Seasonal variations in urinary calculi attacks and their association with climate: A population based study

Purpose: In this nationwide population based study we used 5-year data on urinary calculi patient visits to emergency departments in Taiwan to investigate the seasonal variation in urinary calculi attacks and the association with 5 climatic parameters. Materials and Methods: Comprehensive details on total admissions to emergency departments were obtained from the Taiwan National Health Insurance Research Database (1999 to 2003), providing monthly urinary calculi attack rates per 100,000 of the population. Subgroups of urinary calculi incidences were created based on gender and 3 age groups (18 to 44, 45 to 64 and 65 years old or older). Following adjustment for time trend effects, evaluation of the monthly urinary calculi attack rates and the effects of climatic factors was performed using auto-regressive integrated moving average regression methodology. Results: The seasonal trends in the monthly urinary calculi attack rates revealed a peak in July to September, followed by a sharp decline in October, with the auto-regressive integrated moving average tests for seasonality demonstrating significance for each gender group, for each age group and for the whole sample (all p