Identification of risk factors for recurrent febrile convulsion
Keywords:
febrile convulsion, recurrent febrile convulsion
Abstract
Background Febrile convulsion (FC) occurs in about 2 to 4percent of all children, approximately one third of whom will
then develop recurrent febrile convulsion (RFC). Risk factors
for RFC are family history of convulsions, an age of less than 18
months, a relatively lower temperature and shorter duration of
fever preceeding the first FC.
Objective The aim of the study was to determine the risk factors
for RFC.
Methods One hundred children aged 6 months to 5 years with
FC or RFC were included in this case-controlled study, which was
carried out from July 2006 to June 2007. Data on the children's
first FC were collected from medical records and the family history
was taken directly from the parents.
Results Fifty children with RFC and 50 children without
recurrence were included in this study. An age of less than 18
months (P< 0.0001, COR= 71.37), a family history of FC
(P< 0.0001, COR= 6.00), and a fever duration ofless than 12
hours preceding the first FC (P< 0.0001, COR = 4.96) were
associated with a risk of recurrence. A relatively lower degree of
temperature at first febrile convulsion did not increase the risk
for RFC (P = 1.21). Multivariate logistic regression showed that
younger age and shorter duration of fever preceding the first FC
were associated with RFC.
Conclusion Younger age and shorter duration of fever preceding
the first FC are associated with an increased risk ofRFC.
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Whitehouse W; The Status Epilepticus Working Party,
Members of the Status Epilepticus Working Party. The
treatment of convulsive status epileptic us in children. Arch
Dis Child. 2000;83(5):415-9.
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Jensen HB, editors. Nelson textbook of pediatrics. 17'h ed.
Philadelphia: WB Saunders Co, 2004; p. 1994-7.
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2003]. Available from: http://www.mcg. edu/pediatric/
CCNotebook/chapter 2/seizures.htm.
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Available from http://healthlink.mcw.edu/
6. Mangunatmadja I. Kejang pada anak. Jakarta: BIKA FKUI;
2002, p. 245-61.
7. American Academy of Pediatrics. Provisional Committee on
Quality Improvement, Subcommittee on Febrile Seizures.
Practice parameters: the neurodiagnostic evaluation of
the child with a first simple febrile seizure. Pediatrics.
1996;97:769-75.
8. Camfield CS, Camfield PR, Shellhaas R. Febrile seizure.
Medline [cited 2004]. Available from http: //www.ILAE.org/
9. Soetomenggolo TS. Buku ajar neurologi anak. Jakarta: IDAI,
2000, p.244-52.
10. National Institute of Neurological Disorders and Stroke.
Febrile seizures Fact Sheet. [cited 2001]. Available from:
http: //www.nids.nih.gov/disorders/ febrile _seizures/detail Jebrile _seizures.htm.
11. Menkes JH, Sarnat HB. Specific seizure types. In: Child
neurology. 6'h ed. Philadelphia: Lippincott Williams and
Wilkins, 2000; p. 987-91.
12. Staf Pengajar Ilmu Kesehatan Anak FKUI. Kejang demam.
In: Alatas HR, editor. Buku kuliah ilmu kesehatan anak. 2nd
ed. Jakarta: BIKA FKUI, 1985; p. 487-55.
13. Offringa M, Moyer VA. Evidence based management of
seizure associated with fever. BMJ. 2001;323: 1111-4.
14. Panayiotopoulus CP. Epileptic syndromes in infancy and early
childhood. In: A clinical guide to epileptic syndromes and their
treatment. Oxford: Bladon Medical Publishing, 2002; p. 50-3.
15. Pusponegoro HP, Widodo DP, Ismael S. Kesepakatan saraf
anak. Jakarta: Saraf Anak PERDODDI; 2004.
16. Berg AT, Shinnar S, Hauser WA, Alemany M, Shapiro ED,
Salomon ME, et al. A prospective study of recurrent febrile
90 • Paediatr Indones, Vol. 49, No.2, March 2009
seizure. N Eng! J Med. 1992;327 (16): 1122-7.
17. Berg AT. Recurrent febrile seizure. In: Baram TZ, Shinnar S.
Febrile seizure. Canada: Department of Biological Science,
2002; p. 36-48.
18. Shinnar S. Febrile seizure. In: Swalman KS, Ashwal S, editors.
Pediatric neurology principles and practice. StLouis: The CV
Mosby Co, 1999; p. 676-82.
Published
2009-04-30
How to Cite
1.
Ridha N, Nara P, Angriani H, Daud D. Identification of risk factors for recurrent febrile convulsion. PI [Internet]. 30Apr.2009 [cited 5Dec.2024];49(2):87-. Available from: https://paediatricaindonesiana.org/index.php/paediatrica-indonesiana/article/view/531
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Received 2016-09-10
Accepted 2016-09-10
Published 2009-04-30
Accepted 2016-09-10
Published 2009-04-30
