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Published on: May 4, 2020
Risk factors in children with febrile seizures and their iron status
Banan Wadi Ahmed1, Basil Metti Hanoudi2, Basma Adel Ibrahim2
1Central Child Teaching Hospital.
Insights
Iron deficiency significantly increases the risk of febrile seizures in children. This study found lower iron levels and higher rates of iron deficiency anemia in children experiencing febrile convulsions, highlighting iron status as a critical risk factor.
Area of Science:
- Pediatrics
- Hematology
- Neurology
Background:
- Febrile convulsions are common in young children.
- Iron deficiency is a prevalent nutritional deficiency globally.
- The relationship between iron status and febrile seizures requires further investigation.
Purpose of the Study:
- To identify risk factors for febrile convulsions in children.
- To evaluate the iron status of children with febrile convulsions.
- To determine the association between iron deficiency and febrile seizures.
Main Methods:
- A case-control study involving 80 febrile children aged 6-72 months.
- Cases presented with fever and convulsions; controls had fever only.
- Blood samples were analyzed for complete blood count, iron profile (serum ferritin, serum iron, total iron binding capacity).
Main Results:
- Children with febrile convulsions were significantly younger.
- The case group exhibited lower hemoglobin, packed cell volume, serum iron, and serum ferritin levels.
- Iron deficiency anemia was more prevalent in cases (73.9%) than controls (26.1%).
Conclusions:
- Iron deficiency is a significant risk factor for febrile seizures in children.
- Children with febrile convulsions have poorer iron status.
- Addressing iron deficiency may help mitigate the risk of febrile seizures.
Objective:
To determine the risk factors for patients with febrile convulsions and to assess their iron status.
Methods:
The case-control study was conducted at the Central Child Teaching Hospital, Baghdad, Iraq, from May 1 to August 31, 2017, and comprised febrile patients aged 6-72 months admitted after presenting with axillary temperature ≥38oC. Those who got fits along with fever were declared the cases, while those with just fever were considered the controls. Venous blood samples were taken for complete blood count, biochemical tests, and for serum ferritin, serum iron and total iron binding capacity. Data was analysed using SPSS 23.
Results:
Of the 80 patients, 40(50%) were in each of the two groups. Respiratory tract infection was the commonest cause of fever in 29(58%) cases and 21(42%) controls (p>0.05). The cases were significantly younger in age (p<0.05). Also, there was significantly low haemoglobin level, low packed cell volume, low serum iron, higher total iron binding capacity and low serum ferritin in the case group (p<0.05). Iron deficiency anaemia was found in 17(73.9%) of the cases compared to 6(26.1%) among the controls. The mean serum ferritin of the cases was lower compared to the controls (p=0.001).
Conclusions:
The risk of febrile seizure in iron-deficient children increased in the presence of risk factors.
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