ArticleChest2026
The Economic Consequence of Increased Health Care Resource Utilization in Maryland Associated With a Major Wildfire Smoke Event.
Article in Chest, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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.
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.
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
11 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundTranscontinental wildfire smoke migration originating from remote areas resulted in consecutive days of high concentrations of particulate matter with aerodynamic diameter < 2.5 μm (PM RESEARCH QUESTION: What are the economic and cardiopulmonary effects of migrating wildfire smoke exposure during June 2023 in Maryland? STUDY DESIGN AND
methodsUsing electronic health record data from the University of Maryland Medical System, we identified cardiopulmonary clinical encounters. We developed 2 regression models (combining a logistic regression and a generalized linear model with a gamma distribution and log link) and a nonparametric bootstrapping to estimate the incremental cost of cardiopulmonary encounters during 6 days defined by unhealthy PM
resultsThe final sample included 5,273 cardiopulmonary encounters. The total cost accrued by increased cardiopulmonary encounters during the 6 hotspot day exposure compared with control days was $2,435,513 (95% uncertainty interval [UI], $62,452-$5,266,838). Under the expected scenario (2 wildfires in 10 years), the projected incremental cost of wildfire smoke-related cardiopulmonary encounters was $6,379,406 (95% UI, $122,412-$13,837,150). However, modeling the use of respirators with 50%, 75%, and 95% effectiveness by high-risk individuals was associated with an expected net cost saving of $758,274, $1,162,649, and $1,486,150, respectively.
interpretationOur results shows that a major medical system in Maryland experienced substantial health care economic burden over 6 days that was characterized by increased wildfire smoke. Because Maryland uses a fixed global budget system, our findings have implications for preventive strategies that mitigate economic burden incurred in the context of wildfire smoke events.
Indexed as
Identifiers
What Socratic holds
Registered trials
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.