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Febrile Seizures among Children Admitted to the Department of Paediatrics of a Tertiary Care Centre: A Descriptive
Sumita Poudel1, Sudhir Adhikari1, Rohit Thapa2
1Department of Paediatrics, Chitwan Medical College Teaching Hospital, Bharatpur, Chitwan, Nepal.
Insights
Febrile seizures are common in young children, with this study finding a prevalence of 9.5%. Understanding the risk of febrile seizure and recurrence is crucial for caregivers.
Area of Science:
- Pediatrics
- Neurology
Background:
- Febrile seizures are the most common convulsive events in children under 60 months.
- Fever can disrupt fluid and electrolyte balance, and hyponatremia may increase seizure susceptibility.
Purpose of the Study:
- To determine the prevalence of febrile seizures in children admitted to a tertiary care center's pediatrics department.
Main Methods:
- A descriptive cross-sectional study was conducted from December 2020 to September 2021.
- 1052 children were included using convenience sampling.
- Data were analyzed using SPSS version 25.0, calculating point estimates with 95% Confidence Intervals.
Main Results:
- The prevalence of febrile seizures was 9.5% (95% CI: 7.73-11.27) among 1052 children.
- Of the 100 children with febrile seizures, 68% had simple febrile seizures and 32% had recurrent febrile seizures.
Conclusions:
- The prevalence of febrile seizures in this study was higher than reported in similar settings.
- Findings can inform parents and caregivers about the risks and recurrence of febrile seizures.
Introduction:
Febrile seizure is the most common convulsive event in children younger than 60 months. Fever plays an important role in causing disturbances in fluid and electrolyte balance, also hyponatremia has been thought to enhance the susceptibility to seizures. The objective of this study is to find out the prevalence of febrile seizures among children admitted to the Department of Paediatrics of a tertiary care centre.
Methods:
A descriptive cross-sectional study among children admitted to the Department of Paediatrics was done at a tertiary care centre between December, 2020 to September, 2021. Ethical approval was taken from the Institutional Review Committee (Reference number: 077/078-098). A total of 1052 children were included in this study. A convenience sampling technique was used. Statistical Package for the Social Sciences version 25.0 was used for data analysis. Point estimate at 95% Confidence Interval was calculated along with frequency and proportion for binary data.
Results:
Among 1052 children, the prevalence of febrile seizure was 100 (9.50%) (7.73-11.27 at 95% Confidence Interval). Among these 100 patients, 68 (68%) had simple febrile seizures while 32 (32%) had recurrent febrile seizures.
Conclusions:
The prevalence of febrile seizures was found to be higher than in other studies conducted in similar settings. This knowledge may be of practical value in advising parents or caregivers of the risk of a febrile seizure and its recurrence.
Keywords:
febrile seizure; hyponatremia; recurrence.
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