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: Clinico-demographic profile of pediatric patients with febrile seizures in a tertiary private hospital in Fairview, Quezon city. / [Principal Investigator]: Delmendo, Charito P. [Co-Author]: Salamat-Millora, Hasmin B.

Contributor(s): Language: English Publication details: Fairview, Quezon City: Department of ChildHealth 2023Description: ( in folder) with flash drive (soft copy)Content type:
  • text
Media type:
  • unmediated
Carrier type:
  • volume
LOC classification:
  • CH 2023 0004
Summary: ABSTRACT: Background: Febrile seizure is one of the most common reasons for emergency visits and hospital admission among pediatric patients. Objective: To assess the clinico-demographic profile of pediatric patients with febrile seizures at FEU-NRMF. Methods: This was a single-center descriptive study using chart review of pediatric patients up to 12 years of age diagnosed with febrile convulsion admitted in FEU-NRMF, a tertiary hospital, from year 2016-2022. Data collected were as follows: age, sex, past history and family history of febrile seizures, type of febrile seizures (simple or complex), temperature upon admission, underlying cause of fever, laboratory data together with treatment, duration of hospital stay and outcome. Results: There was male preponderance (n= 80, 59.7%) among admitted patients with febrile seizures. The majority were 1 year old to less than 2 years old. Eleven patients (8.2 %) had past history while fifty-four (40.3 %) had family history of febrile convulsion. Among the 134 patients, 109 (81.9%) had the simple type while 25 (18.7%) had the complex type. The mean duration of hospital stay was 5.09 ±3. 83 days. The mean body temperature upon admission was 38.03 ±3.28 degrees Celsius. Pneumonia was the most common underlying cause of fever (n=48, 35.8%) followed by upper respiratory tract infection (n=23, 17.2%). All admitted patients (n=134, 100%) had their complete blood count and platelet count and 88 (66%) of which revealed normal leukocyte count. Forty (30%) had leukocytosis while 6 (4%) had leukopenia. C-reactive protein was raised in 25% cases while CSF analysis, CT scan and EEG was normal in 100%, 100%, and 90.9%, respectively. For the management, 127 patients (94.8%) received antipyretic medication. Intravenous fluid, anti-convulsant and antibiotic on the other hand were administered in 91.8%, 50.7% and 50% of patients, respectively. All patients (n=134, 100%) were discharged improved from the condition. Conclusion: Initial episode of febrile seizures is common in males and in one to less than 2-year-old infants without underlying neurologic or metabolic conditions and history of trauma. Majority are simple type and without a family history of febrile seizure. Pneumonia remains the most common underlying cause of fever. Majority had normal white blood cell count and have received antipyretic and intravenous fluids. Lastly, all recovered and were discharged improved.
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Room Use Far Eastern University - Nicanor Reyes Medical Foundation CH 2023 0004 (Browse shelf(Opens below)) Available R000746

Includes bibliographical references.

ABSTRACT:
Background: Febrile seizure is one of the most common reasons for emergency visits and hospital admission among pediatric patients.
Objective: To assess the clinico-demographic profile of pediatric patients with febrile seizures at FEU-NRMF.
Methods: This was a single-center descriptive study using chart review of pediatric patients up to 12
years of age diagnosed with febrile convulsion admitted in FEU-NRMF, a tertiary hospital, from year 2016-2022. Data collected were as follows: age, sex, past history and family history of febrile seizures, type of febrile seizures (simple or complex), temperature upon admission, underlying cause of fever, laboratory data together with treatment, duration of hospital stay and outcome.
Results: There was male preponderance (n= 80, 59.7%) among admitted patients with febrile
seizures. The majority were 1 year old to less than 2 years old. Eleven patients (8.2 %) had past
history while fifty-four (40.3 %) had family history of febrile convulsion. Among the 134 patients,
109 (81.9%) had the simple type while 25 (18.7%) had the complex type. The mean duration of
hospital stay was 5.09 ±3. 83 days. The mean body temperature upon admission was 38.03 ±3.28
degrees Celsius. Pneumonia was the most common underlying cause of fever (n=48, 35.8%)
followed by upper respiratory tract infection (n=23, 17.2%). All admitted patients (n=134, 100%)
had their complete blood count and platelet count and 88 (66%) of which revealed normal
leukocyte count. Forty (30%) had leukocytosis while 6 (4%) had leukopenia. C-reactive protein
was raised in 25% cases while CSF analysis, CT scan and EEG was normal in 100%, 100%, and
90.9%, respectively. For the management, 127 patients (94.8%) received antipyretic medication.
Intravenous fluid, anti-convulsant and antibiotic on the other hand were administered in 91.8%, 50.7% and 50% of patients, respectively. All patients (n=134, 100%) were discharged improved
from the condition.
Conclusion:
Initial episode of febrile seizures is common in males and in one to less than 2-year-old
infants without underlying neurologic or metabolic conditions and history of trauma. Majority are
simple type and without a family history of febrile seizure. Pneumonia remains the most common
underlying cause of fever. Majority had normal white blood cell count and have received antipyretic and intravenous fluids. Lastly, all recovered and were discharged improved.

Department of Child Health Research - Department of Child Health

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