ĐẶC ĐIỂM LÂM SÀNG VÀ CÁC YẾU TỐ LIÊN QUAN CO GIẬT TÁI PHÁT Ở TRẺ SỐT CO GIẬT TẠI BỆNH VIỆN NHI ĐỒNG 2

Abstract

Introduction: Febrile seizures are commonly seen in children and about one-third of the children develop a recurrence of febrile seizures. Objective: To investigate the epidemiological, clinical, and paraclinical characteristics of children with recurrence of febrile seizures at Children's Hospital 2 and to describe factors associated with recurrence of febrile seizures. Methods: A cross-sectional study was conducted on 85 children aged 30 months to 5 years with recurrence of febrile seizures, admitted between February 2023 and August 2024. Results: Recurrence of febrile seizures was more common in boys (67.1%) and in the 18 - <36 months age group (41.2%). A family history of febrile seizures was present in 37.6%, while epilepsy was less frequent (5.9%). Most recurrence of febrile seizures episodes occurred at temperatures of 38.5-39.5°C (70.6%), with generalized seizures being predominant (95.3%) and a duration of ≤5 minutes in 92.9% of cases. The main causes of fever were acute pharyngitis (44.7%), acute tonsillitis (18.8%), and viral infections (18.8%). Paraclinical test results were mostly normal, but there was a significant difference in potassium levels between simple and complex febrile seizures groups (p<0.05). Factors associated with recurrence of febrile seizures within 24 months after the first febrile seizures episode included gender, age at second febrile seizures occurrence, family history of febrile seizures, previous number of febrile seizures episodes, and the presence of ≥3 risk factors. First febrile seizures temperature with recurrence of febrile seizures. Conclusion: A thorough understanding of recurrence of febrile seizures characteristics and associated factors can help reassure parents and improve diagnosis and treatment strategies.