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Iron deficiency as a risk factor for simple febrile seizures--a case control study
P Leela Kumari1, M K C Nair, S M Nair
1Clinical Epidemiology Resource and Training Centre (CERTC), Medical College, Thiruvananthapuram, Kerala, India. leela_suresh2005@yahoo.co.in
Insights
Iron deficiency significantly increases the risk of simple febrile seizures in children aged 6 months to 3 years. This study highlights iron deficiency as a key risk factor for febrile seizures in young children.
Area of Science:
- Pediatric Neurology
- Nutritional Science
- Epidemiology
Background:
- Simple febrile seizures are common in children aged 6 months to 3 years.
- The role of iron deficiency as a risk factor for febrile seizures requires further investigation.
Purpose of the Study:
- To investigate the association between iron deficiency and simple febrile seizures in children.
- To determine if iron deficiency is a significant risk factor for simple febrile seizures.
Main Methods:
- A case-control study was conducted with 154 children diagnosed with simple febrile seizures and 154 age-matched controls.
- Iron deficiency was diagnosed using WHO criteria, including hemoglobin, red cell distribution width, and serum ferritin levels.
- Statistical analysis, including univariate and multivariate logistic regression, was performed to assess the association and adjust for confounders.
Main Results:
- A highly significant association was found between iron deficiency and simple febrile seizures.
- The crude odds ratio for iron deficiency was 5.34, and the adjusted odds ratio was 4.5, indicating a substantially increased risk.
- These findings remained significant in both univariate and multivariate analyses.
Conclusions:
- Iron deficiency is confirmed as a significant risk factor for simple febrile seizures in children aged 6 months to 3 years.
- Early diagnosis and management of iron deficiency may play a role in preventing febrile seizures in susceptible children.
Objective:
To study the role of iron deficiency as a risk factor for simple febrile seizures.
Design:
Case control study.
Setting:
Pediatric department of a tertiary care teaching hospital.
Participants:
154 cases and 154 controls were included in the study. Consecutive cases and concurrent controls were selected. Cases were children of age group 6 months to 3 years presenting with simple febrile seizures. Controls were children of same age group presenting with short febrile illness but without any seizures.
Methods:
After informed consent, detailed history was taken and clinical examination done in both cases and controls and blood investigations were done to diagnose iron-deficiency in both cases and controls. Iron deficiency was diagnosed as per WHO criteria (hemoglobin value <11 g%, red cell distribution width of >15% and serum ferritin value <12 ng/mL). Other explanatory variables, which can be the potential confounders were also included in the study and considered for analysis.
Results:
Highly significant association was found between iron deficiency and simple febrile seizures in both univariate and multivariate analysis. Crude odds ratio was 5.34 (CI 3.27- 8.73, P<0.001) and adjusted odds ratio in the logistic regression analysis was 4.5 (CI 2.69- 7.53, P <0.001).
Conclusions:
Iron deficiency is a significant risk factor for simple febrile seizures in children of age group 6 months to 3 years.
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