Febrile Seizure

Hampers, Louis C.; Thompson, David A.; Bajaj, Lalit; Tseng, Brian S.; Rudolph, James

doi:10.1097/01.pec.0000226870.49427.a5

Cited by 28 publications

(4 citation statements)

References 22 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…ED visits with seizure were most common among infants, at a rate of 8.0, and children aged 1–5 years, at 7.4. Possible explanations for this high rate of seizure visits include electrolyte abnormalities and febrile seizures [ 2 , 8 , 9 , 23 ]. Another possibility is that some of the infants whose diagnosis was coded as seizure may actually have had other conditions, such as myoclonus or other unusual movements that worry parents.…”

Section: Discussionmentioning

confidence: 99%

“…As the NHAMCS database does not contain details of the presentation or physical exam, it is not possible to determine the “appropriate” rate of neuroimaging according to national guidelines in place at the time. In fact, while some suggest that neuroimaging may be overused [ 3 , 9 ] the most recent expert guidelines offer few restrictions, finding that acute neuroimaging may be useful in adults or children with first seizure, with acquired immunodeficiency syndrome (AIDS), an abnormal neurologic exam, worrisome history or focal seizure onset [ 10 , 15 ]. Therefore, our finding of less neuroimaging among minorities resonates with the findings of racial and ethnic disparities in diagnostic procedures in many prior studies [ 27 ] and highlights the need for future work to address potential disparities in health care delivery [ 28 ].…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Seizure visits in US emergency departments: epidemiology and potential disparities in care

et al. 2008

View full text Add to dashboard Cite

IntroductionWhile epilepsy is a well-characterized disease, the majority of emergency department (ED) visits for “seizure” involve patients without known epilepsy. The epidemiology of seizure presentations and national patterns of management are unclear. The aim of this investigation was to characterize ED visits for seizure in a large representative US sample and investigate any potential impact of race or ethnicity on management.MethodsSeizure visits from the National Hospital Ambulatory Medical Care Survey (NHAMCS) from 1993 to 2003 were analysed. Demographic factors associated with presentation, neuroimaging and hospital admission in the USA were analysed using controlled multivariate logistic regression.ResultsSeizure accounts for 1 million ED visits annually [95% confidence interval (CI): 926,000–1,040,000], or 1% of all ED visits in the USA. Visits were most common among infants, at 8.0 per 1,000 population (95% CI: 6.0–10.0), and children aged 1–5 years (7.4; 95% CI: 6.4–8.4). Seizure was more likely among those with alcohol-related visits [odds ratio (OR): 3.2; 95% CI: 2.7–3.9], males (OR: 1.4; 95% CI: 1.3–1.5) and Blacks (OR: 1.4; 95% CI: 1.3–1.6). Neuroimaging was used less in Blacks than Whites (OR: 0.6; 95% CI: 0.4–0.8) and less in Hispanics than non-Hispanics (OR: 0.6; 95% CI: 0.4–0.9). Neuroimaging was used less among patients with Medicare (OR: 0.4; 95% CI: 0.2–0.6) or Medicaid (OR: 0.5; 95% CI: 0.4–0.7) vs private insurance and less in proprietary hospitals. Hospital admission was less likely for Blacks vs Whites (OR: 0.6; 95% CI: 0.4–0.8).ConclusionSeizures account for 1% of ED visits (1 million annually). Seizure accounts for higher proportions of ED visits among infants and toddlers, males and Blacks. Racial/ethnic disparities in neuroimaging and hospital admission merit further investigation.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Seizure visits in US emergency departments: epidemiology and potential disparities in care

et al. 2008

View full text Add to dashboard Cite

show abstract

“…A retrospective study evaluated the adherence of ED physicians to AAP Guidelines on FS in the USA in the period 2002–2003, with the objective of minimizing invasive interventions, assuming that FS are in most cases a benign event with an excellent prognosis ( 44 ). This review noted that the use of lumbar puncture in the differential diagnosis of FS is uncommon, and most patients are discharged at home instead.…”

Section: Discussionmentioning

confidence: 99%

The non-clinical burden of febrile seizures: a systematic review

Marangoni,

Corsello,

Cozzi

et al. 2024

Front. Pediatr.

View full text Add to dashboard Cite

Febrile seizures (FS) can be frightening for parents, even though they are usually harmless. Various questionnaires have been used to assess parental reactions and awareness about FS, revealing insufficient knowledge. Studies have shown that educational interventions significantly reduce parental concerns, improve knowledge, and promote better first-aid measures. Providing clear information and emotional support to parents is important to reduce their concerns and improve FS management. Healthcare providers should give comprehensive information about FS, including the risk of recurrence, and provide clear instructions on their management. The economic impact of FS includes direct and indirect costs. Studies have shown a decrease of hospitalizations and associated costs due to improved clinical adherence to guidelines, which also reduces the inappropriate use of healthcare resources. This systematic review provides a comprehensive overview of the existing literature on parental anxiety and education about FS, as well as their economic impact, aiming at identifying areas for improvement in the management of FS and providing valuable insights for healthcare providers and policymakers to better address the non-clinical burden of this condition.

show abstract

“…Other studies suggested that there is no need to measure calcium level. [ 3 5 7 13 14 15 16 17 18 19 ]…”

Section: Discussionmentioning

confidence: 99%

Assessing the prevalence distribution of abnormal laboratory tests in patients with simple febrile seizure

et al. 2015

View full text Add to dashboard Cite

Introduction:Febrile seizure is an important issue in pediatric practice. Even some pediatricians do not have a proper approach to febrile seizure, making the sick child undergo complex laboratory tests or invasive procedures or even long-term treatment with anticonvulsant drugs. In spite of multiple studies, many controversies have still remained about the significance of febrile seizure. The goal of this study is to assess the prevalence distribution of routinely requested laboratory tests results in simple febrile seizure.Materials and Methods:In a descriptive study, 549 patients with simple febrile seizure were studied. The routine lab tests including complete blood count, electrolyte, urine analysis, and cerebrospinal fluid (CSF) analysis had already been performed for all patients and the results had been recorded in their medical data. These results were collected and statistically analyzed through SPSS software.Results:About 58.7% of our cases were male. Most of the cases were 12–24 months old and the mean body temperature of them was 38.2°C. 99.3% of blood sugar tests, 98% of blood calcium tests, 100% and 99.5% of sodium, and potassium tests, respectively, 100% of blood creatinine, 96.9% of blood urea nitrogen, and 99.1% of urine analysis tests were normal. CSF analysis was done in only 49 cases and the results were normal in all of them.Conclusion:The percentage of abnormal laboratory test results was not statistically significant in febrile seizure and shows that performing all these tests in all patients with simple febrile seizure as routine is not necessary.

show abstract

Febrile Seizure

Cited by 28 publications

References 22 publications

Seizure visits in US emergency departments: epidemiology and potential disparities in care

Seizure visits in US emergency departments: epidemiology and potential disparities in care

The non-clinical burden of febrile seizures: a systematic review

Assessing the prevalence distribution of abnormal laboratory tests in patients with simple febrile seizure

Contact Info

Product

Resources

About