Evidence map›Paper›PMID 41188601›Full record

ArticleNature aging2025

Hospital-treated infectious diseases and the risk of epilepsy in older age.

Qiyuan Zhuang, Yihan Hu, Dang Wei, Chenxi Qin, Kejia Hu, Junyi Zhang, Lida Chen, Zhelun Yang, Weimin Ye, Karin Wirdefeldt and 4 more

Abstract read
In one paragraph

Article in Nature aging, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

14 authors.

Qiyuan Zhuang *Department of Neurosurgery, Huashan Hospital, Fudan University, Shanghai, P. R. China.ORCID http://orcid.org/0000-0001-5937-5024
Yihan Hu *Unit of Integrative Epidemiology, Institute of Environmental Medicine, Karolinska Institutet, Stockholm, Sweden.ORCID http://orcid.org/0000-0002-8948-4376
Dang WeiUnit of Integrative Epidemiology, Institute of Environmental Medicine, Karolinska Institutet, Stockholm, Sweden.ORCID http://orcid.org/0000-0003-1287-7929
Chenxi QinDepartment of Medical Epidemiology and Biostatistics, Karolinska Institutet, Stockholm, Sweden.
Kejia HuUnit of Integrative Epidemiology, Institute of Environmental Medicine, Karolinska Institutet, Stockholm, Sweden.ORCID http://orcid.org/0000-0001-6680-8107
Junyi ZhangCorporate & Investment Bank Technology, JPMorgan Chase, Houston, TX, USA.
Lida ChenHainan Medical University, Hainan, P. R. China.
Zhelun YangDepartment of Neurosurgery, Huashan Hospital, Fudan University, Shanghai, P. R. China.
Weimin YeDepartment of Medical Epidemiology and Biostatistics, Karolinska Institutet, Stockholm, Sweden.ORCID http://orcid.org/0000-0002-6859-4648
Karin WirdefeldtDepartment of Medical Epidemiology and Biostatistics, Karolinska Institutet, Stockholm, Sweden.
Xiang ZouDepartment of Neurosurgery, Huashan Hospital, Fudan University, Shanghai, P. R. China. ns_zou@126.com.ORCID http://orcid.org/0000-0001-8930-2926
Ying MaoDepartment of Neurosurgery, Huashan Hospital, Fudan University, Shanghai, P. R. China. maoying@fudan.edu.cn.ORCID http://orcid.org/0000-0001-8055-115X
Sara HäggDepartment of Medical Epidemiology and Biostatistics, Karolinska Institutet, Stockholm, Sweden.ORCID http://orcid.org/0000-0002-2452-1500
Fang FangUnit of Integrative Epidemiology, Institute of Environmental Medicine, Karolinska Institutet, Stockholm, Sweden. fang.fang@ki.se.ORCID http://orcid.org/0000-0002-3310-6456

Funding

National Natural Science Foundation of China (National Science Foundation of China) 82403453National Natural Science Foundation of China (National Science Foundation of China) 82472244
6 · The paper itself

Abstract

Infectious diseases are known to trigger acute seizures, but their long-term impact on epilepsy, especially in later life, is unclear. We conducted nested case-control studies of newly diagnosed epilepsy after age 50 in the UK Biobank (2,486 cases; 12,430 controls) and Swedish registers (56,266 cases; 281,330 controls), including a sibling comparison. Previous hospital-treated infections were associated with a persistently elevated epilepsy risk (for example, >10 years after infection: odds ratio (OR) 1.68, 95% confidence interval: 1.39-2.04 in UK Biobank; 1.46, 1.41-1.51 in Sweden). Associations were robust in sibling analyses and across infection types and sites. We further found that infections, together with a high cardiovascular genetic risk (OR 2.62, 2.22-3.08), a high cardiovascular risk score (OR 3.14, 2.68-3.68) or cardiovascular disease history (OR 4.77, 4.64-4.91), were associated with the highest epilepsy risk. Hospital-treated infections exert prolonged impact on epilepsy risk in older age, especially when in combination with cardiovascular risk factors.

Indexed as

Communicable DiseasesEpilepsyAgedAged, 80 and overCardiovascular DiseasesCase-Control StudiesFemaleHospitalizationHumansMaleMiddle AgedRegistriesRisk FactorsSwedenUnited Kingdom

Identifiers

PMID41188601
PMCPMC12618234

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.