cold)":[144,176],"(TPR":[145,151],"[cold])":[146],"35th":[149],"percentile":[150],"[cold]":[152],"RR:":[153],"1.08":[154],"[1.05,":[155],"1.10]).":[156],"Functionally":[157,237],"dependent":[158,193,238],"people":[159],"showed":[160],"higher":[161,196],"(RR:":[166,182],"1.11;":[167],"95%":[168,184],"1.07,":[170],"1.15),":[171],"comparable":[172],"TPR":[175,219],"(23rd":[177],"1.03;":[183],"1.02,":[186],"1.04).":[187],"Compared":[188],"individuals":[194,239],"had":[195],"risks,":[198],"ratios":[200],"RR":[202],"1.20":[204],"1.14,":[207],"1.26)":[208],"1.05":[213],"1.09)":[217],"(cold).":[220],"These":[221],"disparities":[222],"persisted":[223],"across":[224],"age":[225],"sex":[227],"subgroups.":[228],"Conclusions:":[229],"Temperature-related":[230],"vary":[233],"status.":[236],"particularly":[241],"exposure,":[245],"highlighting":[246],"importance":[248],"targeted":[250],"cold-weather":[251],"preparedness":[252],"strategies.":[253]},"counts_by_year":[],"updated_date":"2026-11-10T11:39:43.021295","created_date":"2026-08-08T00:00:00"}