Frequency and causes of seizure among hospitalized burned children
Marzieh Abedipour1, Azita Tavasouli2, Behnam Sobouti3
1Tehran University of Medical Sciences, Tehran, Iran.
Insights
Pediatric burn patients experienced seizures, primarily within 24 hours post-injury. Febrile seizures and hyponatremia were the leading causes in young children following thermal burns.
Area of Science:
- Pediatric Medicine
- Neurology
- Burn Care
Background:
- Seizures are a potential complication in pediatric burn patients.
- Understanding the incidence and etiology of seizures post-burn is crucial for effective management.
Purpose of the Study:
- To investigate the frequency, type, timing, and causes of seizures in children hospitalized with burns.
- To provide essential information for healthcare professionals managing pediatric burn injuries.
Main Methods:
- A cross-sectional retrospective study was conducted.
- Data from 1103 pediatric patients (under 18) hospitalized between 2006-2011 were analyzed.
- Patient medical records were reviewed for seizure occurrence and related factors.
Main Results:
- 6.2% (69 patients) experienced seizures, predominantly within the first 24 hours post-burn.
- Thermal burns, particularly from boiling water, were common. Children under 3 years old were more affected.
- Generalized tonic-clonic seizures were most frequent, primarily associated with febrile seizures and hyponatremia.
Conclusions:
- Seizures are a significant concern in pediatric burn patients, especially in the early post-burn period.
- Febrile seizures and hyponatremia are key etiological factors requiring attention.
- Further multi-center investigations are recommended to broaden understanding and improve clinical practice.
Methods:
In this cross-sectional retrospective study, frequency, type, time of occurrence and atiology of seizures in children with burn was investigated. All cases were under 18 years and were hospitalized in Shahid Motahari Burns Hospital during 2006-2011. Extracted data from patients' medical records was reviewed and statistically analyzed.
Results:
Among 1103 patients, 69 (6.2%) had seizures, more frequently in the first 24 h following burn. Thermal burn, especially with boiling water was the cause of burn in most of the children. Seizures occurred more commonly in children less than 3 years old and was generalized (tonic-clonic). Seizure was found to be primarily associated with febrile seizure, while hyponatremia was diagnosed as the second cause. Previous seizure history and seizure with unknown cause were identified as other etiologies. This paper summarizes the key information about seizure following burn, which health professionals, especially those in burn centers, should be aware. However, since this study was single-center more investigations in other centers are needed.
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