Risk Factors of Febrile Status Epilepticus
Reza Sharafi1, Afagh Hassanzadeh Rad1, Vahid Aminzadeh1
1Pediatric Growth Disorder Research Center, 17 Shahrivar HospitalSchool, of Medicine , Rasht, Iran.
Insights
Febrile status epilepticus (FSE) in children is linked to lower body temperature, younger age, and a family history of seizures or epilepsy. Premature birth also increases the risk of FSE.
Area of Science:
- Pediatric Neurology
- Epileptology
Background:
- Febrile seizures (FS) are common in children, but febrile status epilepticus (FSE) represents a more severe form.
- Identifying risk factors for FSE is crucial for early intervention and improved outcomes.
Purpose of the Study:
- To investigate the risk factors associated with febrile status epilepticus (FSE) in children.
- To differentiate risk factors between FSE, complex febrile seizure (CFS), and simple febrile seizure (SFS).
Main Methods:
- A case-control study analyzed records of 756 children with first febrile seizure (FS) from 2007-2014.
- Data collected included age, sex, feeding history, temperature, fever-to-seizure interval, family history of epilepsy/FS, and prematurity.
- Statistical analysis used Chi-square tests to compare FSE cases with complex and simple FS controls.
Main Results:
- Most patients (57.8%) had seizures with low-grade fever (<39 °C).
- Lower age, lower body temperature during seizure, family history of FS/epilepsy, and premature birth were significantly associated with FSE.
- These factors also showed significant associations when comparing FSE with complex febrile seizures.
Conclusions:
- Key risk factors for FSE in children include lower body temperature, younger age, and a family history of febrile seizures or epilepsy.
- Premature birth is also identified as a significant risk factor for FSE.
- These findings emphasize the importance of considering these factors in managing children with febrile seizures.
Objective:
We aimed to investigate the risk factors of febrile status epilepticus (FSE) in children.
Materials & Methods:
This analytic case-control study was conducted on all patients' records with first febrile seizure (FS) admitted to 17 Shahrivar Hospital, Rasht, Iran during 2007-2014. Cases were children aged 6 to 60 months with FSE and controls were children with complex and simple FS. Data were gathered using a checklist including age, sex, type of milk consuming during first year, temperature, the interval between fever and seizure, family history of epilepsy and febrile seizure, and prematurity. Data were analyzed using Chi-square in SPSS 19.
Results:
Overall, 756 patients with FS participated including 39 patients with FSE, 194 complex febrile seizure (CFC) and 523 simple febrile seizure (SFC). Most of the patients (57.8%) experienced seizure with low-grade fever (<39 °C). The mean age in SFC group was significantly higher than FSE patients (P<0.05). A significant relation was noted between groups regarding body temperature during seizure (P=0.006), family history of FS (0.029), family history of epilepsy (P=0.042) and the premature birth (P=0.023). Significant relation was noted between FSE and CFC groups regarding body temperature during seizure (P=0.004), family history of FS (0.011), family history of epilepsy (P=0.037), and the premature birth (P=0.025) between FSE and CFC groups.
Conclusion:
Considering risk factors of FSE including low body temperature, lower age, family history of FS and epilepsy, and premature birth is mandatory.
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