Academic Journal
Seasonal Variation in Epidemiology of Kawasaki Disease-Related Coronary Artery Abnormalities in Japan, 1999–2017
| العنوان: | Seasonal Variation in Epidemiology of Kawasaki Disease-Related Coronary Artery Abnormalities in Japan, 1999–2017 |
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| المؤلفون: | Naomi Kitano, Takashi Takeuchi, Tomohiro Suenaga, Nobuyuki Kakimoto, Akihiro Naka, Shoichi Shibuta, Shinya Tachibana, Nobuhito Takekoshi, Takayuki Suzuki, Tomoya Tsuchihashi, Takashi Yamano, Takashi Akasaka, Hiroyuki Suzuki |
| المصدر: | Journal of Epidemiology, Vol 31, Iss 2, Pp 132-138 (2021) |
| بيانات النشر: | Japan Epidemiological Association, 2021. |
| سنة النشر: | 2021 |
| المجموعة: | LCC:Medicine (General) |
| مصطلحات موضوعية: | coronary artery aneurysm, kawasaki disease, patient age, seasonality, epidemiology, Medicine (General), R5-920 |
| الوصف: | Background: Epidemiological studies show a U-shaped tendency in Kawasaki disease (KD)-related coronary artery abnormalities (CAAs) across age categories. Since studies suggest seasonal variations in KD onset, this study aimed to clarify the epidemiologic features of CAAs, considering the seasons of KD-occurrence. Methods: We analyzed 2,106 (males = 1,215, females = 891) consecutive KD cases from October 1999 through September 2017 using our electronic database of annual surveys, targeting all hospitals with pediatric departments across Wakayama, Japan. The primary outcome was the presence/absence of CAAs measured by echocardiography 1 month after KD onset. Odds ratios (ORs) and 95% confidence intervals (CIs) of combined patient age and sex for CAAs were calculated using logistic regression models adjusted for four seasons. Results: The median age was 25 (range, 1–212) months. The proportion of males decreased with increasing age. The youngest age group (1.0) in KD-occurrence. CAAs were observed in 2.8% of cases (males = 3.4%, females = 2.1%), which significantly lessened in summer than in other seasons. Moreover, 50% (n = 4/8) of cases with giant aneurysms experienced KD in autumn. Adjusted ORs for CAAs among males aged ≥60 months (3.0; 95%, CI 1.2–7.5) and females aged |
| نوع الوثيقة: | article |
| وصف الملف: | electronic resource |
| اللغة: | English |
| تدمد: | 0917-5040 1349-9092 |
| Relation: | https://www.jstage.jst.go.jp/article/jea/31/2/31_JE20190189/_pdf; https://doaj.org/toc/0917-5040; https://doaj.org/toc/1349-9092 |
| DOI: | 10.2188/jea.JE20190189 |
| URL الوصول: | https://doaj.org/article/2d99469c67d8404ba2db93982483a372 |
| رقم الانضمام: | edsdoj.2d99469c67d8404ba2db93982483a372 |
| قاعدة البيانات: | Directory of Open Access Journals |
Full Text Finder | تدمد: | 09175040 13499092 |
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| DOI: | 10.2188/jea.JE20190189 |