{"id":"https://openalex.org/W7220844751","doi":"https://doi.org/10.1186/s12873-026-01796-1","title":"Association between meteorological variables and diabetic ketoacidosis admissions: a single-center observational study","display_name":"Association between meteorological variables and diabetic ketoacidosis admissions: a single-center observational study","publication_year":2026,"publication_date":"2026-10-07","ids":{"openalex":"https://openalex.org/W7220844751","doi":"https://doi.org/10.1186/s12873-026-01796-1"},"language":"en","primary_location":{"id":"doi:10.1186/s12873-026-01796-1","doi":"https://doi.org/10.1186/s12873-026-01796-1","is_oa":true,"landing_page_url":"https://doi.org/10.1186/s12873-026-01796-1","pdf_url":null,"source":{"id":"https://openalex.org/S260102","display_name":"BMC Emergency Medicine","issn_l":"1471-227X","issn":["1471-227X"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","dongbi-d","doyens","jufo-1","ki-jl-1","medline","norway-1","oarl","poland-70","russia-white-list-2","vabb-shw"],"host_organization":"https://openalex.org/P4310320256","host_organization_name":"BioMed Central","host_organization_lineage":["https://openalex.org/P4310320256","https://openalex.org/P4310319965"],"host_organization_lineage_names":["BioMed Central","Springer Nature"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"BMC Emergency Medicine","raw_type":"journal-article"},"parent_works":[],"lineage":["https://openalex.org/W7220844751"],"child_works_count":0,"type":"article","is_traditional":true,"indexed_in":["crossref"],"open_access":{"is_oa":true,"oa_status":"gold","oa_url":"https://doi.org/10.1186/s12873-026-01796-1","any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5018052401","display_name":"Ferhat Y\u0131ld\u0131z","orcid":"https://orcid.org/0000-0003-4415-5955","observed_orcids":["https://orcid.org/0000-0003-4415-5955","https://orcid.org/0009-0006-1476-2147"]},"institutions":[],"countries":[],"is_corresponding":true,"raw_author_name":"Ferhat Yildiz","raw_affiliation_strings":["Department of Emergency Medicine, Mardin Training and Research Hospital, Mardin, T\u00fcrkiye"],"raw_orcid":"https://orcid.org/0009-0006-1476-2147","affiliations":[{"raw_affiliation_string":"Department of Emergency Medicine, Mardin Training and Research Hospital, Mardin, T\u00fcrkiye","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5093519864","display_name":"Muhammed Fatih C\u0131r\u0131l","orcid":"https://orcid.org/0000-0002-6946-0860","observed_orcids":["https://orcid.org/0000-0002-6946-0860"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Muhammed Fatih Ciril","raw_affiliation_strings":["Department of Emergency Medicine, Mardin Training and Research Hospital, Mardin, T\u00fcrkiye"],"raw_orcid":"https://orcid.org/0000-0002-6946-0860","affiliations":[{"raw_affiliation_string":"Department of Emergency Medicine, Mardin Training and Research Hospital, Mardin, T\u00fcrkiye","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5093519865","display_name":"Mustafa Akarca","orcid":"https://orcid.org/0009-0009-7197-3831","observed_orcids":["https://orcid.org/0009-0009-7197-3831"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Mustafa Akarca","raw_affiliation_strings":["Department of Emergency Medicine, Mardin Training and Research Hospital, Mardin, T\u00fcrkiye"],"raw_orcid":"https://orcid.org/0009-0009-7197-3831","affiliations":[{"raw_affiliation_string":"Department of Emergency Medicine, Mardin Training and Research Hospital, Mardin, T\u00fcrkiye","institution_ids":[]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5149887774","display_name":"Alihan Elveren","orcid":"https://orcid.org/0009-0003-5793-2167","observed_orcids":["https://orcid.org/0009-0003-5793-2167"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Alihan Elveren","raw_affiliation_strings":["Department of Emergency Medicine, Mardin Training and Research Hospital, Mardin, T\u00fcrkiye"],"raw_orcid":"https://orcid.org/0009-0003-5793-2167","affiliations":[{"raw_affiliation_string":"Department of Emergency Medicine, Mardin Training and Research Hospital, Mardin, T\u00fcrkiye","institution_ids":[]}]}],"institutions":[],"countries_distinct_count":0,"institutions_distinct_count":0,"corresponding_author_ids":["https://openalex.org/A5018052401"],"corresponding_institution_ids":[],"apc_list":{"value":2790,"currency":"USD","value_usd":2790},"apc_paid":{"value":2790,"currency":"USD","value_usd":2790},"fwci":0.0,"has_fulltext":false,"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":null,"issue":null,"first_page":null,"last_page":null},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T11244","display_name":"Climate Change and Health Impacts","score":0.9970999956130981,"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":0.9970999956130981,"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/T10560","display_name":"Diabetes Management and Research","score":0.00139999995008111,"subfield":{"id":"https://openalex.org/subfields/2712","display_name":"Endocrinology, Diabetes and Metabolism"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T12365","display_name":"Effects of Environmental Stressors on Livestock","score":0.00039999998989515007,"subfield":{"id":"https://openalex.org/subfields/1103","display_name":"Animal Science and Zoology"},"field":{"id":"https://openalex.org/fields/11","display_name":"Agricultural and Biological Sciences"},"domain":{"id":"https://openalex.org/domains/1","display_name":"Life Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/diabetic-ketoacidosis","display_name":"diabetic ketoacidosis","score":0.996999979019165},{"id":"https://openalex.org/keywords/meteorological-variables","display_name":"meteorological parameters","score":0.9509999752044678},{"id":"https://openalex.org/keywords/hot-weather","display_name":"hot weather","score":0.6069999933242798},{"id":"https://openalex.org/keywords/temperature","display_name":"temperature","score":0.5070000290870667},{"id":"https://openalex.org/keywords/seasonal-variation","display_name":"seasonal variation","score":0.7570000290870667},{"id":"https://openalex.org/keywords/pediatric-diabetes","display_name":"pediatric diabetes","score":0.5379999876022339},{"id":"https://openalex.org/keywords/air-quality","display_name":"air quality","score":0.6340000033378601},{"id":"https://openalex.org/keywords/emergency-department-admission","display_name":"emergency department admission","score":0.753000020980835},{"id":"https://openalex.org/keywords/semiarid-climate","display_name":"semi-arid climate","score":0.7279999852180481},{"id":"https://openalex.org/keywords/heat-exposure","display_name":"heat exposure","score":0.4429999887943268},{"id":"https://openalex.org/keywords/intensive-care-unit-admission","display_name":"intensive care unit admission","score":0.5019999742507935},{"id":"https://openalex.org/keywords/lagged-temperature-effects","display_name":"lagged temperature effects","score":0.6209999918937683},{"id":"https://openalex.org/keywords/children-versus-adults","display_name":"children versus adults","score":0.4659999907016754}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.9567999839782715},{"id":"https://openalex.org/C2781283889","wikidata":"https://www.wikidata.org/wiki/Q1130148","display_name":"Diabetic ketoacidosis","level":3,"score":0.7131999731063843},{"id":"https://openalex.org/C61511704","wikidata":"https://www.wikidata.org/wiki/Q1671857","display_name":"Incidence (geometry)","level":2,"score":0.5889000296592712},{"id":"https://openalex.org/C23131810","wikidata":"https://www.wikidata.org/wiki/Q818574","display_name":"Observational study","level":2,"score":0.5529000163078308},{"id":"https://openalex.org/C73269764","wikidata":"https://www.wikidata.org/wiki/Q954529","display_name":"Poisson regression","level":3,"score":0.5412999987602234},{"id":"https://openalex.org/C2780724011","wikidata":"https://www.wikidata.org/wiki/Q1295316","display_name":"Emergency department","level":2,"score":0.5356000065803528},{"id":"https://openalex.org/C555293320","wikidata":"https://www.wikidata.org/wiki/Q12206","display_name":"Diabetes mellitus","level":2,"score":0.5224999785423279},{"id":"https://openalex.org/C187212893","wikidata":"https://www.wikidata.org/wiki/Q123028","display_name":"Pediatrics","level":1,"score":0.48420000076293945},{"id":"https://openalex.org/C167135981","wikidata":"https://www.wikidata.org/wiki/Q2146302","display_name":"Retrospective cohort study","level":2,"score":0.42559999227523804},{"id":"https://openalex.org/C194828623","wikidata":"https://www.wikidata.org/wiki/Q2861470","display_name":"Emergency medicine","level":1,"score":0.4203999936580658},{"id":"https://openalex.org/C2781232474","wikidata":"https://www.wikidata.org/wiki/Q124407","display_name":"Type 1 diabetes","level":3,"score":0.38999998569488525},{"id":"https://openalex.org/C18246116","wikidata":"https://www.wikidata.org/wiki/Q42962347","display_name":"Names of the days of the week","level":2,"score":0.335999995470047},{"id":"https://openalex.org/C3019871722","wikidata":"https://www.wikidata.org/wiki/Q718944","display_name":"Hospital admission","level":2,"score":0.33480000495910645},{"id":"https://openalex.org/C107130276","wikidata":"https://www.wikidata.org/wiki/Q133805","display_name":"Epidemiology","level":2,"score":0.319599986076355},{"id":"https://openalex.org/C149923435","wikidata":"https://www.wikidata.org/wiki/Q37732","display_name":"Demography","level":1,"score":0.31709998846054077},{"id":"https://openalex.org/C167704817","wikidata":"https://www.wikidata.org/wiki/Q7295548","display_name":"Rate ratio","level":3,"score":0.3165000081062317}],"mesh":[],"locations_count":1,"locations":[{"id":"doi:10.1186/s12873-026-01796-1","doi":"https://doi.org/10.1186/s12873-026-01796-1","is_oa":true,"landing_page_url":"https://doi.org/10.1186/s12873-026-01796-1","pdf_url":null,"source":{"id":"https://openalex.org/S260102","display_name":"BMC Emergency Medicine","issn_l":"1471-227X","issn":["1471-227X"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","dongbi-d","doyens","jufo-1","ki-jl-1","medline","norway-1","oarl","poland-70","russia-white-list-2","vabb-shw"],"host_organization":"https://openalex.org/P4310320256","host_organization_name":"BioMed Central","host_organization_lineage":["https://openalex.org/P4310320256","https://openalex.org/P4310319965"],"host_organization_lineage_names":["BioMed Central","Springer Nature"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"BMC Emergency Medicine","raw_type":"journal-article"}],"best_oa_location":{"id":"doi:10.1186/s12873-026-01796-1","doi":"https://doi.org/10.1186/s12873-026-01796-1","is_oa":true,"landing_page_url":"https://doi.org/10.1186/s12873-026-01796-1","pdf_url":null,"source":{"id":"https://openalex.org/S260102","display_name":"BMC Emergency Medicine","issn_l":"1471-227X","issn":["1471-227X"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","dongbi-d","doyens","jufo-1","ki-jl-1","medline","norway-1","oarl","poland-70","russia-white-list-2","vabb-shw"],"host_organization":"https://openalex.org/P4310320256","host_organization_name":"BioMed Central","host_organization_lineage":["https://openalex.org/P4310320256","https://openalex.org/P4310319965"],"host_organization_lineage_names":["BioMed Central","Springer Nature"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"BMC Emergency Medicine","raw_type":"journal-article"},"sustainable_development_goals":[{"score":1.0,"id":"https://metadata.un.org/sdg/3","display_name":"Good health and well-being"},{"score":0.5351999998092651,"id":"https://metadata.un.org/sdg/13","display_name":"Climate action"}],"study_designs":[{"id":"https://openalex.org/study-designs/observational-study","display_name":"Observational Study"}],"awards":[],"funders":[],"has_content":{"grobid_xml":false,"pdf":false},"content_urls":null,"referenced_works_count":0,"referenced_works":[],"related_works":["https://openalex.org/W2463734448","https://openalex.org/W4404805107","https://openalex.org/W4224442511","https://openalex.org/W7171674840","https://openalex.org/W7167837650","https://openalex.org/W4387305194","https://openalex.org/W4307843074","https://openalex.org/W4417274466","https://openalex.org/W4385406436","https://openalex.org/W6912238122"],"abstract_inverted_index":{"Abstract":[0],"Background":[1],"Evidence":[2],"on":[3,154],"hot":[4,16,42],"weather":[5],"and":[6,19,47,54,101,110,128,133,186,191,229,298,311,325],"acute":[7],"diabetes":[8],"complications":[9],"comes":[10],"mainly":[11],"from":[12,347],"temperate,":[13],"high-income":[14],"countries;":[15],"semi-arid":[17,43],"regions":[18],"children":[20,259],"are":[21,359],"underrepresented.":[22],"We":[23],"examined":[24],"emergency":[25],"department":[26],"admissions":[27,50,89,139,289],"for":[28,79,184,189,194],"diabetic":[29],"ketoacidosis":[30],"(DKA)":[31],"in":[32,37,57,61,242,258,263,296,301,305,369],"relation":[33],"to":[34,51,148,209],"meteorological":[35,109],"variables":[36],"a":[38,41,62,227,233,315,343,348,353],"city":[39],"with":[40,107,118,124,212,216],"climate.":[44],"Methods":[45],"Pediatric":[46],"adult":[48],"DKA":[49,88,288],"Mardin":[52],"Training":[53],"Research":[55],"Hospital":[56],"2025":[58],"were":[59,116,140,290],"studied":[60],"single-center":[63],"retrospective":[64],"cohort.":[65],"Cases":[66],"met":[67],"age-appropriate":[68],"diagnostic":[69],"criteria":[70],"(ISPAD":[71],"2022":[72],"under":[73],"18":[74],"years;":[75],"2024":[76],"consensus":[77],"report":[78],"adults).":[80],"The":[81,162,198,254],"outcome":[82],"was":[83,96,122,179,223,256,322],"the":[84,93,102,172,220,272,318,326,365],"daily":[85,163],"number":[86],"of":[87,156,203,248,279,333,338],"over":[90],"365":[91,157],"days;":[92,335],"primary":[94],"objective":[95,104],"its":[97,105],"variation":[98],"by":[99,166,285],"season":[100,167],"secondary":[103],"association":[106,255],"14":[108],"air":[111],"quality":[112],"variables.":[113],"Daily":[114],"counts":[115],"modeled":[117],"Poisson":[119],"regression;":[120],"adequacy":[121],"checked":[123],"negative":[125],"binomial,":[126],"zero-inflated":[127],"quasi-Poisson":[129],"models,":[130],"weekly":[131],"aggregation":[132],"Newey-West":[134,217],"standard":[135,218],"errors.":[136],"Results":[137],"Ninety-five":[138],"recorded":[141],"(37":[142],"[39%]":[143],"pediatric;":[144],"62":[145],"[65%]":[146],"admitted":[147,280],"intensive":[149],"care).":[150],"No":[151],"admission":[152,214,334],"occurred":[153],"279":[155],"days":[158,206],"(Poisson":[159],"expectation":[160],"283).":[161],"count":[164],"differed":[165],"(":[168],"p":[169,268],"=":[170,269],"0.003);":[171],"incidence":[173],"rate":[174],"ratio":[175],"(IRR)":[176],"versus":[177,196],"winter":[178],"2.69":[180],"(95%":[181],"CI":[182],"1.39\u20135.21)":[183],"summer":[185,297],"2.64":[187],"(1.36\u20135.12)":[188],"autumn,":[190],"2.61":[192,224,230],"(1.66\u20134.10)":[193],"May\u2013October":[195,221],"November\u2013April.":[197],"warm-season":[199,327],"excess":[200,328],"consisted":[201],"largely":[202],"59":[204],"consecutive":[205],"(5":[207],"August":[208],"2":[210],"October)":[211],"one":[213,276,330,336],"each;":[215],"errors":[219],"estimate":[222],"(1.26\u20135.42)":[225],"at":[226,232],"7-day":[228],"(0.97\u20137.00)":[231],"30-day":[234],"lag":[235],"window.":[236],"A":[237],"one-SD":[238],"(10.4":[239],"\u00b0C)":[240],"rise":[241],"mean":[243],"temperature":[244,312,320],"gave":[245],"an":[246],"IRR":[247],"1.58":[249],"(1.27\u20131.95),":[250],"adjusted":[251,319],"1.36":[252],"(0.85\u20132.19).":[253],"larger":[257],"(2.24":[260],"[1.52\u20133.30])":[261],"than":[262,300],"adults":[264],"(1.30":[265],"[1.00\u20131.69];":[266],"interaction":[267],"0.024).":[270],"July,":[271],"hottest":[273],"month,":[274],"had":[275],"admission.":[277],"Severity":[278],"patients":[281],"did":[282],"not":[283,323],"differ":[284],"season.":[286],"Conclusions":[287],"about":[291],"2.5":[292],"times":[293],"more":[294,303],"frequent":[295],"autumn":[299],"winter,":[302],"so":[304],"children,":[306],"without":[307],"greater":[308],"severity.":[309],"Season":[310],"overlap":[313],"within":[314],"single":[316],"year,":[317],"effect":[321,346],"significant,":[324],"formed":[329],"continuous":[331],"run":[332],"year":[337],"data":[339,358],"therefore":[340],"cannot":[341],"separate":[342],"direct":[344],"heat":[345],"recurring":[349],"seasonal":[350],"pattern":[351],"or":[352],"one-time":[354],"cluster.":[355],"Multi-year,":[356],"multicenter":[357],"needed.":[360],"Trial":[361],"registration":[362],"Not":[363],"applicable;":[364],"study":[366],"is":[367],"observational":[368],"nature.":[370]},"counts_by_year":[],"updated_date":"2026-11-14T11:04:58.165337","created_date":"2026-10-08T00:00:00"}
