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

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.