Review Article

Effects of Meteorological Factors on Hospitalizations in Adult Patients with Asthma: A Systematic Review

Table 4

Studies that examine the effect of meteorological factors on HAs.

Meteorological risk factors
LocationAuthorSample sizeTemperatureRelative humidityThunderstormWind speedRainfallKey measuresResults

Europe
Cardiff and Newport, UKAnderson et al. [14]2000YESYESMin./max. temperature and total daily rainfallAverage daily asthma hospitalization was lower during the summer (4.1, May–September, ). More admissions occurred during thunderstorms (); however, there was no relationship between rainfall and admissions

North America
Los Angeles, USADelamater et al. [16]250, 000YESYESMax. temperature and relative humidityHAs increased during winter (0.481 per 100,000 admissions)
New York, USAFitzgerald et al. [11]237, 639YESYESCold spells lasting three days, where the daily mean temperature was less than the 10th percentile for a given month and regionHAs increased in November (mean = 9.6, 95% CI: 5.5% to 13.9%) and April (mean = 5.0, 95% CI: 1.2% to 9.0%)
Maryland, USASoneja et al., 2016115, 923YESYESDaily max. temperature and total daily precipitationExtreme heat increased HAs by 3% (OR: 1.03, 95% CI: 1.00 to 1.07)

South Asia
Bangalore, IndiaKunikullaya et al., 20171768YESYESYESMax./min./average temp., relative humidity, and total daily rainfallAverage daily asthma admission was 4.84 ± 2.91, had seasonal variation and increased during the cold season ()

Middle East
KuwaitQasem et al. [20]4353YESYESYESYESDaily temperature, relative humidity, and total daily rainfallHospitalization increased during December due to high temperatures (mean = 39.7, )

East Asia
Shanghai, ChinaZhang et al. [9]15, 678YESYESYESYESMin./max. and mean temperature, relative humidity, and total daily rainfallRR: 1.20 (95% CI: 1.01 to 1.41) for lower temperatures
Hong KongLam et al. [19]56, 112YESYESYESDaily mean temperature and mean relative humidityCumulative risk of hospitalizations during the hot season was 1.19 (95% CI: 1.06 to 1.34)