Parental Reactions to a Child's First Febrile Convulsion:<i>A Follow‐up Investigation</i>

Balslev, Thomas

doi:10.1111/j.1651-2227.1991.tb11883.x

Cited by 66 publications

(56 citation statements)

References 3 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…[2][3][4][5][6][7][8] In recent years, the prevention of recurrent febrile seizures has become a debatable issue; prevention may not be necessary because almost all febrile seizures are not injurious to the child. 9 -11 However, prevention of seizure recurrences serves two useful purposes: meeting parental fear of recurrent febrile seizures in general 12,13 and reducing the small risk of a long-lasting and eventually injurious recurrent seizure. 9 -11 Intermittent treatment with diazepam during fever is associated with adverse effects and has not been proven efficacious to prevent febrile seizure recurrences.…”

mentioning

confidence: 99%

Randomized, Controlled Trial of Ibuprofen Syrup Administered During Febrile Illnesses to Prevent Febrile Seizure Recurrences

et al. 1998

View full text Add to dashboard Cite

ABSTRACT. Objectives. Febrile seizures recur frequently. Factors increasing the risk of febrile seizure recurrence include young age at onset, family history of febrile seizures, previous recurrent febrile seizures, time lapse since previous seizure <6 months, relative low temperature at the initial seizure, multiple type initial seizure, and frequent febrile illnesses. Prevention of seizure recurrences serves two useful purposes: meeting parental fear of recurrent febrile seizures in general and reducing the (small) risk of a long-lasting and eventually injurious recurrent seizure. In daily practice, children with febrile seizures often are treated with antipyretics during fever to prevent febrile seizure recurrences. Thus far, no randomized placebo-controlled trial has been performed to assess the efficacy of intermittent antipyretic treatment in the prevention of seizure recurrence.Methods. We performed a randomized, doubleblind, placebo-controlled trial. Children 1 to 4 years of age who had had at least one risk factor for febrile seizure recurrence were enrolled. They were randomly assigned to either ibuprofen syrup, 20 mg/mL, 0.25 mL ‫؍(‬ 5 mg) per kilogram of body weight per dose, or matching placebo, to be administered every 6 hours during fever (temperature, >38.5°C). Parents were instructed to take the child's rectal temperature immediately when the child seemed ill or feverish and to promptly administer the study medication when the temperature was >38.5°C. Doses were to be administered every 6 hours until the child was afebrile for 24 hours. The parents were instructed not to administer any other antipyretic drug to the child. For measuring rectal temperature, a Philips HP5316 digital thermometer (Philips, Eindhoven, The Netherlands) was distributed. During subsequent treatment of the fever episode, parents had to call the investigator at least once each day to notify the investigator in case of febrile seizure recurrence. The investigator could be contacted by parents 24 hours per day.The primary outcome was the first recurrence of a febrile seizure. Kaplan-Meier curves and Cox regression were used for the statistical analysis. The treatment effect on the course of the temperature was assessed using analysis of covariance, with temperature at fever onset as covariate. Two analyses were performed. In an intention-to-treat analysis, all first recur-

show abstract

mentioning

confidence: 99%

Randomized, Controlled Trial of Ibuprofen Syrup Administered During Febrile Illnesses to Prevent Febrile Seizure Recurrences

et al. 1998

View full text Add to dashboard Cite

show abstract

“…A study by Kayserili et al (25), revealed that 70% of the parents directly consulted a doctor without making any intervention. Similar studies found the rates of 36-90% for the same parameter (5,23,26). In a study of Flury et al (20), 42% of the parents said that they would try to reduce the fever, and 29% stated that they would safely lay the child on a flat surface.…”

Section: Discussionmentioning

confidence: 66%

“…There are a number of studies on the reactions of parents during and after FS (5,15,16). These reactions include physical, psychological and behavioral symptoms.…”

Section: Discussionmentioning

confidence: 99%

“…FS, especially if experienced for the first time, cause fear and panic in the family. The majority of the parents think that their child may die during a seizure (4,5). Especially the parents of children with recurrent FS are more troublesome, being quite apprehensive of the risk of recurrence, and they may even experience sleep disorders or other functional disorders for weeks (6,7).…”

Section: Introductionmentioning

confidence: 99%

“…Previous studies have tried to obtain qualitative information by questioning the attitudes and emotional state of the parents during and after previous seizures (5,8,9). It is suggested that educating the families with high levels of anxiety may be helpful in reducing the levels of anxiety.…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Information is Power: An Interventional Study on Parents of Children with Febrile Seizures

Kızılay¹,

Kırdök²,

Ertan³

et al. 2017

jpr

View full text Add to dashboard Cite

ABS TRACTÖZ Aim: Febrile seizures (FS) cause great fear and panic in the families. The majority of parents think that they may lose their child during a seizure, and feel anxious about the possibility of seizures recurring in the future. We believe that educating the families with high levels of anxiety due to FS may help to reduce the level of anxiety. In this study, we aimed to determine the needs of parents regarding FS, and the effect of education on FS on the approach and anxiety of the parents. Materials and Methods: In our study, we interviewed the parents of 113 children who suffered from FS. We conducted a survey aiming at detailed detection of knowledge, attitudes, thoughts and concerns of the families about FS, and their approaches to fever and FS. We also performed Hospital Anxiety and Depression Scale and State-Trait Anxiety Inventory to determine the levels of anxiety and depression of the parents. Results: In this study, we found that parents were misinformed and had misbeliefs suggesting that FS damage the brain and cause epilepsy, that they are life-threatening and electroencephalography, magnetic resonance imaging and computed tomography scans of the brain are required. We also determined a significant lack of information about interventions during a seizure and thus, a high level of anxiety. Conclusion: We concluded that parents provided with sufficient information and given psychosocial support have their anxiety levels significantly reduced, making them better in first aid practices and reducing their requests for unnecessary preventive interventions.

show abstract

Children With Febrile Seizures Do Not Consume Excess Health Care Resources

Gordon¹,

Camfield²,

Camfield³

et al. 2000

Arch Pediatr Adolesc Med

View full text Add to dashboard Cite

show abstract

Parental Reactions to a Child's First Febrile Convulsion:A Follow‐up Investigation

Cited by 66 publications

References 3 publications

Randomized, Controlled Trial of Ibuprofen Syrup Administered During Febrile Illnesses to Prevent Febrile Seizure Recurrences

Randomized, Controlled Trial of Ibuprofen Syrup Administered During Febrile Illnesses to Prevent Febrile Seizure Recurrences

Information is Power: An Interventional Study on Parents of Children with Febrile Seizures

Children With Febrile Seizures Do Not Consume Excess Health Care Resources

Contact Info

Product

Resources

About