On the hottest 5% of days, there was a small numeric increase in the RR of higher acuity arrivals (ESI 1 and ESI 2) and a small numeric decrease in RR of lower-acuity presentations (ESI 3 and ESI 4 & 5), but these effects did not reach statistical significance ( Figure 3 , Table 2 ).
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Impact of Daily Maximum Temperature on Emergency Department Arrivals and Acuity Levels.
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