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A Descriptive Analysis of Febrile Seizure Hospitalizations in Children with Congenital Heart Disease in the United

Ebenezer O Adebiyi1, Ruth Y Eletta2, William Ogedengbe3

  • 1Pediatric Cardiology, University of Texas Health Science Center, Houston McGovern Medical School, Houston, USA.

Cureus
|September 26, 2023
PubMed

Insights

Children with congenital heart disease (CHD) admitted for febrile seizures (FS) experienced longer hospital stays and higher costs. This underscores the need for targeted preventive strategies for this high-risk group.

Area of Science:

  • Pediatric Neurology
  • Cardiology
  • Health Services Research

Background:

  • Febrile seizure (FS) is the most common convulsive disorder in children.
  • Congenital heart disease (CHD) is a significant comorbidity in pediatric populations.
  • Understanding the impact of CHD on FS hospitalizations is crucial for resource allocation and patient management.

Purpose of the Study:

  • To determine the national prevalence of CHD among children hospitalized for FS.
  • To analyze differences in hospital resource utilization between children with and without CHD admitted for FS.
  • To evaluate the association between CHD and hospital stay duration in pediatric FS admissions.

Main Methods:

  • Retrospective cross-sectional analysis of the Kids Inpatient Database (KID) for 2016 and 2019.
  • Inclusion of pediatric patients up to six years old with a primary diagnosis of FS.
  • Comparison of demographic, hospital, and clinical characteristics using chi-square tests and linear/logistic regressions.

Main Results:

  • An estimated 10,039 children were admitted for FS, with 1.2% having a CHD diagnosis.
  • Children with CHD had a longer mean length of hospital stay (2.1 vs. 1.6 days) for FS.
  • Hospital charges were significantly higher for children with CHD ($30,960.28 vs. $21,005.11).

Conclusions:

  • Pediatric patients with CHD admitted for FS incur increased hospital stays and resource utilization.
  • The findings highlight a vulnerable population requiring focused preventive care strategies.
  • This research emphasizes the importance of integrated care for children with FS and concurrent CHD.
Abstract

Keywords:
congenital heart disease (chd)febrile seizurehospitalized patientspediatricsunited statesunited states of america

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