RELATED FACTORS TO RECURRENCE OF FEBRILE SEIZURES IN CHILDREN AT CAN THO CHILDREN'S HOSPITAL 2022 – 2023

Van Thi Vo1, Tuong Vy Van1, Tran Linh Nhi Huynh1, Trong Nguyen Ho1, Van Trinh Nguyen1, Van Truong Nguyen1, Minh Phuong Nguyen1, Van Minh Le1, Tri Dien Lu1, Thao Vi Bui1,
1 Can Tho University of Medicine and Pharmacy

Main Article Content

Abstract

Background: Febrile convulsions are a fairly common emergency in children, accounting for up to 2/3 of children with symptomatic convulsions in diseases with identified causes. Febrile seizures are a medical emergency in pediatrics. Seizure recurrence can affect the child in many ways, including the risk of injury, respiratory failure during a seizure, or increased risk of epilepsy. The recurrence of febrile seizures is directly related to prognosis and prevention in children. Objectives: 1) Describe the clinical characteristics of febrile seizures in children from 6 months to 60 months at Can Tho Children's Hospital. 2) Risk factors for recurrent febrile seizures in children from 6 months to 60 months at Can Tho Children's Hospital. Materials and methods: Crosssectional descriptive study with analysis of 125 children with febrile seizures. Results: Out of the total of 125 cases, the male/female ratio was 1.55/1, the age group with a higher percentage was 6 - 24 months old (51.2 %), 60% of children with febrile seizures were recorded with fever ≥ 390C, most cases were generalized seizures accounting for 98.4%. Regarding consciousness after a seizure, 1 case was recorded, corresponding to 0.8% of children with consciousness disorder after a seizure. The recurrence of febrile seizures was statistically significantly related to the type of febrile seizure (p < 0.001), the time from fever to the onset of the first seizure (p < 0.05), and morphology of seizures (p < 0.05). There is no relationship between recurrence of febrile seizures and age group, gender, temperature during seizures, as well as the child's history of surgery. assisted cesarean section/birth premature birth. Conclusions: Recurrence of febrile seizures is associated with a number of clinical features such as the classification of febrile seizures, the interval between fever and the first seizure, and the morphology of seizures.

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References

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