Pediatric vasoocclusive crisis and weather conditions

Alexander L Rogovik1, Jeeshan Persaud, Jeremy N Friedman

  • 1Pediatric Research in Emergency Therapeutics (PRETx) Program, Division of Pediatric Emergency Medicine, BC Children's Hospital, Vancouver, British Columbia, Canada.

Insights

Cold temperatures and high winds correlate with increased vasoocclusive crises (VOC) in children. Awareness and preventive measures are crucial for at-risk pediatric patients experiencing VOC.

Area of Science:

  • Pediatric Hematology
  • Environmental Health
  • Epidemiology

Background:

  • Previous research suggests a link between weather and vasoocclusive crises (VOC) in adults, but findings are inconsistent.
  • Understanding environmental triggers for VOC in children is crucial for effective management.

Purpose of the Study:

  • To investigate the association between weather conditions and pediatric emergency department visits for VOC.
  • To determine if weather impacts hospital admissions, pain severity, and frequency of VOC in children.

Main Methods:

  • A retrospective observational study analyzed health records of pediatric VOC patients (<18 years) at a tertiary care center.
  • Correlations were performed between daily, weekly, and monthly weather data and the frequency of painful crises.

Main Results:

  • A total of 430 VOC emergency department visits were recorded between 2005-2006.
  • Significant correlations were found between colder temperatures and wind speed and increased daily/weekly painful crises.
  • Higher humidity correlated with increased average monthly pain scores.

Conclusions:

  • Colder temperatures and higher wind speeds are significantly associated with a higher incidence of pediatric VOC.
  • Healthcare providers and parents should be aware of these weather-related triggers for VOC in children.
  • Implementing preventive measures for at-risk pediatric patients is recommended.
Abstract

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