{"id":"https://openalex.org/W7225739263","doi":"https://doi.org/10.2196/92900","title":"Climate, Air Quality, and Emergency Department Use in Northern Germany: Protocol for a Multicenter Register Study","display_name":"Climate, Air Quality, and Emergency Department Use in Northern Germany: Protocol for a Multicenter Register Study","publication_year":2026,"publication_date":"2026-11-10","ids":{"openalex":"https://openalex.org/W7225739263","doi":"https://doi.org/10.2196/92900"},"language":"en","primary_location":{"id":"doi:10.2196/92900","doi":"https://doi.org/10.2196/92900","is_oa":true,"landing_page_url":"https://doi.org/10.2196/92900","pdf_url":null,"source":{"id":"https://openalex.org/S2739058702","display_name":"JMIR Research Protocols","issn_l":"1929-0748","issn":["1929-0748"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","doyens","jufo-1","ki-jl-1","medline","norway-1","oarl","poland-70","russia-white-list-2","vabb-shw"],"host_organization":"https://openalex.org/P4310320608","host_organization_name":"JMIR Publications","host_organization_lineage":["https://openalex.org/P4310320608"],"host_organization_lineage_names":["JMIR Publications"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"JMIR Research Protocols","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref","doaj"],"open_access":{"is_oa":true,"oa_status":"gold","oa_url":"https://doi.org/10.2196/92900","any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5065832716","display_name":"Tobias Jagomast","orcid":"https://orcid.org/0009-0007-4811-9704","observed_orcids":["https://orcid.org/0009-0007-4811-9704"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Tobias Jagomast","raw_affiliation_strings":[],"raw_orcid":"https://orcid.org/0009-0007-4811-9704","affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5161388860","display_name":"Marie Raddatz","orcid":"https://orcid.org/0009-0008-2879-761X","observed_orcids":["https://orcid.org/0009-0008-2879-761X"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Marie Raddatz","raw_affiliation_strings":[],"raw_orcid":"https://orcid.org/0009-0008-2879-761X","affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5073118120","display_name":"Loana Penner","orcid":"https://orcid.org/0009-0000-4250-0087","observed_orcids":["https://orcid.org/0009-0000-4250-0087"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Loana Penner","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5078113390","display_name":"Mareike L\u00fcthgen","orcid":"https://orcid.org/0000-0001-7830-4256","observed_orcids":["https://orcid.org/0000-0001-7830-4256"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Mareike L\u00fcthgen","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5019756155","display_name":"Patrick Ristau","orcid":"https://orcid.org/0000-0001-9847-4199","observed_orcids":["https://orcid.org/0000-0001-9847-4199"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Patrick Ristau","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5080518132","display_name":"Wolfgang Dersch","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Wolfgang Dersch","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5082263910","display_name":"S\u00f6nke Wallis","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"S\u00f6nke Wallis","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5013809713","display_name":"Friedhelm Sayk","orcid":"https://orcid.org/0000-0002-3437-3265","observed_orcids":["https://orcid.org/0000-0002-3437-3265"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Friedhelm Sayk","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5043460819","display_name":"J Metzner","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"J\u00f6rg Metzner","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5099982354","display_name":"Sebastian Wolfrum","orcid":"https://orcid.org/0000-0001-6941-0030","observed_orcids":["https://orcid.org/0000-0001-6941-0030"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Sebastian Wolfrum","raw_affiliation_strings":[],"raw_orcid":"https://orcid.org/0000-0001-6941-0030","affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5004787389","display_name":"Andr\u00e9 Sergej Calero Valdez","orcid":"https://orcid.org/0000-0002-6214-1461","observed_orcids":["https://orcid.org/0000-0002-6214-1461"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Andr\u00e9 Calero Valdez","raw_affiliation_strings":[],"raw_orcid":"https://orcid.org/0000-0002-6214-1461","affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5161395183","display_name":"Andrea Baron","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Andrea Baron","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5158585871","display_name":"Thoralf Kerner","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Thoralf Kerner","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5161370137","display_name":"Marcin Grzegorzek","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Marcin Grzegorzek","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5161402757","display_name":"Claudia Schmidtke","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Claudia Schmidtke","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5143715270","display_name":"Daniel Dr\u00f6mann","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Daniel Dr\u00f6mann","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5150927852","display_name":"Henrik Watz","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Henrik Watz","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5161364656","display_name":"Maureen Weckmann","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Maureen Weckmann","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5159361092","display_name":"Markus Weckmann","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Markus Weckmann","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5120904134","display_name":"Folke (Prof. Dr. med.) Brinkmann","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Folke Brinkmann","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"last","author":{"id":"https://openalex.org/A5057901858","display_name":"Klaas Frederik Franzen","orcid":"https://orcid.org/0000-0002-3882-2662","observed_orcids":["https://orcid.org/0000-0002-3882-2662"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Klaas F Franzen","raw_affiliation_strings":[],"raw_orcid":"https://orcid.org/0000-0002-3882-2662","affiliations":[]}],"institutions":[],"countries_distinct_count":0,"institutions_distinct_count":0,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":{"value":1900,"currency":"USD","value_usd":1900},"apc_paid":{"value":1900,"currency":"USD","value_usd":1900},"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":"15","issue":null,"first_page":"e92900","last_page":"e92900"},"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":0.0006000000284984708,"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/T12365","display_name":"Effects of Environmental Stressors on Livestock","score":0.0,"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":[],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.671999990940094},{"id":"https://openalex.org/C524204448","wikidata":"https://www.wikidata.org/wiki/Q788926","display_name":"Infectious disease (medical specialty)","level":3,"score":0.6150000095367432},{"id":"https://openalex.org/C23131810","wikidata":"https://www.wikidata.org/wiki/Q818574","display_name":"Observational study","level":2,"score":0.5651999711990356},{"id":"https://openalex.org/C2780724011","wikidata":"https://www.wikidata.org/wiki/Q1295316","display_name":"Emergency department","level":2,"score":0.5530999898910522},{"id":"https://openalex.org/C2908647359","wikidata":"https://www.wikidata.org/wiki/Q2625603","display_name":"Population","level":2,"score":0.4803999960422516},{"id":"https://openalex.org/C160735492","wikidata":"https://www.wikidata.org/wiki/Q31207","display_name":"Health care","level":2,"score":0.4747999906539917},{"id":"https://openalex.org/C2779134260","wikidata":"https://www.wikidata.org/wiki/Q12136","display_name":"Disease","level":2,"score":0.46720001101493835},{"id":"https://openalex.org/C99454951","wikidata":"https://www.wikidata.org/wiki/Q932068","display_name":"Environmental health","level":1,"score":0.4431000053882599},{"id":"https://openalex.org/C545542383","wikidata":"https://www.wikidata.org/wiki/Q2751242","display_name":"Medical emergency","level":1,"score":0.4244999885559082},{"id":"https://openalex.org/C138816342","wikidata":"https://www.wikidata.org/wiki/Q189603","display_name":"Public health","level":2,"score":0.4189999997615814},{"id":"https://openalex.org/C90734943","wikidata":"https://www.wikidata.org/wiki/Q17008777","display_name":"Conceptualization","level":2,"score":0.39100000262260437},{"id":"https://openalex.org/C147077947","wikidata":"https://www.wikidata.org/wiki/Q1515895","display_name":"Socioeconomic status","level":3,"score":0.3813000023365021},{"id":"https://openalex.org/C2780385302","wikidata":"https://www.wikidata.org/wiki/Q367158","display_name":"Protocol (science)","level":3,"score":0.3571000099182129},{"id":"https://openalex.org/C2778149918","wikidata":"https://www.wikidata.org/wiki/Q3291156","display_name":"Population health","level":3,"score":0.35370001196861267},{"id":"https://openalex.org/C512399662","wikidata":"https://www.wikidata.org/wiki/Q3505712","display_name":"Family medicine","level":1,"score":0.335999995470047},{"id":"https://openalex.org/C132651083","wikidata":"https://www.wikidata.org/wiki/Q7942","display_name":"Climate change","level":2,"score":0.32199999690055847},{"id":"https://openalex.org/C194828623","wikidata":"https://www.wikidata.org/wiki/Q2861470","display_name":"Emergency medicine","level":1,"score":0.3190000057220459},{"id":"https://openalex.org/C2780877353","wikidata":"https://www.wikidata.org/wiki/Q2518253","display_name":"Health services research","level":3,"score":0.31029999256134033},{"id":"https://openalex.org/C2779473830","wikidata":"https://www.wikidata.org/wiki/Q1540899","display_name":"MEDLINE","level":2,"score":0.3061999976634979},{"id":"https://openalex.org/C126314574","wikidata":"https://www.wikidata.org/wiki/Q2364111","display_name":"Air quality index","level":2,"score":0.3061000108718872},{"id":"https://openalex.org/C159009313","wikidata":"https://www.wikidata.org/wiki/Q5283159","display_name":"Distributed lag","level":2,"score":0.30090001225471497},{"id":"https://openalex.org/C205537798","wikidata":"https://www.wikidata.org/wiki/Q1277161","display_name":"Extreme weather","level":3,"score":0.28769999742507935},{"id":"https://openalex.org/C133462117","wikidata":"https://www.wikidata.org/wiki/Q4929239","display_name":"Data collection","level":2,"score":0.27649998664855957},{"id":"https://openalex.org/C107130276","wikidata":"https://www.wikidata.org/wiki/Q133805","display_name":"Epidemiology","level":2,"score":0.27410000562667847},{"id":"https://openalex.org/C2780016893","wikidata":"https://www.wikidata.org/wiki/Q1312371","display_name":"Health department","level":3,"score":0.27399998903274536},{"id":"https://openalex.org/C2779328685","wikidata":"https://www.wikidata.org/wiki/Q1475557","display_name":"Patient safety","level":3,"score":0.26409998536109924},{"id":"https://openalex.org/C46578552","wikidata":"https://www.wikidata.org/wiki/Q2725393","display_name":"Global health","level":3,"score":0.2599000036716461},{"id":"https://openalex.org/C2780664029","wikidata":"https://www.wikidata.org/wiki/Q5282120","display_name":"Disease burden","level":3,"score":0.2540000081062317},{"id":"https://openalex.org/C74909509","wikidata":"https://www.wikidata.org/wiki/Q10387","display_name":"Gerontology","level":1,"score":0.2526000142097473}],"mesh":[],"locations_count":1,"locations":[{"id":"doi:10.2196/92900","doi":"https://doi.org/10.2196/92900","is_oa":true,"landing_page_url":"https://doi.org/10.2196/92900","pdf_url":null,"source":{"id":"https://openalex.org/S2739058702","display_name":"JMIR Research Protocols","issn_l":"1929-0748","issn":["1929-0748"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","doyens","jufo-1","ki-jl-1","medline","norway-1","oarl","poland-70","russia-white-list-2","vabb-shw"],"host_organization":"https://openalex.org/P4310320608","host_organization_name":"JMIR Publications","host_organization_lineage":["https://openalex.org/P4310320608"],"host_organization_lineage_names":["JMIR Publications"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"JMIR Research Protocols","raw_type":"journal-article"}],"best_oa_location":{"id":"doi:10.2196/92900","doi":"https://doi.org/10.2196/92900","is_oa":true,"landing_page_url":"https://doi.org/10.2196/92900","pdf_url":null,"source":{"id":"https://openalex.org/S2739058702","display_name":"JMIR Research Protocols","issn_l":"1929-0748","issn":["1929-0748"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","doyens","jufo-1","ki-jl-1","medline","norway-1","oarl","poland-70","russia-white-list-2","vabb-shw"],"host_organization":"https://openalex.org/P4310320608","host_organization_name":"JMIR Publications","host_organization_lineage":["https://openalex.org/P4310320608"],"host_organization_lineage_names":["JMIR Publications"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"JMIR Research Protocols","raw_type":"journal-article"},"sustainable_development_goals":[],"study_designs":[],"awards":[],"funders":[],"has_content":{"pdf":false,"grobid_xml":false},"content_urls":null,"referenced_works_count":50,"referenced_works":["https://openalex.org/W1989664548","https://openalex.org/W2002946341","https://openalex.org/W2006203329","https://openalex.org/W2006624104","https://openalex.org/W2039737668","https://openalex.org/W2058753770","https://openalex.org/W2115112857","https://openalex.org/W2156212004","https://openalex.org/W2163278718","https://openalex.org/W2275737843","https://openalex.org/W2588039882","https://openalex.org/W2588061101","https://openalex.org/W2744549124","https://openalex.org/W2793717890","https://openalex.org/W2799424631","https://openalex.org/W2808977755","https://openalex.org/W2811159268","https://openalex.org/W2894802596","https://openalex.org/W2898033810","https://openalex.org/W2966788999","https://openalex.org/W2991021962","https://openalex.org/W3011471929","https://openalex.org/W3053457493","https://openalex.org/W3106210957","https://openalex.org/W3112717819","https://openalex.org/W3128397548","https://openalex.org/W3138962491","https://openalex.org/W3152787358","https://openalex.org/W3159255389","https://openalex.org/W3192747867","https://openalex.org/W3193929541","https://openalex.org/W3203697091","https://openalex.org/W3208019059","https://openalex.org/W3213657260","https://openalex.org/W4200209603","https://openalex.org/W4205789919","https://openalex.org/W4223429223","https://openalex.org/W4285491873","https://openalex.org/W4307382169","https://openalex.org/W4376131256","https://openalex.org/W4379769312","https://openalex.org/W4387241179","https://openalex.org/W4390116598","https://openalex.org/W4394913397","https://openalex.org/W4405975925","https://openalex.org/W4407399971","https://openalex.org/W4410794449","https://openalex.org/W4411135289","https://openalex.org/W4413028388","https://openalex.org/W6889488207"],"related_works":[],"abstract_inverted_index":{"Abstract":[0],"Background":[1],"Climate":[2],"change":[3],"threatens":[4],"population":[5],"health":[6,25,42,77,375,393,402],"through":[7],"temperature":[8,378],"extremes,":[9],"air":[10,34,66,151,303,352],"pollution,":[11],"and":[12,36,68,80,114,137,158,176,187,209,212,218,231,237,243,266,302,354,373,400,413],"altered":[13],"infectious":[14,37,69,159,219,355],"disease":[15,38,70,160,179,220,356],"patterns.":[16],"Emergency":[17],"departments":[18],"(EDs)":[19],"are":[20,388],"sensitive":[21],"indicators":[22],"of":[23,63,131,272,292,345,361,377,384],"climate-related":[24],"impacts;":[26],"however,":[27],"comprehensive":[28],"multicenter":[29,330],"investigations":[30],"integrating":[31,349],"meteorological":[32,64,144],"factors,":[33,65],"quality,":[35,67,353],"surveillance":[39,161],"across":[40,75,101,258,358,380],"different":[41,105],"care":[43,78,81,106,363,394],"provision":[44,82,107],"levels":[45,83,108],"remain":[46],"scarce":[47],"in":[48,51,84,109,240,248,261,288,299,306,340],"Germany,":[49,117],"particularly":[50],"maritime":[52,342],"climate":[53,343,412],"regions.":[54],"Objective":[55],"This":[56,92,329],"study":[57,96,331,366],"aims":[58],"to":[59,121,202,370,390,406],"characterize":[60,203,371],"the":[61,110,147,163,273,282,289,365,407],"impact":[62],"dynamics":[71],"on":[72,336,411],"ED":[73,99,173,338],"presentations":[74,100],"multiple":[76],"facilities":[79,103],"northern":[85,346],"Germany":[86],"over":[87],"an":[88],"11-year":[89],"period.":[90],"Methods":[91],"retrospective,":[93],"multicenter,":[94],"observational":[95],"will":[97,140,170,199,224,319,332],"examine":[98,225],"4":[102,274,359],"representing":[104],"greater":[111],"L\u00fcbeck":[112],"area":[113],"southeastern":[115],"Schleswig-Holstein,":[116],"from":[118,146,154,162,270],"January":[119,307],"2014":[120],"December":[122],"2024.":[123],"Clinical":[124],"data,":[125],"including":[126],"ICD":[127],"(":[128],"International":[129],"Classification":[130],"Diseases":[132],")\u2013coded":[133],"diagnoses,":[134],"patient":[135],"demographics,":[136],"temporal":[138,215],"information,":[139],"be":[141,171,200,320],"linked":[142],"with":[143],"data":[145,254,295,305,323,357],"German":[148],"Weather":[149],"Service,":[150],"quality":[152,304],"measurements":[153],"state":[155],"environmental":[156],"monitoring,":[157],"Robert":[164],"Koch":[165],"Institute.":[166],"The":[167],"primary":[168],"outcomes":[169],"daily":[172],"visits":[174],"overall":[175],"stratified":[177],"by":[178,228],"category":[180],"(cardiovascular,":[181],"respiratory,":[182],"psychiatric,":[183],"infectious,":[184],"renal,":[185],"neurological,":[186],"surgical/traumatic).":[188],"Distributed":[189],"lag":[190],"nonlinear":[191,210,372],"models":[192],"within":[193],"a":[194,341,381],"generalized":[195],"additive":[196],"modeling":[197],"framework":[198],"used":[201],"temperature-health":[204],"relationships,":[205],"accounting":[206],"for":[207,214],"delayed":[208,374],"effects,":[211],"adjusted":[213],"trends,":[216],"seasonality,":[217],"incidence.":[221],"Subgroup":[222],"analyses":[223,313],"vulnerable":[226],"populations":[227],"age,":[229],"sex,":[230],"socioeconomic":[232],"status.":[233],"Results":[234,387],"Project":[235],"planning":[236],"conceptualization":[238],"began":[239],"June":[241],"2024,":[242],"ethical":[244],"approval":[245],"was":[246,297],"granted":[247],"July":[249,262],"2025.":[250,268],"Following":[251],"approval,":[252],"clinical":[253],"were":[255],"transferred":[256],"sequentially":[257],"participating":[259,275],"sites":[260],"2025,":[263,265],"August":[264],"October":[267,300],"Data":[269],"3":[271],"hospitals":[276,360],"have":[277,314],"been":[278],"successfully":[279],"received,":[280],"while":[281,404],"final":[283],"outstanding":[284],"dataset":[285],"is":[286,325,367],"expected":[287,389],"second":[290],"half":[291],"2026.":[293,308],"Meteorological":[294],"collection":[296,324],"completed":[298],"2025":[301],"While":[309],"preliminary":[310],"descriptive":[311],"statistical":[312],"already":[315],"commenced,":[316],"inferential":[317],"statistics":[318],"performed":[321],"once":[322],"fully":[326],"completed.":[327],"Conclusions":[328],"provide":[333],"systematic":[334],"evidence":[335,409],"climate-sensitive":[337],"utilization":[339],"region":[344],"Germany.":[347],"By":[348],"clinical,":[350],"meteorological,":[351],"varying":[362],"complexity,":[364],"well":[368],"positioned":[369],"effects":[376],"extremes":[379],"broad":[382],"spectrum":[383],"acute":[385],"conditions.":[386],"inform":[391],"regional":[392],"capacity":[395],"planning,":[396],"early":[397],"warning":[398],"systems,":[399],"public":[401],"preparedness,":[403],"contributing":[405],"broader":[408],"base":[410],"health.":[414]},"counts_by_year":[],"updated_date":"2026-11-11T12:16:26.678958","created_date":"2026-11-11T00:00:00"}