KASMEJ

Kastamonu Medical Journal regularly publishes internationally qualified issues in the field of Medicine in the light of up-to-date information.

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Original Article
From summer heat to winter cold: ICU admissions and survival patterns across seasons
Aims: Seasonal variations may influence ICU admissions, survival, and mortality rates due to climate-related illnesses, trauma, and infectious diseases. Understanding these patterns is crucial for optimizing healthcare resources and improving patient outcomes. This study investigates the impact of seasonal changes on ICU admissions, survival rates, and mortality patterns. Additionally, it evaluates how these seasonal effects interact with different age groups.
Methods: This retrospective observational study analyzed 18,046 ICU admissions at Bakırköy Dr. Sadi Konuk Training and Research Hospital from 2008 to 2024. Patients were categorized by season (Spring, Summer, Autumn, Winter) based on admission dates. Age groups were also assessed to determine variations in admission patterns and outcomes. Descriptive statistics, ANOVA, and chi-square tests were used for analysis.
Results: Seasonal fluctuations in ICU admissions were observed but were not statistically significant (p=0.42). However, specific age groups displayed notable seasonal trends. Younger patients (0-20 and 21-40) had increased ICU admissions in summer due to trauma and accidents, while older patients (61-80 and 81+) were more frequently admitted in winter, likely due to respiratory and cardiovascular complications. Mortality rates were highest in winter, particularly among elderly patients (p=0.048). Survival rates were slightly higher in autumn, but no significant seasonal difference was found overall (p=0.074).
Conclusion: While total ICU admissions did not show a strong seasonal influence, age-specific trends were evident. Increased trauma-related ICU admissions in summer and higher elderly mortality rates in winter highlight the need for targeted healthcare strategies, such as preventive trauma programs in summer and enhanced respiratory care in winter. Future studies should consider broader geographical comparisons to refine these findings.


1. Rocker GM, Cook DJ, Martin DK, Singer PA. Seasonal bed closures in an intensive care unit: a qualitative study. J Crit Care. 2003;18(1):25-30. doi:10.1053/jcrc.2003.YJCRC6
2. Bruno RR, Wernly B, Masyuk M, et al. No impact of weather conditions on the outcome of intensive care unit patients. Wien Med Wochenschr 1946. 2022;172(1-2):40-51. doi:10.1007/s10354-021-00830-0
3. Qiu Y, Rivas E, Tanios M, et al. Effect of seasons on delirium in postoperative critically ill patients: a retrospective analysis. Braz J Anesthesiol. 2022;73:3-9. doi:10.1016/j.bjane.2022.02.002
4. Villavicencio M, Garcia-Mendez J, Pickering B, Diedrich D, Herasevich V. Do weather, season or day of the week affect ICU admissions? J Crit Care. 2025;86:154959. doi:10.1016/j.jcrc.2024.154959
5. Galvão G, Mezzaroba AL, Morakami F, et al. Seasonal variation of clinical characteristics and prognostic of adult patients admitted to an intensive care unit. Rev Assoc Médica Bras. 2019;65:1374-1383. doi:10. 1590/1806-9282.65.11.1374
6. Akinosoglou K, Schinas G, Almyroudi MP, Gogos C, Dimopoulos G. The impact of age on intensive care. Ageing Res Rev. 2023;84:101832. doi: 10.1016/j.arr.2022.101832
7. O’Guinn ML, Vojvodic V, Ourshalimian S, Garcia I, Chaudhari PP, Spurrier R. Seasonality and temporal variation of pediatric trauma in Southern California. Injury. 2024;55(2):111266. doi:10.1016/j.injury. 2023.111266
8. Anderson GB, Bell ML. Heat waves in the United States: mortality risk during heat waves and effect modification by heat wave characteristics in 43 U.S. communities. Environ Health Perspect. 2011;119(2):210-218. doi:10.1289/ehp.1002313
9. Donaldson GC, Keatinge WR, Saunders RD. Cardiovascular responses to heat stress and their adverse consequences in healthy and vulnerable human populations. Int J Hyperthermia. 2003;19(3):225-235. doi:10. 1080/0265673021000058357
10. Principi N, Esposito S. Biomarkers in pediatric community-acquired pneumonia. Int J Mol Sci. 2017;18(2):447. doi:10.3390/ijms18020447
11. Group TE. Cold exposure and winter mortality from ischaemic heart disease, cerebrovascular disease, respiratory disease, and all causes in warm and cold regions of Europe. Lancet. 1997;349(9062):1341-1346. doi:10.1016/S0140-6736(96)12338-2
12. de Bloom J, Kompier M, Geurts S, de Weerth C, Taris T, Sonnentag S. Do we recover from vacation? Meta-analysis of vacation effects on health and well-being. J Occup Health. 2009;51(1):13-25. doi:10.1539/joh.K8004
13. Bartlett SN. The problem of children’s injuries in low-income countries: a review. Health Policy Plan. 2002;17(1):1-13. doi:10.1093/heapol/17.1.1
14. Brenner RA, Taneja GS, Haynie DL, et al. Association between swimming lessons and drowning in childhood: a case-control study. Arch Pediatr Adolesc Med. 2009;163(3):203-210. doi:10.1001/archpediatrics.2008.563 </ol> <p>
Volume 5, Issue 3, 2025
Page : 198-202
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