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March 22, 2026JAMA Network Open0 citationsOpen Access

Extreme Urban Heat and Emergency Department Visits in Older Adults

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ESEvan SiauGSGenevieve S. SilvaJLJerry Lu

Key Points

  • To examine the association between extreme urban heat and emergency department visits in older adults.
  • Case-control study design
  • Population aged 65 years and older
  • Focus on a lower-income population from minoritized groups
  • Evaluation of heat exposure thresholds based on NYC heat advisories
  • Positive associations between heat exposure and emergency department visits observed
  • Thresholds not adequately captured by existing heat advisories
  • Emphasized need for targeted health care system-based heat warning strategies

Abstract

In this case-control study of the association between heat exposure and ED use in adults aged 65 years and older, positive associations were only observed at ED-1, which served a predominantly lower-income population from minoritized racial and ethnic groups. These association thresholds were not fully captured by NYC heat advisories, which were triggered by 2 days above HImax 95 °F or any time above 100 °F, highlighting an opportunity for future research to develop targeted, risk-informed health care system-based heat warning strategies.

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Cite This Study

Siau et al. (2026) studied this question.

synapsesocial.com/papers/69bf393dc7b3c90b18b43ae8https://doi.org/10.1001/jamanetworkopen.2026.2645
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