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Kids’ heat-related ED visits up 170% in 10 years

It underscores a growing public health concern that warrants further attention and action.

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During the hot summer months, more kids visited the emergency department for heat-related problems. From 2012 to 2023, the number of children visiting emergency departments for heat-related illnesses rose by 170% at two large children’s hospitals. This suggests a new study presented at the American Academy of Pediatrics 2024 National Conference & Exhibition in Orlando, FL.

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Scientists examined recent trends, demographics, and outcomes in children with heat-related illnesses. The sharp increase over the past decade highlights a serious public health issue that needs more attention and action.

Scientists analyzed 542 heat-related emergency department encounters. From 2012 to 2023, heat-related emergency department visits increased by 170%, from 4.3 to 11.6 per 10,000 visits. Of these cases, 418 (77%) had specific heat-related diagnoses, while 131 (24%) were diagnosed with rhabdomyolysis, a condition often caused by heat stress.

Most children with heat-specific diagnoses, like heat exhaustion and heat stroke, were discharged without needing to be admitted (96%). In contrast, a majority of those with rhabdomyolysis required hospital admission (63%).

Trends in Heat-Related Encounters Over Time and Association
Figure 1. Trends in Heat-Related Encounters Over Time and Association with Temperature During Warm Months (May-September), 2012-2023

The data also revealed that children with heat-related issues were generally younger, more likely to be Hispanic, often used government insurance, and lived in areas with lower Child Opportunity Index scores.

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Study author Taylor Merritt, MD, said, “As extreme summer temperatures become more frequent due to a changing climate, we’re seeing a rise in heat-related illnesses, particularly in vulnerable groups like children.”

Demographics and Outcomes
Demographics and Outcomes of Heat-Related Encounters, Stratified by Diagnosis Group. Credit: American Academy of Pediatrics

The AAP conference takes place at the Orange County Convention Center from Sept. 27-Oct. 1.

Abstract Title: Trends and Outcomes of Heat-Related Illnesses at a Tertiary Children’s Hospital System in the Southern United States, 2012-2023.

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