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. 2023 May 24;131(5):057009. doi: 10.1289/EHP11363

Table 10.

ORs and 95% CIs for ED visits on heat wave days vs. non–heat wave days in Anchorage, Fairbanks, and the Matanuska-Susitna Valley, Alaska, 2015–2019.

Reason for ED visit Number of cases 21.1°C (70°F) HI threshold 22.2°C (72°F) HI threshold 23.3°C (74°F) HI threshold 24.4°C (76°F) HI threshold 25.6°C (78°F) HI threshold 26.7°C (80°F) HI threshold 27.8°C (82°F) HI threshold 28.9°C (84°F) HI threshold 30°C (86°F) HI threshold
Heat illness 35 15.26 (4.58, 50.80)a 10.10 (4.05, 25.24)a 10.92 (4.67, 25.54)a 21.02 (8.22, 53.75)a 21.49 (8.26, 55.92)a 27.71 (9.65, 79.59)a 12.35 (3.95, 38.66)a 11.95 (1.68, 84.81)a
Asthma 2,911 1.03 (0.95, 1.13) 1.03 (0.94, 1.13) 1.04 (0.94, 1.16) 1.03 (0.91, 1.17) 1.05 (0.90, 1.23) 1.04 (0.85, 1.26) 1.20 (0.89, 1.62) 0.71 (0.33, 1.55)
COPD 2,158 0.97 (0.88, 1.08) 0.97 (0.86, 1.08) 0.96 (0.84, 1.09) 0.96 (0.82, 1.12) 0.82 (0.66, 1.01) 0.68 (0.51, 0.91)a 0.60 (0.37, 0.97)a 1.23 (0.48, 3.13)
Pneumonia 2,081 0.91 (0.82, 1.01) 0.89 (0.79, 1.00) 0.91 (0.80, 1.04) 0.97 (0.83, 1.14) 1.20 (0.98, 1.45) 1.20 (0.93, 1.54) 1.37 (0.95, 1.98) 1.11 (0.39, 3.10)
Bronchitis 1,972 0.81 (0.72, 0.90)a 0.82 (0.72, 0.92)a 0.79 (0.68, 0.91)a 0.74 (0.62, 0.88)a 0.73 (0.58, 0.93)a 0.74 (0.56, 0.99)a 0.60 (0.36, 0.99)a 1.35 (0.61, 2.99)
Arrhythmia 1,617 1.01 (0.90, 1.13) 1.00 (0.88, 1.14) 0.98 (0.84, 1.13) 0.91 (0.76, 1.09) 0.93 (0.73, 1.17) 0.71 (0.51, 0.99)a 0.75 (0.45, 1.27) 1.11 (0.39, 3.12)
Cerebrovascular 434 1.01 (0.80, 1.27) 1.04 (0.80, 1.33) 1.08 (0.81, 1.44) 1.17 (0.84, 1.63) 1.41 (0.95, 2.09) 1.13 (0.66, 1.93) 1.22 (0.54, 2.74) 0.80 (0.10, 6.21)b
Ischemia 200 1.31 (0.94, 1.83) 1.48 (1.04, 2.10)a 1.69 (1.16, 2.48)a 1.73 (1.11, 2.71)a 1.51 (0.82, 2.77) 1.76 (0.77, 4.00) 1.98 (0.64, 6.14)
Myocardial infarction 81 2.18 (1.32, 3.60)a 2.11 (1.22, 3.66)a 2.24 (1.22, 4.11)a 2.85 (1.45, 5.60)a 1.66 (0.52, 5.27) 1.43 (0.26, 7.74) 1.09 (0.10, 11.59)b
Heart failure 441 0.79 (0.63, 1.00)a 0.77 (0.59, 1.00) 0.81 (0.60, 1.09) 0.87 (0.61, 1.24) 0.81 (0.51, 1.30) 0.74 (0.41, 1.34) 0.94 (0.38, 2.35) 1.87 (0.39, 8.90)

Note: For the acute heat wave analysis, the results of which are reported in this table, a heat wave day was defined as a day on which the observed HI was above the indicated threshold as was the HI on the previous day. Days with a HI below the threshold and/or those that were preceded by a daily HI below the threshold were considered non–heat wave days. Conditional logistic regression models adjusted for daily PM2.5 concentration were used to estimate ORs. —, no data; CI, confidence interval; COPD, chronic obstructive pulmonary disease; ED, emergency department; HI, heat index; OR, odds ratio.

a

95% CI does not include the null.

b

Only one ED visit related to the indicated health outcome occurred on an exposed day (i.e., an acute heat wave day as defined above) during the study period.