Risk of cardiovascular events during labor and delivery associated with acute ambient temperature changes

Purpose: We assessed acute risk of cardiovascular events at labor/delivery with exposure to ambient temperatures during the week prior to delivery in a low-risk population. Methods: A case-crossover design evaluated 191 women with cardiovascular events at labor/delivery in the Eunice Kennedy Shriver...

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Autores principales:	Jenna Kanner, Danielle R. Stevens, Carrie J. Nobles, Matthew C.H. Rohn, Sandie Ha, Tuija Männistö, Marion S. Ouidir, Pauline Mendola
Formato:	article
Lenguaje:	EN
Publicado:	Elsevier 2021
Materias:	Acute Blood pressure Cardiovascular event Environment Hypertension Pregnancy Public aspects of medicine RA1-1270 Meteorology. Climatology QC851-999
Acceso en línea:	https://doaj.org/article/25f8f3c3a5e4463e9218cdfcd5c8d847
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spelling	oai:doaj.org-article:25f8f3c3a5e4463e9218cdfcd5c8d8472021-11-18T04:54:08ZRisk of cardiovascular events during labor and delivery associated with acute ambient temperature changes2667-278210.1016/j.joclim.2021.100060https://doaj.org/article/25f8f3c3a5e4463e9218cdfcd5c8d8472021-08-01T00:00:00Zhttp://www.sciencedirect.com/science/article/pii/S2667278221000572https://doaj.org/toc/2667-2782Purpose: We assessed acute risk of cardiovascular events at labor/delivery with exposure to ambient temperatures during the week prior to delivery in a low-risk population. Methods: A case-crossover design evaluated 191 women with cardiovascular events at labor/delivery in the Eunice Kennedy Shriver National Institute of Child Health and Human Development Consecutive Pregnancies Study (Utah, 2002–2010). Using conditional logistic regression models, we estimated the odds ratio (OR) and 95% confidence interval (CI) for each 1 °Celsius (1.8°F) increase in the warm season (May-October) or decrease in the cold season (November-April) in the week prior to delivery compared to two weeks prior and after delivery. Results: Cardiovascular events during delivery included acute myocardial infarction (n = 1), stroke (n = 29), heart failure (n = 7), cardiac arrest (n = 118), and unspecified (n = 39). Cardiovascular event risk increased by 9% (95% CI: 1.02, 1.18) for every 1 °C increase in average temperature in the week prior to delivery during the warm season and increased 6% (95% CI: 1.00, 1.13) for every 1 °C decrease during the cold season. Conclusion: Acute temperature changes in the week prior to delivery were associated with increased risk of cardiovascular events at labor/delivery.Jenna KannerDanielle R. StevensCarrie J. NoblesMatthew C.H. RohnSandie HaTuija MännistöMarion S. OuidirPauline MendolaElsevierarticleAcuteBlood pressureCardiovascular eventEnvironmentHypertensionPregnancyPublic aspects of medicineRA1-1270Meteorology. ClimatologyQC851-999ENThe Journal of Climate Change and Health, Vol 3, Iss , Pp 100060- (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Acute Blood pressure Cardiovascular event Environment Hypertension Pregnancy Public aspects of medicine RA1-1270 Meteorology. Climatology QC851-999
spellingShingle	Acute Blood pressure Cardiovascular event Environment Hypertension Pregnancy Public aspects of medicine RA1-1270 Meteorology. Climatology QC851-999 Jenna Kanner Danielle R. Stevens Carrie J. Nobles Matthew C.H. Rohn Sandie Ha Tuija Männistö Marion S. Ouidir Pauline Mendola Risk of cardiovascular events during labor and delivery associated with acute ambient temperature changes
description	Purpose: We assessed acute risk of cardiovascular events at labor/delivery with exposure to ambient temperatures during the week prior to delivery in a low-risk population. Methods: A case-crossover design evaluated 191 women with cardiovascular events at labor/delivery in the Eunice Kennedy Shriver National Institute of Child Health and Human Development Consecutive Pregnancies Study (Utah, 2002–2010). Using conditional logistic regression models, we estimated the odds ratio (OR) and 95% confidence interval (CI) for each 1 °Celsius (1.8°F) increase in the warm season (May-October) or decrease in the cold season (November-April) in the week prior to delivery compared to two weeks prior and after delivery. Results: Cardiovascular events during delivery included acute myocardial infarction (n = 1), stroke (n = 29), heart failure (n = 7), cardiac arrest (n = 118), and unspecified (n = 39). Cardiovascular event risk increased by 9% (95% CI: 1.02, 1.18) for every 1 °C increase in average temperature in the week prior to delivery during the warm season and increased 6% (95% CI: 1.00, 1.13) for every 1 °C decrease during the cold season. Conclusion: Acute temperature changes in the week prior to delivery were associated with increased risk of cardiovascular events at labor/delivery.
format	article
author	Jenna Kanner Danielle R. Stevens Carrie J. Nobles Matthew C.H. Rohn Sandie Ha Tuija Männistö Marion S. Ouidir Pauline Mendola
author_facet	Jenna Kanner Danielle R. Stevens Carrie J. Nobles Matthew C.H. Rohn Sandie Ha Tuija Männistö Marion S. Ouidir Pauline Mendola
author_sort	Jenna Kanner
title	Risk of cardiovascular events during labor and delivery associated with acute ambient temperature changes
title_short	Risk of cardiovascular events during labor and delivery associated with acute ambient temperature changes
title_full	Risk of cardiovascular events during labor and delivery associated with acute ambient temperature changes
title_fullStr	Risk of cardiovascular events during labor and delivery associated with acute ambient temperature changes
title_full_unstemmed	Risk of cardiovascular events during labor and delivery associated with acute ambient temperature changes
title_sort	risk of cardiovascular events during labor and delivery associated with acute ambient temperature changes
publisher	Elsevier
publishDate	2021
url	https://doaj.org/article/25f8f3c3a5e4463e9218cdfcd5c8d847
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Risk of cardiovascular events during labor and delivery associated with acute ambient temperature changes

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