Karel Kostev, Ira Rodemer, Marcel Konrad, Jens Bohlken
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引用次数: 0
Abstract
Background: Heatstroke is the most severe form of heat-related illness. It is characterized by an elevated core body temperature and central nervous system dysfunction. The aim of this study was to investigate the association between heatstroke and subsequent migraine development.
Methods: This retrospective cohort study used data from the Disease Analyzer database (IQVIA) and included individuals diagnosed with heatstroke, as well as propensity score-matched individuals without heatstroke. Data about these individuals was recorded in 1216 general practices in Germany between January 2005 and December 2023. Five-year cumulative migraine incidence was assessed using Kaplan-Meiercurves, and univariable Cox regression analysis was performed to evaluate the association between heatstroke and migraine.
Results: The study included 5794 individuals with heatstroke and 28,970 matched controls without heatstroke (median age: 30 years, 31-32% female). Most heatstroke cases were documented in June (32-34%), followed by July (30%), August (15-17%), and May (13%). Within five years of follow-up, 8.8% of patients with heatstroke and 4.0% of controls were diagnosed with migraine. The regression analysis revealed that heatstroke was significantly associated with an increased risk of migraine in the total population (HR: 2.26; 95% CI: 2.00-2.57), as well as in women (HR: 2.33; 95% CI: 1.96-2.79) and men (HR: 2.26; 95% CI: 1.89-2.70).
Conclusion: This study highlights an important, yet previously underrecognized, association between heatstroke and an increased risk of migraine. As global temperatures continue to rise, public health strategies should focus not only on the acute prevention and management of heat-related illnesses, but also on their potential long-term neurological consequences.
期刊介绍：
Brain Sciences (ISSN 2076-3425) is a peer-reviewed scientific journal that publishes original articles, critical reviews, research notes and short communications in the areas of cognitive neuroscience, developmental neuroscience, molecular and cellular neuroscience, neural engineering, neuroimaging, neurolinguistics, neuropathy, systems neuroscience, and theoretical and computational neuroscience. Our aim is to encourage scientists to publish their experimental and theoretical results in as much detail as possible. There is no restriction on the length of the papers. The full experimental details must be provided so that the results can be reproduced. Electronic files or software regarding the full details of the calculation and experimental procedure, if unable to be published in a normal way, can be deposited as supplementary material.
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