Febrile convulsions increase risk of Tourette syndrome

Yi Fang Tu, Cheng Li Lin, Chih Hao Lin, Chao Chin Huang, Fung Chang Sung, Chia Huang Kao

Research output: Contribution to journalArticle

7 Citations (Scopus)

Abstract

Purpose Febrile convulsion (FC) and Tourette syndrome (TS) are both common neurological disorders in infants and children. Both disorders share clinical similarities, such as paroxysmal symptoms with normal neurodevelopment and expected remission over time. This population-based study investigated the association between FC with TS during childhood neurodevelopment. Method We used the Taiwan National Health Insurance Research Database to conduct a retrospective cohort analysis on 1586 FC patients. A reference cohort of 6344 non-FC patients, matched for age, sex, urbanization level, parental occupation, and index year, was used for comparison. The risk of the occurrence of TS in FC patients was assessed using a Cox proportional hazard regression model. Results The overall incidence of TS was higher in the FC cohort than in the non-FC cohort (28.5 vs 13.9 per 10,000 person-years; adjusted hazard ratio = 1.91, 95% confidence interval = 1.32-2.75). The associated risk factors for FC patients to develop TS were boys, children living in rural areas, and children whose parents held blue-collar positions. Moreover, the risk of TS in FC patients rose from 0.89 to 16.0 (trend test P <0.0001) when the frequency of FC-related medical visits increased from 1 to 2 times to more than 4 times. The adjusted hazard ratio for TS in related to FC-related medical visits was 1.02 (95% CI = 1.02-1.03) per one frequency increment. Conclusion FC may increase the risk of subsequent TS occurrence in children. Children who had frequent medical visits for FC were particularly vulnerable.

Original languageEnglish
Pages (from-to)651-656
Number of pages6
JournalSeizure
Volume23
Issue number8
DOIs
Publication statusPublished - 2014
Externally publishedYes

Fingerprint

Tourette Syndrome
Febrile Seizures
Seizures
Urbanization
National Health Programs
Nervous System Diseases
Taiwan
Occupations
Proportional Hazards Models
Cohort Studies
Parents
Databases
Confidence Intervals

Keywords

  • Children
  • Febrile convulsions (FC)
  • National Health Insurance Research Database (NHIRD)
  • Tourette syndrome (TS)

ASJC Scopus subject areas

  • Clinical Neurology
  • Neurology
  • Medicine(all)

Cite this

Tu, Y. F., Lin, C. L., Lin, C. H., Huang, C. C., Sung, F. C., & Kao, C. H. (2014). Febrile convulsions increase risk of Tourette syndrome. Seizure, 23(8), 651-656. https://doi.org/10.1016/j.seizure.2014.05.005

Febrile convulsions increase risk of Tourette syndrome. / Tu, Yi Fang; Lin, Cheng Li; Lin, Chih Hao; Huang, Chao Chin; Sung, Fung Chang; Kao, Chia Huang.

In: Seizure, Vol. 23, No. 8, 2014, p. 651-656.

Research output: Contribution to journalArticle

Tu, YF, Lin, CL, Lin, CH, Huang, CC, Sung, FC & Kao, CH 2014, 'Febrile convulsions increase risk of Tourette syndrome', Seizure, vol. 23, no. 8, pp. 651-656. https://doi.org/10.1016/j.seizure.2014.05.005
Tu, Yi Fang ; Lin, Cheng Li ; Lin, Chih Hao ; Huang, Chao Chin ; Sung, Fung Chang ; Kao, Chia Huang. / Febrile convulsions increase risk of Tourette syndrome. In: Seizure. 2014 ; Vol. 23, No. 8. pp. 651-656.
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abstract = "Purpose Febrile convulsion (FC) and Tourette syndrome (TS) are both common neurological disorders in infants and children. Both disorders share clinical similarities, such as paroxysmal symptoms with normal neurodevelopment and expected remission over time. This population-based study investigated the association between FC with TS during childhood neurodevelopment. Method We used the Taiwan National Health Insurance Research Database to conduct a retrospective cohort analysis on 1586 FC patients. A reference cohort of 6344 non-FC patients, matched for age, sex, urbanization level, parental occupation, and index year, was used for comparison. The risk of the occurrence of TS in FC patients was assessed using a Cox proportional hazard regression model. Results The overall incidence of TS was higher in the FC cohort than in the non-FC cohort (28.5 vs 13.9 per 10,000 person-years; adjusted hazard ratio = 1.91, 95{\%} confidence interval = 1.32-2.75). The associated risk factors for FC patients to develop TS were boys, children living in rural areas, and children whose parents held blue-collar positions. Moreover, the risk of TS in FC patients rose from 0.89 to 16.0 (trend test P <0.0001) when the frequency of FC-related medical visits increased from 1 to 2 times to more than 4 times. The adjusted hazard ratio for TS in related to FC-related medical visits was 1.02 (95{\%} CI = 1.02-1.03) per one frequency increment. Conclusion FC may increase the risk of subsequent TS occurrence in children. Children who had frequent medical visits for FC were particularly vulnerable.",
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AU - Lin, Chih Hao

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AU - Sung, Fung Chang

AU - Kao, Chia Huang

PY - 2014

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N2 - Purpose Febrile convulsion (FC) and Tourette syndrome (TS) are both common neurological disorders in infants and children. Both disorders share clinical similarities, such as paroxysmal symptoms with normal neurodevelopment and expected remission over time. This population-based study investigated the association between FC with TS during childhood neurodevelopment. Method We used the Taiwan National Health Insurance Research Database to conduct a retrospective cohort analysis on 1586 FC patients. A reference cohort of 6344 non-FC patients, matched for age, sex, urbanization level, parental occupation, and index year, was used for comparison. The risk of the occurrence of TS in FC patients was assessed using a Cox proportional hazard regression model. Results The overall incidence of TS was higher in the FC cohort than in the non-FC cohort (28.5 vs 13.9 per 10,000 person-years; adjusted hazard ratio = 1.91, 95% confidence interval = 1.32-2.75). The associated risk factors for FC patients to develop TS were boys, children living in rural areas, and children whose parents held blue-collar positions. Moreover, the risk of TS in FC patients rose from 0.89 to 16.0 (trend test P <0.0001) when the frequency of FC-related medical visits increased from 1 to 2 times to more than 4 times. The adjusted hazard ratio for TS in related to FC-related medical visits was 1.02 (95% CI = 1.02-1.03) per one frequency increment. Conclusion FC may increase the risk of subsequent TS occurrence in children. Children who had frequent medical visits for FC were particularly vulnerable.

AB - Purpose Febrile convulsion (FC) and Tourette syndrome (TS) are both common neurological disorders in infants and children. Both disorders share clinical similarities, such as paroxysmal symptoms with normal neurodevelopment and expected remission over time. This population-based study investigated the association between FC with TS during childhood neurodevelopment. Method We used the Taiwan National Health Insurance Research Database to conduct a retrospective cohort analysis on 1586 FC patients. A reference cohort of 6344 non-FC patients, matched for age, sex, urbanization level, parental occupation, and index year, was used for comparison. The risk of the occurrence of TS in FC patients was assessed using a Cox proportional hazard regression model. Results The overall incidence of TS was higher in the FC cohort than in the non-FC cohort (28.5 vs 13.9 per 10,000 person-years; adjusted hazard ratio = 1.91, 95% confidence interval = 1.32-2.75). The associated risk factors for FC patients to develop TS were boys, children living in rural areas, and children whose parents held blue-collar positions. Moreover, the risk of TS in FC patients rose from 0.89 to 16.0 (trend test P <0.0001) when the frequency of FC-related medical visits increased from 1 to 2 times to more than 4 times. The adjusted hazard ratio for TS in related to FC-related medical visits was 1.02 (95% CI = 1.02-1.03) per one frequency increment. Conclusion FC may increase the risk of subsequent TS occurrence in children. Children who had frequent medical visits for FC were particularly vulnerable.

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