The Impact of Power Outages on Cardiovascular Hospitalizations Among Medicare Fee-for-service Enrollees in New York State, 2017-2018
Power outages are common. They can result in exposure to extreme temperatures by shutting off temperature-controlling devices, and thereby also cause stress. Consequently, outages may precipitate cardiovascular disease (CVD)-related hospitalizations. We assessed this relationship among older adults....
Uloženo v:
| Vydáno v: | Epidemiology (Cambridge, Mass.) Ročník 36; číslo 4; s. 458 |
|---|---|
| Hlavní autoři: | , , , , |
| Médium: | Journal Article |
| Jazyk: | angličtina |
| Vydáno: |
United States
01.07.2025
|
| Témata: | |
| ISSN: | 1531-5487, 1531-5487 |
| On-line přístup: | Zjistit podrobnosti o přístupu |
| Tagy: |
Přidat tag
Žádné tagy, Buďte první, kdo vytvoří štítek k tomuto záznamu!
|
| Abstract | Power outages are common. They can result in exposure to extreme temperatures by shutting off temperature-controlling devices, and thereby also cause stress. Consequently, outages may precipitate cardiovascular disease (CVD)-related hospitalizations. We assessed this relationship among older adults.
We leveraged 2017-2018 data from 245,452 New York State Medicare Fee-for-Service beneficiaries (65+ years) with 390,530 CVD hospitalizations. Using NY Department of Public Services data, we calculated total hours without power 1 day, 1-2 days, and 1-3 days before case and control periods, with an outage ZIP Code Tabulation Area (ZCTA)-hour defined based on ≥10% of customers in a ZCTA-hour without power in primary analyses. We used a case-crossover study design and ran conditional logistic regression to assess associations separately within each urbanicity level: New York City (NYC), non-NYC urban, and rural areas. We additionally stratified models by warm versus cool season, individual-level age and sex, and ZCTA-level socioeconomic factors. Secondarily, we considered emergency (n = 298,910) and nonemergency hospitalizations separately.
We generally observed null associations between power outages and all CVD hospitalizations across New York State and within subgroups. For example, in NYC, we observed a rate ratio of 1.05 (95% confidence interval: 0.85, 1.30) for each additional power outage hour 1 day prior.
The case-crossover design we used eliminated time-fixed confounding, but there were a limited number of exposed cases, limiting statistical power. Future studies should investigate co-occurring severe weather, span additional years, and evaluate other and broader geographic areas. |
|---|---|
| AbstractList | Power outages are common. They can result in exposure to extreme temperatures by shutting off temperature-controlling devices, and thereby also cause stress. Consequently, outages may precipitate cardiovascular disease (CVD)-related hospitalizations. We assessed this relationship among older adults.BACKGROUNDPower outages are common. They can result in exposure to extreme temperatures by shutting off temperature-controlling devices, and thereby also cause stress. Consequently, outages may precipitate cardiovascular disease (CVD)-related hospitalizations. We assessed this relationship among older adults.We leveraged 2017-2018 data from 245,452 New York State Medicare Fee-for-Service beneficiaries (65+ years) with 390,530 CVD hospitalizations. Using NY Department of Public Services data, we calculated total hours without power 1 day, 1-2 days, and 1-3 days before case and control periods, with an outage ZIP Code Tabulation Area (ZCTA)-hour defined based on ≥10% percent of customers in a ZCTA-hour without power in primary analyses. We used a case-crossover study design and ran conditional logistic regression to assess associations separately within each urbanicity level: New York City (NYC), non-NYC urban, and rural areas. We additionally stratified models by warm versus cool season, individual-level age and sex, and ZCTA-level socioeconomic factors. Secondarily, we considered emergency (n = 298,910) and non-emergency hospitalizations separately.METHODSWe leveraged 2017-2018 data from 245,452 New York State Medicare Fee-for-Service beneficiaries (65+ years) with 390,530 CVD hospitalizations. Using NY Department of Public Services data, we calculated total hours without power 1 day, 1-2 days, and 1-3 days before case and control periods, with an outage ZIP Code Tabulation Area (ZCTA)-hour defined based on ≥10% percent of customers in a ZCTA-hour without power in primary analyses. We used a case-crossover study design and ran conditional logistic regression to assess associations separately within each urbanicity level: New York City (NYC), non-NYC urban, and rural areas. We additionally stratified models by warm versus cool season, individual-level age and sex, and ZCTA-level socioeconomic factors. Secondarily, we considered emergency (n = 298,910) and non-emergency hospitalizations separately.We generally observed null associations between power outages and all CVD hospitalizations across New York State and within sub-groups. For example, in NYC, we observed a rate ratio of 1.05 (95% CI: 0.85-1.30) for each additional power outage hour 1 day prior.RESULTSWe generally observed null associations between power outages and all CVD hospitalizations across New York State and within sub-groups. For example, in NYC, we observed a rate ratio of 1.05 (95% CI: 0.85-1.30) for each additional power outage hour 1 day prior.The case-crossover design we used eliminated time-fixed confounding, but there were a limited number of exposed cases, limiting statistical power. Future studies should investigate co-occurring severe weather, span additional years, and evaluate other and broader geographic areas.CONCLUSIONSThe case-crossover design we used eliminated time-fixed confounding, but there were a limited number of exposed cases, limiting statistical power. Future studies should investigate co-occurring severe weather, span additional years, and evaluate other and broader geographic areas. Power outages are common. They can result in exposure to extreme temperatures by shutting off temperature-controlling devices, and thereby also cause stress. Consequently, outages may precipitate cardiovascular disease (CVD)-related hospitalizations. We assessed this relationship among older adults. We leveraged 2017-2018 data from 245,452 New York State Medicare Fee-for-Service beneficiaries (65+ years) with 390,530 CVD hospitalizations. Using NY Department of Public Services data, we calculated total hours without power 1 day, 1-2 days, and 1-3 days before case and control periods, with an outage ZIP Code Tabulation Area (ZCTA)-hour defined based on ≥10% of customers in a ZCTA-hour without power in primary analyses. We used a case-crossover study design and ran conditional logistic regression to assess associations separately within each urbanicity level: New York City (NYC), non-NYC urban, and rural areas. We additionally stratified models by warm versus cool season, individual-level age and sex, and ZCTA-level socioeconomic factors. Secondarily, we considered emergency (n = 298,910) and nonemergency hospitalizations separately. We generally observed null associations between power outages and all CVD hospitalizations across New York State and within subgroups. For example, in NYC, we observed a rate ratio of 1.05 (95% confidence interval: 0.85, 1.30) for each additional power outage hour 1 day prior. The case-crossover design we used eliminated time-fixed confounding, but there were a limited number of exposed cases, limiting statistical power. Future studies should investigate co-occurring severe weather, span additional years, and evaluate other and broader geographic areas. |
| Author | Do, Vivian McBrien, Heather Kathleen Kioumourtzoglou, Marianthi-Anna Edmondson, Donald Casey, Joan Allison |
| Author_xml | – sequence: 1 givenname: Vivian orcidid: 0000-0001-6127-4361 surname: Do fullname: Do, Vivian organization: From the Department of Environmental Health Sciences, Columbia Mailman School of Public Health, New York, NY – sequence: 2 givenname: Heather Kathleen surname: McBrien fullname: McBrien, Heather Kathleen organization: From the Department of Environmental Health Sciences, Columbia Mailman School of Public Health, New York, NY – sequence: 3 givenname: Donald surname: Edmondson fullname: Edmondson, Donald organization: Department of Medicine, Columbia Mailman School of Public Health, New York, NY – sequence: 4 givenname: Marianthi-Anna surname: Kioumourtzoglou fullname: Kioumourtzoglou, Marianthi-Anna organization: From the Department of Environmental Health Sciences, Columbia Mailman School of Public Health, New York, NY – sequence: 5 givenname: Joan Allison surname: Casey fullname: Casey, Joan Allison organization: Department of Environmental and Occupational Health Sciences, University of Washington School of Public Health, Seattle, WA |
| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/40125837$$D View this record in MEDLINE/PubMed |
| BookMark | eNpNkEtPwzAQhC1URB_wDxDykQMpthPncaxKSisVikQ5cIo2yaYYkrjYSSs488OJRJE6h505fBqNdkh6ta6RkEvOxpxFwW18F4_ZkXgo3RMy4NLljvTCoHeU-2Ro7XvHBC6XZ6TvMS5k6AYD8rN-Q7qotpA1VBf0Se_R0FXbwAYt1TWdgsmV3oHN2hIMnWu7VQ2U6hsapWtLJ5WuN_QBc5WBQTpDdAptHItmpzKkcW10WWLXpWr6iHv6qs0HfW6gwRsquj1Od8JzclpAafHi4CPyMovX07mzXN0vppOlk7ndWqeI0i54ICXLJOeiAJ5K4QVQuBDkeZp7fgpCBjlDKXwPIoZZ4Xu5hyyK_BDFiFz_9W6N_mzRNkmlbIZlCTXq1iYuD5kfiYi7HXp1QNu0wjzZGlWB-Ur-Pyd-ASpHcec |
| CitedBy_id | crossref_primary_10_1097_EE9_0000000000000403 |
| ContentType | Journal Article |
| Copyright | Copyright © 2025 Wolters Kluwer Health, Inc. All rights reserved. |
| Copyright_xml | – notice: Copyright © 2025 Wolters Kluwer Health, Inc. All rights reserved. |
| DBID | CGR CUY CVF ECM EIF NPM 7X8 |
| DOI | 10.1097/EDE.0000000000001853 |
| DatabaseName | Medline MEDLINE MEDLINE (Ovid) MEDLINE MEDLINE PubMed MEDLINE - Academic |
| DatabaseTitle | MEDLINE Medline Complete MEDLINE with Full Text PubMed MEDLINE (Ovid) MEDLINE - Academic |
| DatabaseTitleList | MEDLINE - Academic MEDLINE |
| Database_xml | – sequence: 1 dbid: NPM name: PubMed url: http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed sourceTypes: Index Database – sequence: 2 dbid: 7X8 name: MEDLINE - Academic url: https://search.proquest.com/medline sourceTypes: Aggregation Database |
| DeliveryMethod | no_fulltext_linktorsrc |
| Discipline | Public Health |
| EISSN | 1531-5487 |
| ExternalDocumentID | 40125837 |
| Genre | Journal Article |
| GeographicLocations | New York United States |
| GeographicLocations_xml | – name: New York – name: United States |
| GrantInformation_xml | – fundername: NHLBI NIH HHS grantid: F31 HL172608 |
| GroupedDBID | --- .-D .Z2 01R 0R~ 1J1 40H 4Q1 4Q2 4Q3 5GY 5VS 71W 77Y 7O~ 8L- AAAAV AAAXR AACGO AAFWJ AAGIX AAHPQ AAIKC AAIQE AAMNW AAMOA AAMTA AANCE AAQKA AARTV AASCR AASOK AAXQO AAYEP ABASU ABBUW ABDIG ABJNI ABPLY ABPXF ABTLG ABVCZ ABXVJ ABZAD ABZZY ACDDN ACEWG ACGFO ACGFS ACHQT ACILI ACLDA ACWDW ACWRI ACXJB ACXNZ ACZKN ADGGA ADHPY AE6 AENEX AFBFQ AFDTB AFUWQ AGINI AHOMT AHQNM AHVBC AIJEX AINUH AJCLO AJIOK AJNWD AJZMW AKCTQ AKULP ALKUP ALMA_UNASSIGNED_HOLDINGS ALMTX AMJPA AMKUR AMNEI AOHHW AOQMC BOYCO BQLVK C45 CGR CS3 CUY CVF DIWNM DU5 E.X EBS ECM EEVPB EIF ERAAH EX3 F2M F2N F5P FCALG FL- GNXGY GQDEL H0~ HLJTE HZ~ IKREB IKYAY IN~ IPNFZ JK3 JK8 JLS JSG K8S KD2 L-C N9A NPM N~7 N~B O9- OAG OAH OLG OLH OLU OLY OPUJH OVD OVDNE OVIDH OVLEI OWV OWW OWY OWZ OXXIT P2P RIG RLZ S4R S4S TEORI TSPGW V2I VVN W3M WOQ WOW X3V X3W XYM YOC ZFV 7X8 ADKSD ADSXY |
| ID | FETCH-LOGICAL-c3583-f9bc354a550c5112fa1b5247af3a7ddbd46ba257d0e5264a90ecf64d4e09968e2 |
| IEDL.DBID | 7X8 |
| ISICitedReferencesCount | 1 |
| ISICitedReferencesURI | http://www.webofscience.com/api/gateway?GWVersion=2&SrcApp=Summon&SrcAuth=ProQuest&DestLinkType=CitingArticles&DestApp=WOS_CPL&KeyUT=001499347600001&url=https%3A%2F%2Fcvtisr.summon.serialssolutions.com%2F%23%21%2Fsearch%3Fho%3Df%26include.ft.matches%3Dt%26l%3Dnull%26q%3D |
| ISSN | 1531-5487 |
| IngestDate | Sun Sep 28 01:51:01 EDT 2025 Thu Jul 31 01:54:00 EDT 2025 |
| IsPeerReviewed | true |
| IsScholarly | true |
| Issue | 4 |
| Keywords | Power outage Electricity Medicare Cardiovascular diseases Hospitalizations |
| Language | English |
| License | Copyright © 2025 Wolters Kluwer Health, Inc. All rights reserved. |
| LinkModel | DirectLink |
| MergedId | FETCHMERGED-LOGICAL-c3583-f9bc354a550c5112fa1b5247af3a7ddbd46ba257d0e5264a90ecf64d4e09968e2 |
| Notes | ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23 |
| ORCID | 0000-0001-6127-4361 |
| PMID | 40125837 |
| PQID | 3180692913 |
| PQPubID | 23479 |
| ParticipantIDs | proquest_miscellaneous_3180692913 pubmed_primary_40125837 |
| PublicationCentury | 2000 |
| PublicationDate | 2025-July |
| PublicationDateYYYYMMDD | 2025-07-01 |
| PublicationDate_xml | – month: 07 year: 2025 text: 2025-July |
| PublicationDecade | 2020 |
| PublicationPlace | United States |
| PublicationPlace_xml | – name: United States |
| PublicationTitle | Epidemiology (Cambridge, Mass.) |
| PublicationTitleAlternate | Epidemiology |
| PublicationYear | 2025 |
| SSID | ssj0017315 |
| Score | 2.4764566 |
| Snippet | Power outages are common. They can result in exposure to extreme temperatures by shutting off temperature-controlling devices, and thereby also cause stress.... |
| SourceID | proquest pubmed |
| SourceType | Aggregation Database Index Database |
| StartPage | 458 |
| SubjectTerms | Aged Aged, 80 and over Cardiovascular Diseases - epidemiology Cross-Over Studies Fee-for-Service Plans - statistics & numerical data Female Hospitalization - statistics & numerical data Humans Male Medicare - statistics & numerical data New York - epidemiology United States |
| Title | The Impact of Power Outages on Cardiovascular Hospitalizations Among Medicare Fee-for-service Enrollees in New York State, 2017-2018 |
| URI | https://www.ncbi.nlm.nih.gov/pubmed/40125837 https://www.proquest.com/docview/3180692913 |
| Volume | 36 |
| WOSCitedRecordID | wos001499347600001&url=https%3A%2F%2Fcvtisr.summon.serialssolutions.com%2F%23%21%2Fsearch%3Fho%3Df%26include.ft.matches%3Dt%26l%3Dnull%26q%3D |
| hasFullText | |
| inHoldings | 1 |
| isFullTextHit | |
| isPrint | |
| link | http://cvtisr.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwpV3NS8MwFA_qPAji98f84gkeDeuStmlPIrrhQccOCruVNE1wl3aum3-Bf7gvTcrwIAj2EHpoS0hf3vvlff0IuWERj2MZaBqYIqIhbiCKqEhRnhrEv7lJQtW0zH8Wo1EymaRj73CrfVplqxMbRV1UyvrIeyh7QYy2vM_vZh_UskbZ6Kqn0FgnHY5Qxkq1mKyiCMIxGOCm7lOLzNvSuVT0Bo8D17rQX9Zs_Q4yG2Mz3P3vNPfIjoeZcO_kYp-s6fKAbDsfHbjSo0PyhTICrkwSKgMzS5gG1XKBKqaGqgT1I1cV3j3FSFu5CQ1REbhQz1zDUGuKEJh69QMomdYrgd-aloDKFGx7KGjQ7S0wa7dwSI7I23Dw-vBEPSsDVTxKODVpjjehxKONsmjNyH4esVBIw6UoirwI41yiIigCHSHakmmglYnDItQIRuNEs2OyUValPiWQJEWEiBOflBZI5DISQc64MSKJWCpVl1y3i5yh1NtQhix1tayz1TJ3yYn7U9nMtefI8MTIcKLi7A9vn5MtZgl9m_zbC9IxuOf1JdlUn4tpPb9qxAnH0fjlG6gV038 |
| linkProvider | ProQuest |
| openUrl | ctx_ver=Z39.88-2004&ctx_enc=info%3Aofi%2Fenc%3AUTF-8&rfr_id=info%3Asid%2Fsummon.serialssolutions.com&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal&rft.genre=article&rft.atitle=The+Impact+of+Power+Outages+on+Cardiovascular+Hospitalizations+Among+Medicare+Fee-for-service+Enrollees+in+New+York+State%2C+2017-2018&rft.jtitle=Epidemiology+%28Cambridge%2C+Mass.%29&rft.au=Do%2C+Vivian&rft.au=McBrien%2C+Heather+Kathleen&rft.au=Edmondson%2C+Donald&rft.au=Kioumourtzoglou%2C+Marianthi-Anna&rft.date=2025-07-01&rft.eissn=1531-5487&rft.volume=36&rft.issue=4&rft.spage=458&rft_id=info:doi/10.1097%2FEDE.0000000000001853&rft_id=info%3Apmid%2F40125837&rft_id=info%3Apmid%2F40125837&rft.externalDocID=40125837 |
| thumbnail_l | http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/lc.gif&issn=1531-5487&client=summon |
| thumbnail_m | http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/mc.gif&issn=1531-5487&client=summon |
| thumbnail_s | http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/sc.gif&issn=1531-5487&client=summon |