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Effect of fever on recurrence rate of febrile convulsions
1Paediatric Department, Ahmadi Hospital, Kuwait.
Insights
High temperatures during a child's first febrile convulsion may reduce the risk of recurrence. Children with temperatures of 40°C or higher were significantly less likely to experience subsequent convulsions.
Area of Science:
- Pediatrics
- Neurology
Background:
- Febrile seizures are common in young children.
- Understanding factors influencing recurrence is crucial for management.
Purpose of the Study:
- To investigate the relationship between body temperature and febrile convulsion recurrence.
- To determine if higher temperatures impact the likelihood of repeat seizures.
Main Methods:
- Prospective study of 154 children admitted for their first febrile convulsion.
- Temperature at admission was recorded and correlated with recurrence rates.
Main Results:
- Children with initial temperatures of 40°C or higher had a ninefold lower risk of recurrence.
- A temperature of 38-38.9°C was associated with a higher recurrence likelihood.
Conclusions:
- Higher body temperature during a febrile convulsion may be protective against recurrence.
- Temperature is a significant factor influencing the prognosis of febrile seizures.
Abstract:
We studied 154 children admitted consecutively with their first febrile convulsion to assess the influence of the temperature on the recurrence rate of convulsions. Those with temperatures of 40 degrees C or more were nine times less likely to have subsequent convulsions than those with temperatures of 38-38.9 degrees C.
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