Five Years Study of Recurrent Febrile Seizure Risk Factors

Abstract

Background: Nearly one-third of febrile seizure patients suffered recurrent febrile seizures. Several risk factors contribute to this recurrence, namely young age, family history of febrile seizures, low body temperature and rapid duration of fever before onset of seizures. Recently, the types of seizure and gender have been stated increasing risk of this recurrence. The objectives of this study was to identify the risk factors of recurrent febrile seizures. Methods: A descriptive study was carried out by retrieving data from inpatient medical records during the period of January 1st, 2009 to December 31st, 2013 at one of the top referral hospitals in West Java, Indonesia. Variables of this study were the first febrile seizure age, gender, type of febrile seizure, a family history of febrile seizure, a family history of epilepsy, body temperature when febrile seizure occurred and duration of fever before onset of seizure. The collected data were tabulated by frequency and percentage and displayed in tables. Results: Out of 154 patients with febrile seizures 58 suffered recurrent febrile seizures. Forty three percent had a first febrile seizure at the age of under12 months, 72% were male, 46% had fever less than 24 hours before the onset of seizure, 65% had complex febrile seizures, 28% had positive family history of febrile seizures, and 5% had positive family history of epilepsy. Conclusions: The risk factors for recurrent febrile seizures are young age, male, rapid duration of fever before onset of seizure and complex febrile seizure.

A Description of Risk Factors of Reccurent Febrile Seizure on Pediatric Patients in Abdul Wahab Sjahranie Hospital in Samarinda

“…This study found that recurrence of febrile seizures was more common in male patients, gender ratio of male to female was 1.5:1. These result is in line with previous studies that found out the gender of patients who experienced recurrence of febrile seizures were mostly male 5,7,8,9,14 . Different results were found in other studies which showed the gender of recurrence of febrile seizures were mostly female 4,10 .…”

“…The difference in the fever interval for each child was due to the seizure threshold for each child was different 20 . This result is in line with previous studies which found that fever intervals of patients who experienced recurrence of febrile seizures were mostly 24 hours 10,14 . Other studies have found febrile seizures recurrence on patients who experienced fever similar intervals between 24 hours or > 24 hours 10 .…”

“…Children who have first febrile seizures at the age of 12 months or less have a 65% chance of having recurrence of febrile seizures, on the other hand, those who are over 12 months have 35% chance of having recurrent febrile seizure 12 . The results of this study are in line with previous studies which stated that the occurrence of febrile seizures recurred frequently in patients in the age group <12 months 13,9,14 . Different results were found in a similar study which showed that recurrence of febrile seizures occurred in the age group> 12 months 5,8 .…”

“…A meta-analysis study reported the percentage of simple febrile seizures in the first febrile seizure was as many as 69.3% 15 . Different results were stated in other studies that found that complex febrile seizures were experienced by patients during their initial febrile seizures 9,10,14 . The complex febrile seizures in the initial febrile seizure as a risk factor for recurrence of febrile seizures is still being debated until now 18 .…”

Pattern of Electroencephalography in Recurrent Febrile Seizure Patient

“…Research results in several journals have different results. In a study conducted in Indonesia, precisely at RSHS Bandung, out of 58 children with recurrent febrile seizure, 38 (65%) of those suffer complicated febrile seizure, and 16 children (28%) sufer simple febrile seizure, while in 4 children (7%) the type of febrile seizure cannot be identified (8) . This is in similar to the results of this study.…”