{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,30]],"date-time":"2025-07-30T16:28:49Z","timestamp":1753892929796,"version":"3.41.2"},"reference-count":42,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2023,6,29]],"date-time":"2023-06-29T00:00:00Z","timestamp":1687996800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Public Health"],"abstract":"<jats:sec><jats:title>Background<\/jats:title><jats:p>Extreme precipitation events are becoming more frequent due to climate change. The present study aimed to explore the impacts of extreme precipitation on hospitalizations for acute aortic dissection (AAD) and to identify susceptible populations and quantify the corresponding disease burden.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>The present study used a distributed lag nonlinear model (DLNM) with a quasi-Poisson function to investigate the association between extreme precipitation (\u226595th percentile) and the risk of hospitalizations for AAD from 2015 to 2020 in Shantou, Guangdong Province, China.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The significant adverse effects of extreme precipitation (relative to no precipitation) on daily AAD hospitalizations lasted from lag 5 [relative risk (RR): 1.0318, 95% confidence interval (CI): 1.0067\u20131.0575] to lag 9 (RR: 1.0297, 95% CI: 1.0045\u20131.0555) and reached its maximum at lag 7 (RR: 1.0382, 95% CI: 1.0105\u20131.0665). Males and older adult individuals (\u226560\u2009years) were more susceptible to extreme precipitation. A total of 3.68% (118 cases) of AAD hospitalizations were due to extreme precipitation.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Extreme precipitation was significantly correlated with AAD hospitalizations. Government departments should actively implement extreme precipitation intervention measures to strengthen the protection of males and the older adult (\u226560\u2009years) and effectively reduce AAD hospitalizations.<\/jats:p><\/jats:sec>","DOI":"10.3389\/fpubh.2023.1216847","type":"journal-article","created":{"date-parts":[[2023,6,30]],"date-time":"2023-06-30T04:51:46Z","timestamp":1688100706000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":1,"title":["Risk assessment and disease burden of extreme precipitation on hospitalizations for acute aortic dissection in a subtropical coastal Chinese city"],"prefix":"10.3389","volume":"11","author":[{"given":"Yanhu","family":"Ji","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jianping","family":"Xiong","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Zhongjia","family":"Yuan","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Zepeng","family":"Huang","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Liping","family":"Li","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1965","published-online":{"date-parts":[[2023,6,29]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","first-page":"773","DOI":"10.1016\/S0140-6736(22)01970-5","article-title":"Acute aortic dissection","volume":"401","author":"Carrel","year":"2023","journal-title":"Lancet"},{"key":"ref2","doi-asserted-by":"publisher","first-page":"e2021346","DOI":"10.4322\/acr.2021.346","article-title":"Type a aortic dissection","volume":"12","author":"Gaggero","year":"2021","journal-title":"Autops Case Rep"},{"key":"ref3","doi-asserted-by":"publisher","first-page":"885","DOI":"10.1136\/heartjnl-2019-316322","article-title":"The risk of misdiagnosis in acute thoracic aortic dissection: a review of current guidelines","volume":"106","author":"Salmasi","year":"2020","journal-title":"Heart"},{"key":"ref4","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1080\/14017431.2019.1660401","article-title":"Acute type an aortic dissection - a review","volume":"54","author":"Gudbjartsson","year":"2020","journal-title":"Scand Cardiovasc J"},{"key":"ref5","doi-asserted-by":"publisher","first-page":"w14489","DOI":"10.4414\/smw.2017.14489","article-title":"Acute aortic dissection: pathogenesis, risk factors and diagnosis","volume":"147","author":"Gawinecka","year":"2017","journal-title":"Swiss Med Wkly"},{"key":"ref6","doi-asserted-by":"publisher","first-page":"125357","DOI":"10.1016\/j.chemosphere.2019.125357","article-title":"Association between fine particulate matter air pollution and acute aortic dissections: a time-series study in Shanghai","volume":"243","author":"Chen","year":"2020","journal-title":"China Chemos"},{"key":"ref7","doi-asserted-by":"publisher","first-page":"65691","DOI":"10.1177\/00469580211065691","article-title":"Examining the relationships between air pollutants and the incidence of acute aortic dissection with electronic medical data in a moderately polluted area of Northwest China","volume":"58","author":"Wang","year":"2021","journal-title":"Inquiry"},{"key":"ref8","doi-asserted-by":"publisher","first-page":"100562","DOI":"10.1016\/j.lanwpc.2022.100562","article-title":"Low temperature and temperature decline increase acute aortic dissection risk and burden: a nationwide case crossover analysis at hourly level among 40,270 patients","volume":"28","author":"Zhang","year":"2022","journal-title":"Lancet Reg Health West Pac"},{"key":"ref9","doi-asserted-by":"publisher","first-page":"1607","DOI":"10.1007\/s00484-018-1560-0","article-title":"The effect of meteorological conditions and air pollution on the occurrence of type a and B acute aortic dissections","volume":"62","author":"Xie","year":"2018","journal-title":"Int J Biometeorol"},{"key":"ref10","doi-asserted-by":"publisher","first-page":"193","DOI":"10.1007\/s12471-012-0258-x","article-title":"Impact of temperature and atmospheric pressure on the incidence of major acute cardiovascular events","volume":"20","author":"Verberkmoes","year":"2012","journal-title":"Neth Heart J"},{"key":"ref11","doi-asserted-by":"publisher","first-page":"2241","DOI":"10.1177\/2047487319883726","article-title":"ALICE (all-literature investigation of cardiovascular evidence) group. 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