Febrile seizures: a population-based study

Dalbem, Juliane Salter; Siqueira, Heloise Helena; Espinosa, Mariano Martínez; Alvarenga, Regina

doi:10.1016/j.jped.2015.01.005

Cited by 12 publications

(11 citation statements)

References 26 publications

(24 reference statements)

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“…The protective effect of a high income level in the per-person analysis was an interesting finding. The study of Verity et al [15] showed no significant difference in the prevalence of febrile seizures with the educational level or socioeconomic status of the parents in the British national cohort; however, Dalbem et al [6] reported a lower incidence of febrile seizures in higher socioeconomic regions in Brazil. Dalbem et al [6] assumed that the higher socioeconomic regions had better sanitation facilities and thus would have less febrile illness and a lower incidence of febrile seizures.…”

Section: Discussionmentioning

confidence: 94%

“…The study of Verity et al [15] showed no significant difference in the prevalence of febrile seizures with the educational level or socioeconomic status of the parents in the British national cohort; however, Dalbem et al [6] reported a lower incidence of febrile seizures in higher socioeconomic regions in Brazil. Dalbem et al [6] assumed that the higher socioeconomic regions had better sanitation facilities and thus would have less febrile illness and a lower incidence of febrile seizures. We consider that the lack of proper sanitation and the possibility of higher parental anxiety and family dysfunction could be the reasons for the higher incidence of febrile seizures in the lowincome families in this study [16].…”

Section: Discussionmentioning

confidence: 94%

“…The incidence of febrile seizures varies geographically according to several studies, with incidence rates of 9.3% in Japan, 14% in Guam and 10% in India [2][3][4]. However, most previous studies were based on snapshot data from regional populations or hospital visits, and few population-based studies used longitudinal analysis from birth, especially in Korea [5][6][7][8].…”

Section: Introductionmentioning

confidence: 99%

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Febrile seizures: Are they truly benign? Longitudinal analysis of risk factors and future risk of afebrile epileptic seizure based on the national sample cohort in South Korea, 2002–2013

Choi

Jung

Kim

et al. 2019

Seizure

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We performed a large, population-based study to analyze the risk factors of the febrile seizures and the subsequent afebrile epileptic seizures. Methods: Relevant data from children born between 2002-2007 were retrieved from the Korean National Health Insurance Service-National Sample Cohort 2002-2013. Children who did not survive the first five years were excluded from the analysis. The risk factors for febrile seizures were assessed separately in per-person and perfebrile case analyses, and factors contributing to an increased risk of subsequent afebrile epileptic seizures were identified. Results: A total of 54,233 children were included and the five-year prevalence rate of febrile seizure was 11.19%. In the per-person analysis, male sex, preterm birth and brain injury at birth increased the risk of febrile seizure with odds ratios of 1.17, 1.40 and 1.97 (all p < 0.001), respectively. A high household income level was associated with reduced odds of febrile seizure. In the per-febrile illness analysis, male sex, brain injury at birth, presumed bacterial infection, gastrointestinal or genitourinary infection and unspecified sepsis were independent risk factors of a febrile seizure during febrile illness. The cumulative number of febrile seizure episodes, especially more than the third episodes, was associated with a new diagnosis of an afebrile epileptic seizure within one year. Conclusion: Sex, preterm birth, brain injury at birth, presumed bacterial infection, genitourinary and gastrointestinal infections and unspecified sepsis were identified as likely risk factors for febrile seizures. A greater number of febrile seizure episodes was associated with a higher probability of subsequent afebrile epileptic seizures.

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Section: Discussionmentioning

confidence: 94%

Section: Discussionmentioning

confidence: 94%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Febrile seizures: Are they truly benign? Longitudinal analysis of risk factors and future risk of afebrile epileptic seizure based on the national sample cohort in South Korea, 2002–2013

Choi

Jung

Kim

et al. 2019

Seizure

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“…Only one study in Brazil has observed the same rate; however, the authors have evaluated only patients ≥ 15 years old ( 22 ). Another Brazilian study has observed an average age of the first childhood febrile seizure of 1.6 ( 26 ) in children aged 0–5 years. Shrestha et al ( 27 ) have analyzed the clinical characteristics of children with febrile seizures in a hospital in Nepal and found that most children (72.8%) presented their first episode of seizure below 24 months of age.…”

Section: Discussionmentioning

confidence: 99%

Epidemiologic Profile of Patients With Epilepsy in a Region of Southeast Brazil: Data From a Referral Center

et al. 2022

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IntroductionEpilepsy affects about 50 million people worldwide, 80% of whom live in low- and middle-income countries. In Brazil, epidemiological studies are outdated and restricted to specific regions, mostly due to the continental size of country.ObjectiveWe aimed to present the first evidence-based study on the epidemiological aspects of individuals with epilepsy, mapping the characteristics of this disease in a referral center in a region of Southeast Brazil.MethodsA retrospective study was carried out from January 2010 to March 2021. Patients were selected according to the International League Against Epilepsy Criteria.ResultsFrom a total of 618 selected patients, 317 (51.3%) were men and 301 (48.7%) were women with an average age of 34.03 ± 20.66 years. The average age at the first seizure was 15.16 ± 17.61 years. The prevalence ratio was 1.30 cases/1,000 habitants. Childhood febrile seizure was present in 44 patients (7.9%) and family history of epilepsy in 231 (37.4%) patients. The predominant type of seizure was focal in 401 (64.9%) patients. The most frequent etiologies were structural in 254 (41.1%) patients and unknown in 238 (38.5%) patients. Most of the patients' treatments were based on anti-seizure drugs in monotherapy [389 (62.9%)] with 398 (64.4%) drug-responsive patients.ConclusionsOur epilepsy prevalence rate was lower than other studies in the Southeast Region of Brazil. In addition, the structural epilepsy type was predominant in our study compared with unknown causes, which is more frequent in other Brazilian regions and worldwide studies. The differences may be attributed to our region, which presents a high prevalence of neuroinfection, specially neurocysticercosis, and a referral center for traumatic brain injury. Moreover, the contrasting results reinforce the need for an adequate epidemiological assessment of epilepsy incidence in a region of Southeast Brazil.

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“…This association is not surprising, considering that febrile seizure is classified as the most prevalent seizure type in the pediatric population. However, these seizures generally do not represent long-term neurological complications associated with epileptic diseases [31].…”

Section: Causes Of Seizure In Childrenmentioning

confidence: 99%

Concepts, Beliefs, and Traditional Treatment for Childhood Seizures in a Quilombola Community in Northeastern Brazil: Analysis by the Discourse of the Collective Speech

Beltrão

Carneiro

Delmondes

et al. 2021

IJERPH

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Background: Non-pharmacological therapy related to traditional, magical, and/or religious treatments for managing recurrent and non-recurrent seizures in children persists in several traditional communities. The research aims to investigate the concepts, beliefs, and types of traditional treatments used for cases of seizures in children reported by residents of a quilombola community. Methods: The research took place in the quilombo community Sítio Arruda, Ceará, northeastern Brazil. The study population consisted of 19 participants, including healers, prayers, and midwives. Applied a socioeconomic form and a semi-structured interview script. For data analysis, the Discourse of the Collective Speech (DCS) technique was used. Results: For the questions asked, a total of 14 central ideas were found. The most prevalent was seizure is the most common type of disease in children (50.0%); The seizure occurs because of the fever (42.0%); In the community, we treat and prevent seizures with the use of plants (63.2%). Conclusions: The present study’s results addressed relevant issues that include valuing and understanding the traditional knowledge of the community, access to health services, and the need for clarification actions about seizures.

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Febrile seizures: a population-based study

Abstract: The prevalence of febrile seizures in Midwestern Brazil was lower than that found in other Brazilian regions, probably due to the inclusion only of febrile seizures with motor manifestations and differences in socioeconomic factors among the evaluated areas.

Cited by 12 publications

References 26 publications

Febrile seizures: Are they truly benign? Longitudinal analysis of risk factors and future risk of afebrile epileptic seizure based on the national sample cohort in South Korea, 2002–2013

Febrile seizures: Are they truly benign? Longitudinal analysis of risk factors and future risk of afebrile epileptic seizure based on the national sample cohort in South Korea, 2002–2013

Epidemiologic Profile of Patients With Epilepsy in a Region of Southeast Brazil: Data From a Referral Center

Concepts, Beliefs, and Traditional Treatment for Childhood Seizures in a Quilombola Community in Northeastern Brazil: Analysis by the Discourse of the Collective Speech

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