Current Clinical Features of Febrile Seizures in a Pediatric Emergency Room / 이화의대지
The Ewha Medical Journal
;
: 149-154, 2017.
Article
in Korean
| WPRIM
| ID: wpr-123927
ABSTRACT
OBJECTIVES:
To expand current knowledge on febrile seizures (FSs), the most common childhood seizure disorder, we investigated clinical features and risk factors of FS in the pediatric emergency department of a center in western Seoul.METHODS:
Children with FS that visited the pediatric emergency room of the Ewha Womans University Medical Center from January to December 2014 were included in this study. A retrospective medical record review was conducted for a total of 404 seizure events relative to 265 patients.RESULTS:
A total of 150 boys and 115 girls were enrolled. Children presenting their first FSs were 70.9% (n=188). Average age of FS onset was 28.9 months. Family history was reported in 95 children (36.8%) with higher relevance of paternal inheritance (44.2%, n=42/95). More than half of the seizures (56.4%, n=228/404) occurred on the first day of fever. The most common cause of fever was upper respiratory tract infection (65.8%, n=266/404). Children attending a daycare center had higher incidence of multiple FS compared to those cared for at home. Approximately one third of seizure events (31.7%, n=128/404) were admission cases, mainly because of prolonged fever.CONCLUSION:
FS is a common neurologic disorder with relatively high admission rate among pediatric emergency department visits. Daycare attendance is associated with current increased incidence of multiple FS. Further study with long-term follow up is necessary to expand knowledge on improving clinical care strategy in FS.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Respiratory Tract Infections
/
Seizures
/
Wills
/
Medical Records
/
Incidence
/
Retrospective Studies
/
Risk Factors
/
Follow-Up Studies
/
Seizures, Febrile
/
Emergencies
Type of study:
Etiology study
/
Incidence study
/
Observational study
/
Prognostic study
/
Risk factors
Limits:
Child
/
Female
/
Humans
Country/Region as subject:
Asia
Language:
Korean
Journal:
The Ewha Medical Journal
Year:
2017
Type:
Article
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