Clinical aspects of patients visiting the emergency department with febrile seizure
Purpose We aimed to analyze the clinical characteristics, recurrence, neurological outcomes, and the impact of coronavirus disease 2019 pandemic in children who visited 2 emergency departments (EDs) with febrile seizure (FS). Methods We retrospectively reviewed medical records of 3,172 episodes, inv...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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Korean Society of Pediatric Emergency Medicine
2023-10-01
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| Series: | Pediatric Emergency Medicine Journal |
| Subjects: | |
| Online Access: | http://pemj.org/upload/pdf/pemj-2023-00752.pdf |
| _version_ | 1797660787126304768 |
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| author | Jong Min Kim Hee Yu Hwang Jung Hun Lee Moon Kyu Kim Soon Min Lee |
| author_facet | Jong Min Kim Hee Yu Hwang Jung Hun Lee Moon Kyu Kim Soon Min Lee |
| author_sort | Jong Min Kim |
| collection | DOAJ |
| description | Purpose We aimed to analyze the clinical characteristics, recurrence, neurological outcomes, and the impact of coronavirus disease 2019 pandemic in children who visited 2 emergency departments (EDs) with febrile seizure (FS). Methods We retrospectively reviewed medical records of 3,172 episodes, involving 2,510 children aged 6-60 months whose diagnoses were FSs at the EDs in 2 hospitals from 2013 through 2022. Through the review, we analyzed clinical characteristics and associated factors for the recurrence of FS. As a sub-analysis, the variables were compared between before (2017-2019) and during (2020-2022) the pandemic. Results A total of 3,172 FS-related visits to the EDs were found in 2,510 children. Of these, 890 children (35.5%) underwent recurrences of FS. The recurrence of FS was associated with boys (63.3% vs. 57.8%; P = 0.007), seizures lasting longer than 5 minutes (16.6% vs. 12.7%; P = 0.007), family history of FS (23.7% vs. 16.2%; P < 0.001), complex FS (13.3% vs. 8.0%; P < 0.001), and epilepsy diagnosed thereafter (9.1% vs. 3.0%; P < 0.001). During the pandemic, we noted a decrease in the number of FS-related visits to the EDs (from 1,274 to 383), an increase in the percentage of complex FS (9.3% vs. 13.8%; P = 0.012), and a decrease in the percentage of recurrent FS (49.4% vs. 33.4%; P < 0.001), compared to before the pandemic. Conclusion Our study identified factors associated with recurrence of FS, and confirmed the increase in complex FS with the decrease in the recurrence during the coronavirus disease 2019 pandemic. These findings could be helpful when caring for children with FS in EDs. |
| first_indexed | 2024-03-11T18:35:53Z |
| format | Article |
| id | doaj.art-726d2bd94a964209aa145dae3a2cd973 |
| institution | Directory Open Access Journal |
| issn | 2383-4897 2508-5506 |
| language | English |
| last_indexed | 2024-03-11T18:35:53Z |
| publishDate | 2023-10-01 |
| publisher | Korean Society of Pediatric Emergency Medicine |
| record_format | Article |
| series | Pediatric Emergency Medicine Journal |
| spelling | doaj.art-726d2bd94a964209aa145dae3a2cd9732023-10-13T01:05:07ZengKorean Society of Pediatric Emergency MedicinePediatric Emergency Medicine Journal2383-48972508-55062023-10-0110411812310.22470/pemj.2023.00752184Clinical aspects of patients visiting the emergency department with febrile seizureJong Min Kim0Hee Yu Hwang1Jung Hun Lee2Moon Kyu Kim3Soon Min Lee4Department of Pediatrics, Yonsei University College of Medicine, Seoul, Republic of KoreaDepartment of Pediatrics, Yonsei University College of Medicine, Seoul, Republic of KoreaDepartment of Pediatrics, Yonsei University College of Medicine, Seoul, Republic of KoreaDepartment of Pediatrics, Yonsei University College of Medicine, Seoul, Republic of KoreaDepartment of Pediatrics, Yonsei University College of Medicine, Seoul, Republic of KoreaPurpose We aimed to analyze the clinical characteristics, recurrence, neurological outcomes, and the impact of coronavirus disease 2019 pandemic in children who visited 2 emergency departments (EDs) with febrile seizure (FS). Methods We retrospectively reviewed medical records of 3,172 episodes, involving 2,510 children aged 6-60 months whose diagnoses were FSs at the EDs in 2 hospitals from 2013 through 2022. Through the review, we analyzed clinical characteristics and associated factors for the recurrence of FS. As a sub-analysis, the variables were compared between before (2017-2019) and during (2020-2022) the pandemic. Results A total of 3,172 FS-related visits to the EDs were found in 2,510 children. Of these, 890 children (35.5%) underwent recurrences of FS. The recurrence of FS was associated with boys (63.3% vs. 57.8%; P = 0.007), seizures lasting longer than 5 minutes (16.6% vs. 12.7%; P = 0.007), family history of FS (23.7% vs. 16.2%; P < 0.001), complex FS (13.3% vs. 8.0%; P < 0.001), and epilepsy diagnosed thereafter (9.1% vs. 3.0%; P < 0.001). During the pandemic, we noted a decrease in the number of FS-related visits to the EDs (from 1,274 to 383), an increase in the percentage of complex FS (9.3% vs. 13.8%; P = 0.012), and a decrease in the percentage of recurrent FS (49.4% vs. 33.4%; P < 0.001), compared to before the pandemic. Conclusion Our study identified factors associated with recurrence of FS, and confirmed the increase in complex FS with the decrease in the recurrence during the coronavirus disease 2019 pandemic. These findings could be helpful when caring for children with FS in EDs.http://pemj.org/upload/pdf/pemj-2023-00752.pdfcovid-19epidemiologyepilepsyrecurrenceseizures, febrile |
| spellingShingle | Jong Min Kim Hee Yu Hwang Jung Hun Lee Moon Kyu Kim Soon Min Lee Clinical aspects of patients visiting the emergency department with febrile seizure Pediatric Emergency Medicine Journal covid-19 epidemiology epilepsy recurrence seizures, febrile |
| title | Clinical aspects of patients visiting the emergency department with febrile seizure |
| title_full | Clinical aspects of patients visiting the emergency department with febrile seizure |
| title_fullStr | Clinical aspects of patients visiting the emergency department with febrile seizure |
| title_full_unstemmed | Clinical aspects of patients visiting the emergency department with febrile seizure |
| title_short | Clinical aspects of patients visiting the emergency department with febrile seizure |
| title_sort | clinical aspects of patients visiting the emergency department with febrile seizure |
| topic | covid-19 epidemiology epilepsy recurrence seizures, febrile |
| url | http://pemj.org/upload/pdf/pemj-2023-00752.pdf |
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