A retrospective study of febrile seizures among children admitted in a tertiary care hospital (original) (raw)
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Clinical, epidemiological and laboratory characteristics of children with febrile seizures
International Journal of Contemporary Pediatrics
Background: Febrile seizure is the most common type of seizure disorder that occurs in children aged 6-60 months. Recurrences are common. This study was conducted to evaluate the epidemiology, clinical profile and laboratory parameters of children presenting with febrile seizure in a teaching hospital.Methods: This was a descriptive retrospective study among children presenting with febrile seizure admitted to KIMS, Bengaluru from March (2018-2019). Children between six months to five years were included in the study while patients with prior episodes of afebrile seizures, abnormal neurodevelopment and not meeting the age criteria were excluded. Patient’s demographic and clinical data were collected from the in-patient records and analysed.Results: Among 60 children with febrile seizures were enrolled in our study with highest prevalence in males (58%) and amongst 13-24 months age group (37%). Majority (20%) presented in the monsoon season (June) and in the morning hours (43%). Simp...
Aims and Objectives: To study gender predilection, risk of family history of Febrile Seizures, family history of epilepsy and compare the lab parameters in children with Febrile Seizures and children with Febrile Illness. Methods: A case control study done in Niloufer Hospital for a period of one year. It was composed of 120 children out of which 60 were cases with Febrile Seizures and 60 were without Febrile Seizures. Results: Out of 60 cases of Febrile Seizures 76% cases were simple Febrile Seizures and 24% were complex Febrile Seizures. 23% cases had family history whereas in controls 6.6% had family history. Conclusion: In this study majority of the children were below two years of age and the incidents of Febrile Seizures is higher in males which is 53.8%.There is significant difference of serum sodium levels between cases and control.
Febrile Seizure: Recurrence and Risk Factors
Iranian journal of child neurology, 2006
Background: Febrile Convulsion is the most common convulsive disorder in children, occurring in 2 to 4% of the pediatric population and recurring in 30- 50% of cases. Considering the varying recurrence rates reported, this study was conducted at the pediatric ward of the Shaheed Beheshti General Hospital, between 2000-2001 to determine the frequency of recurrence and related risk factors in children presenting with their first episode of febrile convulsion Materials & Methods: A two-year cohort study was performed on 50 children presenting with the first attack of febrile convulsion. Patient demographic data including age, sex, type and duration of seizure, family history of febrile seizure or epilepsy and the interval between fever onset and occurrence of seizure were recorded in questionnaires. Those patients, for whom prophylactic medication was not administered, were followed at three-month intervals for up to one year. Findings were statistically analyzed using Fisher's exa...
Determinants for recurrence of febrile seizures in tertiary care hospital
Panacea Journal of Medical Sciences
The present study has been carried out to determine the risk factors associated with recurrent febrile seizures.Thestudy was a hospital based prospective observational study. Risk of factors was evaluated on basis of cumulative analysis of clinical profile of all cases. Every child was followed up for one year. In our study recurrence was seen in 34 (55.7%) subjects. Factors like age less than 1 year at first episode of febrile seizure, fever duration <24 hours and the temperature at the time of seizure < 102.2F had higher association with recurrence while the factors like gender of child, type of febrile seizure, family history of febrile seizure family history of epilepsy, anemia, serum sodium level, duration of seizure and developmental delay were not associated with recurrence of febrile seizures.: The quality of family life can be adversely affected by recurrent febrile seizures and can result in exaggeration of fear and anxiety in parents which further needs to be handle...
Frequency and characteristics of febrile convulsions among children in Belbeis family health center
Zagazig University Medical Journal, 2019
Background: Febrile convulsion (FC) is the most common neurologic disorder in childhood. It is a major challenge in pediatric and family practice because of its high incidence in young children and its tendency to recur. Objective: To determine the frequency and characteristics of febrile convulsions among children attending Belbeis family health center. Methods: A cross-sectional study was conducted on 272 children aged (6months up to 5 years) in Belbeis Family Health Center from April to July 2019, using a predesigned questionnaire to assess the sociodemographic characteristics and structured one to assess the attack characteristics. The sample units were collected by the cluster technique. Results: Frequency of febrile convulsions among the studied children was 8.8%. Most of them had only a single attack; the initial episode was in age younger than 1 year, most of studied (90.6%) family had a negative history of FC among siblings, duration of the FC attack ≤ 5 minutes in 65% of them, and cyanosis occurred during the attack only in 18% of them. There is no significant difference between children with febrile convulsions and children without febrile convulsions regarding age, sex, and socioeconomic status. Conclusion: FC had a high incidence in young children and it also tended to recur, so it represents a major challenge in pediatrics and family medicine practice. We recommend that similar studies on a larger sample of children at different areas of care like inpatient, ED and primary health units should be carried out.
Jurnal Ilmu Kesehatan, 2020
Febrile seizures are the most common seizures in children. One-third of the children could develop a recurrent febrile seizure, with 75% of the recurrence occurring in the first year after the initial febrile seizure. The purpose of this study was to describe the risk factors of recurrence of febrile seizures on pediatric patients at Abdul Wahab Sjahranie Hospital in Samarinda. The research design was a descriptive study with cross sectional method. The sample of this study were children with febrile seizures whose age range were from 6 months to 5 years at Abdul Wahab Sjahranie Hospital in Samarinda from January 2017 to December 2018 who did not receive long-term prophylactic treatment for febrile seizures after the initial febrile seizure and did not experience intracranial infections, metabolic and electrolytes disorders, developmental delayed and cerebral palsy. The data were secondary data obtained from subject’s medical records. The study found recurrent febrile seizures occur...
Clinical profile of admitted children with febrile seizures
Neurosciences (Riyadh, Saudi Arabia), 2005
The objectives of this study were to evaluate the clinical profile, investigations, treatments and outcome of hospitalized children with febrile seizures. A series of 69 consecutive children with febrile seizures was identified by chart review from 1st January 1997 to 1st January 2002 at King Abdul-Aziz University Hospital in Jeddah, Kingdom of Saudi Arabia. Clinical, laboratory, EEG, and neuroimaging data were evaluated by one investigator using a structured data collection form. The children`s ages ranged between 7-70 months (mean 20, SD 14), and 59.5% were males. The source of the febrile illness was evident in 65%, however, most admitted children (60 out of 69) had atypical seizures (55%), were ill looking (24.5%), had febrile status (17.5%), or positive meningeal irritation signs (4%). Electrolyte abnormalities were uncommon (10%), however, complete blood count was abnormal in 45%, which increased the likelihood of receiving intravenous antibiotics (p=0.01). Lumbar puncture was...
Md Nurul Absar et al; Sch J App Med Sci, Nov, 2020; 8(11): 2672-2676, 2020
Introduction: Febrile seizures are one of the common neurological problems encountered in pediatric practice and common cause of convulsions in young infants. Seizure was diagnosed by sudden alteration of behavior with abnormal movement of limbs, trunk, and face that might be associated with abnormal or fixed eye gaze with or without incontinence of urine or stool. In USA, South America and Western Europe between 2% and 5% of all children experience febrile seizure before 5 years. Aim of the study: To evaluate the clinical profile and investigations of febrile seizure in children. Material & Methods: This cross sectional study was conducted in Uttara Adhunic medical college hospital, Uttara, Dhaka, Bangladesh. The study was done in 6 months" duration (1 st November 2010 to 3o th April 2011), on the children of febrile seizure. Hundred (100) patients fulfilling inclusion and exclusion criteria were selected for this study. Data recorded in questionnaires forms into computer and ...
Risk Factors of First Febrile Seizures Admitted in a Tertiary Care Hospital
Ibrahim Cardiac Medical Journal, 2018
Background & objective: Febrile seizure (FS) is the most common convulsive event in children. It is the most common type of seizure that every pediatrician has to deal with. However, the etiology of febrile seizure is still unclear. The present study was intended to identify the risk factors of first febrile convulsion among 6 months to 5 years old children. Materials & Methods: A case-control study was carried out on a total of 200 children-100 cases (children with febrile convulsion) & 100 controls (without febrile convulsion) selected from the In-patient Department of Dhaka Shishu Hospital over a period of six months between May 2012 to October 2012. Data were collected on variables of interest using a semi-structured research instrument. The Chi-square test and Odd Ratio were employed to compare the risk factors between case and control groups. Result: There was no association of febrile seizure with age of the children, but males were more often associated with FS than the females with risk of developing febrile seizures in boys was 3.5-fold (95% CI=1.8-6.8) higher than that in girls (p<0.001). The risk of having FS in children with prematurity and caesarean delivery was 2.8 times (95% CI=1.5-5.0) and 2-times (95% CI=1.4-2.6) greater than those in children without having these conditions (p=0.001 and p<0.001 respectively). The children with family history of febrile seizure tends to be associated with first febrile seizures and the odds of having the condition is 36.4 (95% CI=15.4-85.7). There was no significant relationship between family history of epilepsy and first febrile seizure (p=0.061). The children with shorter duration of breast feeding (6-12 months) carry 2.9(95% CI=2.0-4.0) times higher risk of having first febrile seizure than those with longer duration of breast-feeding (p<0.001). Exclusively breast-fed children were less susceptible to develop febrile seizures (OR=0.149, 95% CI: 0.08-0.23). Twelve cases developed perinatal asphyxia as opposed to only 2 of the control group and the risk of having FS in children with perinatal asphyxia was 1.8(95% CI=1.4-2.3) times higher than those without having the history ofperinatal asphyxia (p<0.001). Three-quarters of the children presented with FS had viral fever whereas only 4% of the controls had viral fever indicating that viral fever triggers the development of FS much more frequently than any other childhood illness (p<0.001). Conclusion: The study concluded that male sex, preterm baby, positive family history of febrile seizures, less than 6 months of exclusive breast feeding, not continuing the breast-feeding beyond 12 months, perinatal asphyxia and viral infections are the predictors of first febrile seizure. Preventive measures in removing these risk factors can go a long way to a decrease the incidence of febrile seizures.
“Febrile Status Epilepticus in Children- An Experience of a Tertiary Care Center from South India”
IOSR Journals , 2019
BACKGROUND: Febrile seizures are the most common neurologic disorder of infants and young children. Febrile status epilepticus (FSE), although rare is often a child’s first seizure. OBJECTIVES: This study is done to look into factors contributing to recurrence of seizures following febrile status epilepticus in children. METHODS: This is a cross sectional study done including all children between age 6 months to 5 years presenting with febrile status epilepticus, were analyzed for comparison between groups with and without recurrence of seizures. Electroencephalography, CSF analysis, MRI Brain and other tests were recorded. Descriptive and inferential statistics were used to analyze data. RESULTS: A total of 292 children were presented with febrile seizures, of which 189(65%) have simple febrile seizures, 103(35%) children have complex febrile seizures. 16(5.5%) children presented with febrile status epilepticus (FSE). Mean age of presentation was 22.8 months. Mean duration of hospital stay was 7.6 days. All 16 children survived with no mortality. Three (18.75%) children developed subsequent seizures over one year, among them two have febrile seizure and another have afebrile seizure. No child has recurrent febrile status epilepticus. Two (66.6%) out of three children who had family history of epilepsy developed recurrent seizure (p <0.05). All patients with recurrence had mean duration of first seizure 100 minutes (p <0.05), prolonged duration of hospital stay and required multiple anti-epileptic drugs (AED'S) to control seizure during first episode (p<0.05). CONCLUSIONS: Presence of family history of epilepsy, Long seizure duration, prolonged hospital stay and requirement of multiple AED’S at first admission were associated with recurrence. There is no mortality in our study.