Five Years Study of Recurrent Febrile Seizure Risk Factors

Ausi Indriani, Nelly Amalia Risan, Titing Nurhayati

Abstract


Background: Nearly one-third of febrile seizure patients suffered recurrent febrile seizures.  Several risk factors contribute to this recurrence, namely young age, family history of febrile seizures, low body temperature and rapid duration of fever before onset of seizures. Recently, the types of seizure and gender have been stated increasing risk of this recurrence. The objectives of this study was to identify the  risk factors of recurrent febrile seizures.

Methods: A descriptive study was carried out by retrieving data from inpatient medical records during the period of January 1st, 2009 to December 31st, 2013 at one of the top referral hospitals in West Java, Indonesia.  Variables of this study were the first febrile seizure age, gender, type of febrile seizure, a family history of febrile seizure, a family history of epilepsy, body temperature when febrile seizure occurred and duration of fever before onset of seizure. The collected data were tabulated by frequency and percentage and displayed in tables.

Results: Out of 154 patients with febrile seizures 58 suffered recurrent febrile seizures. Forty three percent had a first febrile seizure at the age of under12 months, 72% were male, 46% had fever less than 24 hours before the onset of seizure, 65% had complex febrile seizures, 28% had positive family history of febrile seizures, and 5% had positive family history of epilepsy.

Conclusions: The risk factors for recurrent febrile seizures are young age, male, rapid duration of fever before onset of seizure and complex febrile seizure.

 

DOI: 10.15850/amj.v4n2.1086


Keywords


Febrile seizure, recurrent febrile seizure, risk factors

Full Text:

PDF

References


Shinnar S. Febrile seizures. In: Swaiman KF, Ashwal S, Ferriero DM, Schor NF, editors. Swaiman’s pediatric neurology, principles and practice. 5th ed. Edinburgh: Elsevier Health Sciences; 2012. p. 790−7.

Kundu GK, Rabin F, Nandi E, Sheikh N, Akhter S. Etiology and risk factors of febrile seizure an update. Bangladesh J Child Health. 2010;34(3):103−12.

Kanemura H, Sano F, Mizorogi S, Tando T, Sugita K, Aihara M. Parental thoughts and actions regarding their child’s first febrile seizure. Pediatr Int. 2013;55(3):315−9.

Mikati MA. Seizures in childhood. In: Kliegman R, Stanton BF, Schor NF, Geme III JWS, Behrman RE, editors. Nelson textbook of pediatrics. 19th ed. Philadelphia: Elsevier/Saunders; 2011. p. 2017−18.

Graves RC, Oehler K, Tingle LE. Febrile seizures: risks, evaluation, and prognosis. Am Fam Physician. 2012;85(2):149−53.

Wolf P, Shinar S. Febrile seizure. In: Maria BL, editor. Current management in child neurology. 4th ed. Shelton: BC Decker; 2009. p. 99−104.

Syndi Seinfeld D, Pellock J. Recent research on febrile seizures: a review. J Neurol Neurophysiol. 2013;4(4):165–171.

Chung S. Febrile seizures. Korean J Pediatr. 2014;57(9):384−95.

UKK Neurologi IDAI. Kosensus penatalaksanaan kejang demam. In: Hardiono DP, Dwi PW, Sofyan I, editors. 2th ed. Jakarta: Badan Penerbit IDAI; 2006. p. 6.

Sugai K. Current management of febrile seizures in Japan: an overview. Brain Dev. 2010;32(1):64−70.

Fallah R, Karbasi SA. Recurrence of febrile seizure in Yazd, Iran. Turk J Pediatr. 2010;52(6):618−22.

Marudur PT, Herini ES, Satria CD. Predictive factors for recurrent febrile seizures in children. Paediatr Indones. 2012;52(6):317−23.

Veisani Y, Delpisheh A, Sayemiri K. Predictors of recurrent febrile seizures in Iranian Children. Zahedan J Res Med Sci. 2013;15(9):1−5.

Tosun A, Koturoglu G, Serdaroglu G, Polat M, Kurugol Z, Gokben S, et al. Ratios of nine risk factors in children with recurrent febrile seizures. Pediatr Neurol. 2010;43(3):177−82.




DOI: https://doi.org/10.15850/amj.v4n2.1086

Article Metrics

Abstract view : 1516 times
PDF - 819 times



 This Journal indexed by

                  

          

 

Creative Commons License
AMJ is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License

 


View My Stats