EPIDEMIOLOGICAL, CLINICAL AND PARA-CLINICAL CHARACTERISTICS OF SIMPLE FEBRILE SEIZURES AT NAM DINH CHILDREN'S HOSPITAL
Main Article Content
Abstract
Objective: This study described the epidemiological, clinical, and paraclinical characteristics of simple febrile seizures (SFS) in children from 6 months to 5 years old treated at Nam Dinh Children's Hospital from September 2022 to August 2023. Subjects and Methods: The study described a series of cases using the convenience sampling method with a total sample size of all patients who met the research criteria. Results: Most children with SFS were aged 6-<36 months (93.4%). The disease was more common in boys than in girls (male/female ratio ≈ 2.39/1). 18.1% of children had recurrent SFS. The time of fever before convulsions was mainly <4 days. Upper respiratory infections were the most common cause of fever in children with SFS (70.5%). Most seizures lasted <2 minutes, with common symptoms such as rolled eyes, cyanosis, and foaming at the mouth. Most children had only one seizure in the first 24 hours of the illness, with a common body temperature at the time of the seizure being ≥39°C. Most cases of SFS had an increased white blood cell count in peripheral blood (71.7%), especially an increased neutrophil granulocyte ratio (83.7%). The CRP index increased by 72.3%. Some electrolyte changes were seen only in very few cases of SFS children. Conclusion: The age group most often affected by SFS was children under 36 months old. It was necessary to prevent SFS through good management of children with fever, especially in the group of children with acute respiratory infections.
Article Details
Keywords
children, simple febrile convulsions, fever, respiratory infections
References

2. Kavanagh, F.A., et al., Recognition and management of febrile convulsions in children. Br J Nurs, 2018. 27(20): p. 1156-1162.

3. Laino, D., E. Mencaroni, and S. Esposito, Management of Pediatric Febrile Seizures. 2018. 15(10).

4. Subcommittee on Febrile Seizures and A.A.o. Pediatrics, Neurodiagnostic evaluation of the child with a simple febrile seizure. Pediatrics, 2011. 127(2): p. 389-94.

5. Nguyễn Mai Phương, et al., Đặc điểm dịch tễ lâm sàng và kết quả điều trị co giật do sốt đơn thuần tại bệnh viện Trẻ em Hải Phòng năm 2021 - 2022. Tạp chí Y học Việt Nam, 2023. 526(2 (2023)): p. 30-34.

6. Nguyễn Văn Bắc, et al., Đặc điểm và một số yếu tố nguy cơ co giật do sốt ở trẻ em tại bệnh viện Trung ương Thái Nguyên. Tạp chí Y học Việt Nam, 2022. 512(2).

7. Nguyễn Ngọc Sáng, et al., Đặc điểm dịch tễ học lâm sàng, cận lâm sàng và một số nguyên nhân co giật do sốt đơn thuần tại bệnh viện trẻ em Hải Phòng Tạp chí Y học Việt Nam, 2020. 488(2): p. 174-177

8. Leung, A.K., K.L. Hon, and T.N. Leung, Febrile seizures: an overview. Drugs Context, 2018. 7: p. 212536.
