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@ARTICLE{ConteKeivabu:277800,
      author       = {Conte Keivabu, Risto and Zagheni, Emilio and Fink, Anne},
      title        = {{D}ementia and {R}isks of {T}emperature-{R}elated
                      {M}ortality and {H}ospitalizations in {G}ermany.},
      journal      = {The journals of gerontology / Series A},
      volume       = {80},
      number       = {4},
      issn         = {1079-5006},
      address      = {Oxford [u.a.]},
      publisher    = {Oxford Univ. Pr.},
      reportid     = {DZNE-2025-00478},
      pages        = {glae292},
      year         = {2025},
      abstract     = {Extreme temperatures are associated with negative health
                      outcomes, in particular for older adults with pre-existing
                      conditions. While climate change is expected to increase
                      exposure to temperature levels that are detrimental to
                      health, little is known about how dementia shapes
                      vulnerability to extreme temperatures.We leveraged repeated
                      quarterly individual-level health claims from 2004 to 2019
                      on 250 000 individuals in Germany aged 50 years and above
                      with information on key neurodegenerative diseases such as
                      dementia. We linked data on the location of residence of
                      these individuals with high-resolution gridded
                      meteorological data. In our empirical analysis, we applied
                      an individual-level fixed effects model to estimate how
                      temperature affects the single patient's probability of
                      hospitalization and death, adjusted for seasonality and
                      comorbidities.Our findings reveal that heat and cold
                      exposure increases the risk of death. Conversely, the
                      association between extreme temperatures and hospital
                      admissions is more nuanced showing an increase only with
                      cold exposure. Stratifying the analysis by individuals
                      affected by dementia, we observe heat to increase mortality
                      only for individuals with dementia and cold to determine an
                      8 times larger impact on them and a larger increase in
                      hospitalization. Also, we observe individuals aged above 80
                      and with dementia to be the most at risk of death with
                      exposure to cold and in particular heat.Our study
                      contributes to the growing body of evidence on the health
                      impacts of climate change and emphasizes the need for
                      targeted strategies to protect vulnerable groups,
                      particularly patients with dementia, from adverse
                      temperature effects.},
      keywords     = {Humans / Germany: epidemiology / Aged / Male / Female /
                      Dementia: mortality / Dementia: epidemiology /
                      Hospitalization: statistics $\&$ numerical data / Aged, 80
                      and over / Middle Aged / Risk Factors / Climate Change / Hot
                      Temperature: adverse effects / Cold Temperature: adverse
                      effects / Dementia (Other) / Germany (Other) /
                      Hospitalization (Other) / Mortality (Other) / Temperature
                      (Other)},
      cin          = {AG Doblhammer},
      ddc          = {570},
      cid          = {I:(DE-2719)1012002},
      pnm          = {354 - Disease Prevention and Healthy Aging (POF4-354)},
      pid          = {G:(DE-HGF)POF4-354},
      typ          = {PUB:(DE-HGF)16},
      pubmed       = {pmid:39660614},
      pmc          = {pmc:PMC11949426},
      doi          = {10.1093/gerona/glae292},
      url          = {https://pub.dzne.de/record/277800},
}