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The weather condition and epidemics as triggers for febrile seizure: A single-center retrospective observational
Isao Kawakami1, Masataka Inoue1, Shunichi Adachi1
1Department of Pediatrics, National Hospital Organization Beppu Medical Center, 1473 Oaza-Uchikamado, Beppu, Oita 874-0011, Japan.
Insights
Epidemic infections like influenza and gastroenteritis increase febrile seizure (FS) risk in children, but weather conditions do not. This study highlights infections as key triggers for FS occurrence.
Area of Science:
- Pediatrics
- Epidemiology
- Environmental Health
Background:
- Febrile seizures (FSs) are common in young children.
- The role of environmental and epidemic factors in FS occurrence requires further investigation.
Purpose of the Study:
- To examine the association between weather, epidemic conditions, and the risk of febrile seizures in Japanese children.
Main Methods:
- A retrospective study of 560 children (6-60 months) with FSs.
- Comparison of weather data (temperature, humidity, NO2, SO2) and epidemic data (influenza, gastroenteritis) during FS transportation periods versus non-transportation periods.
Main Results:
- Epidemic influenza virus infection (OR 1.34) and infectious gastroenteritis (OR 1.64) were identified as independent risk factors for FS.
- No significant association was found between weather conditions and the risk of febrile seizures.
Conclusions:
- Epidemic febrile infections, particularly influenza and gastroenteritis, are linked to increased febrile seizure incidence.
- Weather conditions do not appear to be a significant risk factor for febrile seizures.
Objective:
The objective of this study was to investigate the association between the weather and epidemic condition and risk of febrile seizures (FSs) in Japan.
Study Design:
This single-center, retrospective study included 560 children (age, 6-60 months) with FSs who were transported to our center by ambulance from January 2011 through December 2018. The weather (temperature, atmospheric pressure, relative air humidity, amount of rainfall, sunshine duration, and air concentration of nitrogen dioxide [NO2] and sulfur dioxide [SO2]) and epidemic (influenza virus infection, infectious gastroenteritis, and exanthem subitum) conditions in this region were compared between the periods (days or weeks) with the transportation of children with FS to our hospital and those without such transportation.
Results:
In the univariate analyses, neither daily or weekly weather condition nor weekly epidemic condition was correlated to FS transportation. Furthermore, the multiple logistic regression analysis suggested that epidemic influenza virus infection (odds ratio [OR], 1.34; 95% confidence interval [CI], 1.08-1.73) and infectious gastroenteritis (OR, 1.64; 95% CI, 1.09-2.54) were the independent risk factors for FS occurrence and weather condition was not associated with FS risk.
Conclusions:
Febrile seizure incidence may be increased by epidemic febrile infections but not by weather condition.
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