Yohei Okada, Marcus Eng Hock Ong, Tadashi Ishihara, Shoji Yokobori, Jun Kanda
{"title":"转至急诊科的儿童热相关疾病患者的特征:描述性分析。","authors":"Yohei Okada, Marcus Eng Hock Ong, Tadashi Ishihara, Shoji Yokobori, Jun Kanda","doi":"10.15441/ceem.24.343","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Children are particularly vulnerable to heat-related illnesses due to their unique physiological and behavioral characteristics. Understanding the epidemiology and clinical features of heat-related illnesses in children is crucial for guiding targeted preventive measures and management strategies. This descriptive study aims to investigate the characteristics of pediatric patients with heat-related illness transferred to emergency department (ED) s in Japan.</p><p><strong>Method: </strong>This study was a secondary analysis of the Heatstroke study, led by the Heatstroke and Hypothermia surveillance committee of the Japanese Association for Acute Medicine. This study included pediatric patients (<18 years old) with heat-related illness transferred to EDs in the summer from 2017 to 2021. We summarized the circumstances of onset, clinical characteristics, and outcomes.</p><p><strong>Results: </strong>Of the 3,154 registered patients, 146 children were included. Of them, 60% were male, with a median age of 15 years (interquartile range [IQR]: 13-16). Most cases occurred in August (47%) and most cases (80%) were associated with sports activities and with outdoor setting (70%). Cases with a body temperature above 40°C were rare (3%). Most cases were admitted to hospitals (75% to a general ward, and 16% to the ICU), and patients admitted to ICU had altered consciousness status with increased serum creatinine. There were two cases of mortality, both of which were out-of-hospital cardiac arrest.</p><p><strong>Conclusion: </strong>Most pediatric cases with heat-related illness were middle or high school-aged, occurred in August and were related to outdoor sports activity. Patients admitted to hospitals suffered from altered consciousness status, dehydration and acute kidney injury.</p>","PeriodicalId":10325,"journal":{"name":"Clinical and Experimental Emergency Medicine","volume":" ","pages":""},"PeriodicalIF":1.9000,"publicationDate":"2025-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Characteristics of pediatric patients with heat-related illness transferred to emergency departments: Descriptive analysis.\",\"authors\":\"Yohei Okada, Marcus Eng Hock Ong, Tadashi Ishihara, Shoji Yokobori, Jun Kanda\",\"doi\":\"10.15441/ceem.24.343\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background: </strong>Children are particularly vulnerable to heat-related illnesses due to their unique physiological and behavioral characteristics. Understanding the epidemiology and clinical features of heat-related illnesses in children is crucial for guiding targeted preventive measures and management strategies. This descriptive study aims to investigate the characteristics of pediatric patients with heat-related illness transferred to emergency department (ED) s in Japan.</p><p><strong>Method: </strong>This study was a secondary analysis of the Heatstroke study, led by the Heatstroke and Hypothermia surveillance committee of the Japanese Association for Acute Medicine. This study included pediatric patients (<18 years old) with heat-related illness transferred to EDs in the summer from 2017 to 2021. We summarized the circumstances of onset, clinical characteristics, and outcomes.</p><p><strong>Results: </strong>Of the 3,154 registered patients, 146 children were included. Of them, 60% were male, with a median age of 15 years (interquartile range [IQR]: 13-16). Most cases occurred in August (47%) and most cases (80%) were associated with sports activities and with outdoor setting (70%). Cases with a body temperature above 40°C were rare (3%). Most cases were admitted to hospitals (75% to a general ward, and 16% to the ICU), and patients admitted to ICU had altered consciousness status with increased serum creatinine. There were two cases of mortality, both of which were out-of-hospital cardiac arrest.</p><p><strong>Conclusion: </strong>Most pediatric cases with heat-related illness were middle or high school-aged, occurred in August and were related to outdoor sports activity. Patients admitted to hospitals suffered from altered consciousness status, dehydration and acute kidney injury.</p>\",\"PeriodicalId\":10325,\"journal\":{\"name\":\"Clinical and Experimental Emergency Medicine\",\"volume\":\" \",\"pages\":\"\"},\"PeriodicalIF\":1.9000,\"publicationDate\":\"2025-04-30\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Clinical and Experimental Emergency Medicine\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.15441/ceem.24.343\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q2\",\"JCRName\":\"EMERGENCY MEDICINE\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Clinical and Experimental Emergency Medicine","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.15441/ceem.24.343","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"EMERGENCY MEDICINE","Score":null,"Total":0}
Characteristics of pediatric patients with heat-related illness transferred to emergency departments: Descriptive analysis.
Background: Children are particularly vulnerable to heat-related illnesses due to their unique physiological and behavioral characteristics. Understanding the epidemiology and clinical features of heat-related illnesses in children is crucial for guiding targeted preventive measures and management strategies. This descriptive study aims to investigate the characteristics of pediatric patients with heat-related illness transferred to emergency department (ED) s in Japan.
Method: This study was a secondary analysis of the Heatstroke study, led by the Heatstroke and Hypothermia surveillance committee of the Japanese Association for Acute Medicine. This study included pediatric patients (<18 years old) with heat-related illness transferred to EDs in the summer from 2017 to 2021. We summarized the circumstances of onset, clinical characteristics, and outcomes.
Results: Of the 3,154 registered patients, 146 children were included. Of them, 60% were male, with a median age of 15 years (interquartile range [IQR]: 13-16). Most cases occurred in August (47%) and most cases (80%) were associated with sports activities and with outdoor setting (70%). Cases with a body temperature above 40°C were rare (3%). Most cases were admitted to hospitals (75% to a general ward, and 16% to the ICU), and patients admitted to ICU had altered consciousness status with increased serum creatinine. There were two cases of mortality, both of which were out-of-hospital cardiac arrest.
Conclusion: Most pediatric cases with heat-related illness were middle or high school-aged, occurred in August and were related to outdoor sports activity. Patients admitted to hospitals suffered from altered consciousness status, dehydration and acute kidney injury.