Evidence map›Paper›PMID 35710419›Full record

SynthesisEnvironmental health : a global access science source2022

Acute association between heatwaves and stillbirth in six US states.

Megan Richards, Mengjiao Huang, Matthew J Strickland, Andrew J Newman, Joshua L Warren, Rohan D'Souza, Howard H Chang, Lyndsey A Darrow

Open access · goldAbstract readMeta-Analysis
In one paragraph

Synthesis in Environmental health : a global access science source, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 pooled it
2.3field-weighted citation impact, top 13% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

12 citing papers in PubMed, 1 synthesis or guideline pooled it, 24 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Temperature and sex ratios at birth.Proceedings of the National Academy of Sciences of the United States of America · 2026
    Article
  5. Article
  6. Article
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  11. Synergic effects of PMJournal of exposure science & environmental epidemiology · 2023
    Article
  12. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 4 institutions in 1 country.

Megan RichardsSchool of Public Health, University of Nevada, 1664 N Virginia St, m/s 0275, NV, 89557, Reno, USA. meganrichards@unr.edu.ORCID 0000-0003-0737-389X
Mengjiao HuangSchool of Public Health, University of Nevada, 1664 N Virginia St, m/s 0275, NV, 89557, Reno, USA.
Matthew J StricklandSchool of Public Health, University of Nevada, 1664 N Virginia St, m/s 0275, NV, 89557, Reno, USA.
Andrew J NewmanNational Center for Atmospheric Research, Boulder, CO, USA.
Joshua L WarrenDepartment of Biostatistics, Yale University, New Haven, CT, USA.
Rohan D'SouzaRollins School of Public Health, Emory University, Atlanta, GA, USA.
Howard H ChangRollins School of Public Health, Emory University, Atlanta, GA, USA.
Lyndsey A DarrowSchool of Public Health, University of Nevada, 1664 N Virginia St, m/s 0275, NV, 89557, Reno, USA.
University of Nevada, Reno · USEmory University · USNSF National Center for Atmospheric Research · USYale University · US

Funding

Extreme heat events and pregnancy duration: a national studyR01ES028346 · NIEHS · EMORY UNIVERSITY · PI CHANG, HOWARD H, DARROW, LYNDSEY · 2018 to 2024
$2.7M
NIEHS NIH HHS R01 ES028346
6 · The paper itself

Abstract

backgroundHeatwaves are becoming more frequent and may acutely increase the risk of stillbirth, a rare and severe pregnancy outcome.

objectivesExamine the association between multiple heatwave metrics and stillbirth in six U.S. states.

methodsData were collected from fetal death and birth records in California (1996-2017), Florida (1991-2017), Georgia (1994-2017), Kansas (1991-2017), New Jersey (1991-2015), and Oregon (1991-2017). Cases were matched to controls 1:4 based on maternal race/ethnicity, maternal education, and county, and exposure windows were aligned (gestational week prior to stillbirth). County-level temperature data were obtained from Daymet and linked to cases and controls by residential county and the exposure window. Five heatwave metrics (1 categorical, 3 dichotomous, 1 continuous) were created using different combinations of the duration and intensity of hot days (mean daily temperature exceeding the county-specific 97.5

resultsIn our data set of 140,428 stillbirths (553,928 live birth controls), three of the five heatwave metrics examined were not associated with stillbirth. However, four consecutive hot days during the previous week was associated with a 3% increase in stillbirth risk (CI: 1.01, 1.06), and a 1 °C average increase over the threshold was associated with a 10% increase in stillbirth risk (CI: 1.04, 1.17). In continuous temperature analyses, there was a slight increased risk of stillbirth associated with extremely hot temperatures (≥ 35 °C). DISCUSSION: Most heat wave definitions examined were not associated with acute changes in stillbirth risk; however, the most extreme heatwave durations and temperatures were associated with a modest increase in stillbirth risk.

Indexed as

Hot TemperatureStillbirthFemaleHumansOdds RatioPregnancyRisk FactorsTemperatureAmbient temperatureFetal deathHeatwavesStillbirth

Identifiers

PMID35710419
PMCPMC9202158
OpenAlexW4282974821

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.