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Association between climatic variables and cardiovascular hospitalizations in Brazil: An ecological study

Bruna Dóris, Gabriel Savogin Andraus, Rajesh da Silva Seunaraine, Débora Nabor de Cássia Silva and 4 more

PLOS Global Public Health | Jul 29, 2026

Abstract

Abstract

Background: Cardiovascular disease is the leading cause of death worldwide, and external factors such as ambient temperature can predispose to cardiovascular events. Brazil, a country with continental dimensions and diverse climates, lacks a recent study of all Brazilian states comparing cardiovascular hospitalization incidence with climatic data. This data is of paramount importance as it has the potential to promote cardiovascular prevention measures and optimize public spending. The objective of this study was to describe the incidence of cardiovascular events according to the ICD-10 classification, including acute myocardial infarction, stroke, and heart failure, and relate the incidence of these diseases to climatic data.Methods: Data were obtained from the Department of Informatics of the Unified Health System (DATASUS) and the National Meteorology Institute (INMET) from 2010 to 2024.Findings: We recorded a total of 2,917,900 hospitalizations for cardiovascular diseases in Brazil in the 103 cities where complete climatic data were available. All state capitals were included in the study. The incidence per 100,000 inhabitants ranged from 0.007 in the state of Maranhão to 0.023 in the state of Rio Grande do Sul.Interpretation: In Brazil, we observed a lower relative risk of hospitalization for cardiovascular reasons when the ambient temperature was higher, with the temperature range up to 19 °C having the highest risk. There was no difference between temperate and tropical climate regions. This study highlights the importance of public measures for cardiovascular event prevention during periods of lower temperature throughout the year.

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Authors

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Bruna Dóris

first | Pontifícia Universidade Católica do Paraná

Gabriel Savogin Andraus

middle | Pontifícia Universidade Católica do Paraná | ORCID 0000-0003-4752-5472

Rajesh da Silva Seunaraine

middle | Universidade Federal do Paraná

Débora Nabor de Cássia Silva

middle | Universidade Federal do Paraná | ORCID 0009-0001-7855-034X

Natália da Silva Teixeira

middle | Universidade Federal do Paraná

Bruno Siegel Guerra

middle | Instituto de Tecnologia do Paraná | ORCID 0000-0002-7843-8745

Thyago Proença de Moraes

middle | Pontifícia Universidade Católica do Paraná

Gustavo Lenci Marques

last | Pontifícia Universidade Católica do Paraná | ORCID 0000-0002-6057-0350

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Citation

BibTeX

@article{Dris2026Association,
  title = {Association between climatic variables and cardiovascular hospitalizations in Brazil: An ecological study},
  author = {Bruna Dóris and Gabriel Savogin Andraus and Rajesh da Silva Seunaraine and Débora Nabor de Cássia Silva and Natália da Silva Teixeira and Bruno Siegel Guerra and Thyago Proença de Moraes and Gustavo Lenci Marques},
  journal = {PLOS Global Public Health},
  year = {2026},
  doi = {10.1371/journal.pgph.0005294},
  url = {https://doi.org/10.1371/journal.pgph.0005294}
}

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