دورية أكاديمية
Clinical Profile and Predictors of Recurrent Simple Febrile Seizure.
| العنوان: | Clinical Profile and Predictors of Recurrent Simple Febrile Seizure. |
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| المؤلفون: | Kim JS; Department of Pediatrics, Chungbuk National University Hospital, Cheongju, Republic of Korea., Woo H; Department of Pediatrics, Chungbuk National University Hospital, Cheongju, Republic of Korea., Kim WS; Department of Pediatrics, Chungbuk National University Hospital, Cheongju, Republic of Korea; Department of Pediatrics, Chungbuk National University College of Medicine, Cheongju, Republic of Korea., Sung WY; Department of Emergency Medicine, Daejeon Eulji Medical Center, Eulji University, Daejeon, Republic of Korea. Electronic address: sage77@hanmail.net. |
| المصدر: | Pediatric neurology [Pediatr Neurol] 2024 Jul; Vol. 156, pp. 4-9. Date of Electronic Publication: 2024 Apr 05. |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: Elsevier Science Publishing Country of Publication: United States NLM ID: 8508183 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1873-5150 (Electronic) Linking ISSN: 08878994 NLM ISO Abbreviation: Pediatr Neurol Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: New York Ny : Elsevier Science Publishing Original Publication: Chippewa Falls, Wis. : Professional Publications, [c1985- |
| مواضيع طبية MeSH: | Seizures, Febrile*/diagnosis , Recurrence*, Humans ; Male ; Female ; Infant ; Retrospective Studies ; Child, Preschool ; Risk Factors |
| مستخلص: | Background: Recurrent simple febrile seizure (SFS) refers to febrile seizure (FS) that recurs within 24 hours. Patients with recurrent SFS often undergo unnecessary neurodiagnostic tests. To address this, we compared the clinical characteristics of recurrent SFS with those of SFS and investigated the risk factors associated with recurrent SFS. Methods: We retrospectively reviewed electronic medical records of patients aged six to 60 months who had been hospitalized for FS at two training hospitals between January 2016 and December 2019. The primary outcome was a comparison of the clinical features of patients with SFS and recurrent SFS. Additionally, the risk factors associated with seizure recurrence within 24 hours were evaluated. Results: Three quarters (n = 191, 75.2%) of the 254 enrolled patients experienced a single seizure episode during the febrile illness period. The remaining 63 patients (24.8%) were diagnosed with recurrent SFS. Significant differences between SFS and recurrent SFS were observed in the history of recurrent SFS, time from fever onset to seizure, and body temperature on hospital arrival. Multiple logistic regression analysis revealed that a history of previous recurrent SFS (odds ratio [OR] 10.161) and a body temperature below 39°C on arrival (OR 2.377) were significantly associated with early seizure recurrence. Conclusions: This study highlights that early FS recurrence is common and has a self-limiting clinical course similar to that of SFS. We recommend close monitoring of the patient for six to eight hours when a history of early recurrence is present or if the seizure occurs at a low body temperature. Competing Interests: Declaration of competing interest None. (Copyright © 2024 The Author(s). Published by Elsevier Inc. All rights reserved.) |
| فهرسة مساهمة: | Keywords: Body temperature; Febrile seizure; Fever; Recurrence; Recurrent simple febrile seizure; Risk factor |
| تواريخ الأحداث: | Date Created: 20240427 Date Completed: 20240614 Latest Revision: 20240614 |
| رمز التحديث: | 20240615 |
| DOI: | 10.1016/j.pediatrneurol.2024.04.001 |
| PMID: | 38677048 |
| قاعدة البيانات: | MEDLINE |
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Full Text Finder | تدمد: | 1873-5150 |
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| DOI: | 10.1016/j.pediatrneurol.2024.04.001 |