Risk Factors of Recurrence of Febrile Seizures in Children in Southwest China: A Three Year Follow up Study

Jian Wang; Can Zhang; Juan Yang; Caixia Zhao; Kun Zhang

doi:doi:10.11648/j.jfmhc.20230902.12

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Risk Factors of Recurrence of Febrile Seizures in Children in Southwest China: A Three Year Follow up Study

Jian Wang, Can Zhang, Juan Yang, Caixia Zhao, Kun Zhang

Published in Journal of Family Medicine and Health Care (Volume 9, Issue 2)

Received: 8 October 2022 Accepted: 16 November 2022 Published: 21 June 2023

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Abstract

Objectives: Risk factors associated with recurrent febrile convulsions in children in southwest China were the main objective of this study. To summarize the effect of telephone follow-up continuous nursing on preventing recurrence after hyperthermia in emergency children. To study the influencing factors and preventive measures of febrile convulsion recurrence in children. Methods: This study was carried out in the pediatrics department of the Affiliated Hospital of Yunnan University of Traditional Chinese Medicine, which is prospective and longitudinal. Children aged 6 months to 6 years who had febrile convulsions for the first time and were seen between October 2016 and September 2019 were included in the study and followed up for recurrence. From The clinical data of 290 children with febrile convulsion were analyzed retrospectively, and the influencing factors of recurrence were analyzed by single factor analysis. Patients were randomly divided into control group and experimental group with 47 cases in each group. The control group was given routine discharge guidance, and the experimental group was given continuous telephone follow-up nursing. Results: Of the 1728 children, 605 (35.1%) had recurrences and 1123 (64.9%) had single febrile convulsions. The recurrence rate was higher in children <6 months of age (41.3%) than in children ≥6 months of age (24.1%). The recurrence rate was 52.5% in children with a temperature of 38°C at the time of the attack, compared to 17.2% in children with a temperature ≥105°F. There was a significant downward trend in the recurrence rate as the temperature increased. Children with a family history of febrile convulsions (45.5%) were more likely to have a relapse than those without a family history of febrile convulsions (27.8%). Multiple logistic regression analysis showed that younger age at onset, lower temperature at onset, shorter time between fever and onset, and family history of febrile convulsions were risk factors for recurrence of febrile convulsions in children. After nursing, the recurrence rate of children in the experimental group within 0.5 years was significantly lower than that in the control group (4.26% vs21.28%, P<0.05); Compared with the control group, the test group had the highest knowledge knowledge score, and the difference was significant (P<0.05). Conclusion: The main risk factors of recurrent febrile attacks in children are young age of onset, short febrile time before the first febrile attack, low body temperature at onset, and family history of febrile attacks. Age < 3 years old, family history of high fever convulsion, season of onset < 6 months, onset temperature ≥39°C, frequency ≥2, complex onset and duration ≥3 min are all risk factors for recurrence of high fever convulsion. Prevention should be conducted against the above risk factors to avoid recurrence of convulsion.

Published in	Journal of Family Medicine and Health Care (Volume 9, Issue 2)
DOI	10.11648/j.jfmhc.20230902.12
Page(s)	34-40
Creative Commons	This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.
Copyright	Copyright © The Author(s), 2023. Published by Science Publishing Group

Keywords

Febrile Convulsion, Telephone Follow-Up, Continuous Nursing, Recurrence Related Factors

References

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APA Style

Jian Wang, Can Zhang, Juan Yang, Caixia Zhao, Kun Zhang. (2023). Risk Factors of Recurrence of Febrile Seizures in Children in Southwest China: A Three Year Follow up Study. Journal of Family Medicine and Health Care, 9(2), 34-40. https://doi.org/10.11648/j.jfmhc.20230902.12

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ACS Style

Jian Wang; Can Zhang; Juan Yang; Caixia Zhao; Kun Zhang. Risk Factors of Recurrence of Febrile Seizures in Children in Southwest China: A Three Year Follow up Study. J. Fam. Med. Health Care 2023, 9(2), 34-40. doi: 10.11648/j.jfmhc.20230902.12

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AMA Style

Jian Wang, Can Zhang, Juan Yang, Caixia Zhao, Kun Zhang. Risk Factors of Recurrence of Febrile Seizures in Children in Southwest China: A Three Year Follow up Study. J Fam Med Health Care. 2023;9(2):34-40. doi: 10.11648/j.jfmhc.20230902.12

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@article{10.11648/j.jfmhc.20230902.12,
  author = {Jian Wang and Can Zhang and Juan Yang and Caixia Zhao and Kun Zhang},
  title = {Risk Factors of Recurrence of Febrile Seizures in Children in Southwest China: A Three Year Follow up Study},
  journal = {Journal of Family Medicine and Health Care},
  volume = {9},
  number = {2},
  pages = {34-40},
  doi = {10.11648/j.jfmhc.20230902.12},
  url = {https://doi.org/10.11648/j.jfmhc.20230902.12},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.jfmhc.20230902.12},
  abstract = {Objectives: Risk factors associated with recurrent febrile convulsions in children in southwest China were the main objective of this study. To summarize the effect of telephone follow-up continuous nursing on preventing recurrence after hyperthermia in emergency children. To study the influencing factors and preventive measures of febrile convulsion recurrence in children. Methods: This study was carried out in the pediatrics department of the Affiliated Hospital of Yunnan University of Traditional Chinese Medicine, which is prospective and longitudinal. Children aged 6 months to 6 years who had febrile convulsions for the first time and were seen between October 2016 and September 2019 were included in the study and followed up for recurrence. From The clinical data of 290 children with febrile convulsion were analyzed retrospectively, and the influencing factors of recurrence were analyzed by single factor analysis. Patients were randomly divided into control group and experimental group with 47 cases in each group. The control group was given routine discharge guidance, and the experimental group was given continuous telephone follow-up nursing. Results: Of the 1728 children, 605 (35.1%) had recurrences and 1123 (64.9%) had single febrile convulsions. The recurrence rate was higher in children PPConclusion: The main risk factors of recurrent febrile attacks in children are young age of onset, short febrile time before the first febrile attack, low body temperature at onset, and family history of febrile attacks. Age < 3 years old, family history of high fever convulsion, season of onset < 6 months, onset temperature ≥39°C, frequency ≥2, complex onset and duration ≥3 min are all risk factors for recurrence of high fever convulsion. Prevention should be conducted against the above risk factors to avoid recurrence of convulsion.},
 year = {2023}
}

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TY  - JOUR
T1  - Risk Factors of Recurrence of Febrile Seizures in Children in Southwest China: A Three Year Follow up Study
AU  - Jian Wang
AU  - Can Zhang
AU  - Juan Yang
AU  - Caixia Zhao
AU  - Kun Zhang
Y1  - 2023/06/21
PY  - 2023
N1  - https://doi.org/10.11648/j.jfmhc.20230902.12
DO  - 10.11648/j.jfmhc.20230902.12
T2  - Journal of Family Medicine and Health Care
JF  - Journal of Family Medicine and Health Care
JO  - Journal of Family Medicine and Health Care
SP  - 34
EP  - 40
PB  - Science Publishing Group
SN  - 2469-8342
UR  - https://doi.org/10.11648/j.jfmhc.20230902.12
AB  - Objectives: Risk factors associated with recurrent febrile convulsions in children in southwest China were the main objective of this study. To summarize the effect of telephone follow-up continuous nursing on preventing recurrence after hyperthermia in emergency children. To study the influencing factors and preventive measures of febrile convulsion recurrence in children. Methods: This study was carried out in the pediatrics department of the Affiliated Hospital of Yunnan University of Traditional Chinese Medicine, which is prospective and longitudinal. Children aged 6 months to 6 years who had febrile convulsions for the first time and were seen between October 2016 and September 2019 were included in the study and followed up for recurrence. From The clinical data of 290 children with febrile convulsion were analyzed retrospectively, and the influencing factors of recurrence were analyzed by single factor analysis. Patients were randomly divided into control group and experimental group with 47 cases in each group. The control group was given routine discharge guidance, and the experimental group was given continuous telephone follow-up nursing. Results: Of the 1728 children, 605 (35.1%) had recurrences and 1123 (64.9%) had single febrile convulsions. The recurrence rate was higher in children PPConclusion: The main risk factors of recurrent febrile attacks in children are young age of onset, short febrile time before the first febrile attack, low body temperature at onset, and family history of febrile attacks. Age < 3 years old, family history of high fever convulsion, season of onset < 6 months, onset temperature ≥39°C, frequency ≥2, complex onset and duration ≥3 min are all risk factors for recurrence of high fever convulsion. Prevention should be conducted against the above risk factors to avoid recurrence of convulsion.
VL  - 9
IS  - 2
ER  -

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Author Information

Jian Wang

The First Clinical Medical College, Yunnan University of Traditional Chinese Medicine, Kunming, China
Can Zhang

The First Clinical Medical College, Yunnan University of Traditional Chinese Medicine, Kunming, China
Juan Yang

The First Clinical Medical College, Nanjing University of Traditional Chinese Medicine, Nanjing, China
Caixia Zhao

The First Clinical Medical College, Yunnan University of Traditional Chinese Medicine, Kunming, China
Kun Zhang

The First Clinical Medical College, Yunnan University of Traditional Chinese Medicine, Kunming, China

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APA Style

Jian Wang, Can Zhang, Juan Yang, Caixia Zhao, Kun Zhang. (2023). Risk Factors of Recurrence of Febrile Seizures in Children in Southwest China: A Three Year Follow up Study. Journal of Family Medicine and Health Care, 9(2), 34-40. https://doi.org/10.11648/j.jfmhc.20230902.12

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ACS Style

Jian Wang; Can Zhang; Juan Yang; Caixia Zhao; Kun Zhang. Risk Factors of Recurrence of Febrile Seizures in Children in Southwest China: A Three Year Follow up Study. J. Fam. Med. Health Care 2023, 9(2), 34-40. doi: 10.11648/j.jfmhc.20230902.12

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AMA Style

Jian Wang, Can Zhang, Juan Yang, Caixia Zhao, Kun Zhang. Risk Factors of Recurrence of Febrile Seizures in Children in Southwest China: A Three Year Follow up Study. J Fam Med Health Care. 2023;9(2):34-40. doi: 10.11648/j.jfmhc.20230902.12

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@article{10.11648/j.jfmhc.20230902.12,
  author = {Jian Wang and Can Zhang and Juan Yang and Caixia Zhao and Kun Zhang},
  title = {Risk Factors of Recurrence of Febrile Seizures in Children in Southwest China: A Three Year Follow up Study},
  journal = {Journal of Family Medicine and Health Care},
  volume = {9},
  number = {2},
  pages = {34-40},
  doi = {10.11648/j.jfmhc.20230902.12},
  url = {https://doi.org/10.11648/j.jfmhc.20230902.12},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.jfmhc.20230902.12},
  abstract = {Objectives: Risk factors associated with recurrent febrile convulsions in children in southwest China were the main objective of this study. To summarize the effect of telephone follow-up continuous nursing on preventing recurrence after hyperthermia in emergency children. To study the influencing factors and preventive measures of febrile convulsion recurrence in children. Methods: This study was carried out in the pediatrics department of the Affiliated Hospital of Yunnan University of Traditional Chinese Medicine, which is prospective and longitudinal. Children aged 6 months to 6 years who had febrile convulsions for the first time and were seen between October 2016 and September 2019 were included in the study and followed up for recurrence. From The clinical data of 290 children with febrile convulsion were analyzed retrospectively, and the influencing factors of recurrence were analyzed by single factor analysis. Patients were randomly divided into control group and experimental group with 47 cases in each group. The control group was given routine discharge guidance, and the experimental group was given continuous telephone follow-up nursing. Results: Of the 1728 children, 605 (35.1%) had recurrences and 1123 (64.9%) had single febrile convulsions. The recurrence rate was higher in children PPConclusion: The main risk factors of recurrent febrile attacks in children are young age of onset, short febrile time before the first febrile attack, low body temperature at onset, and family history of febrile attacks. Age < 3 years old, family history of high fever convulsion, season of onset < 6 months, onset temperature ≥39°C, frequency ≥2, complex onset and duration ≥3 min are all risk factors for recurrence of high fever convulsion. Prevention should be conducted against the above risk factors to avoid recurrence of convulsion.},
 year = {2023}
}

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TY  - JOUR
T1  - Risk Factors of Recurrence of Febrile Seizures in Children in Southwest China: A Three Year Follow up Study
AU  - Jian Wang
AU  - Can Zhang
AU  - Juan Yang
AU  - Caixia Zhao
AU  - Kun Zhang
Y1  - 2023/06/21
PY  - 2023
N1  - https://doi.org/10.11648/j.jfmhc.20230902.12
DO  - 10.11648/j.jfmhc.20230902.12
T2  - Journal of Family Medicine and Health Care
JF  - Journal of Family Medicine and Health Care
JO  - Journal of Family Medicine and Health Care
SP  - 34
EP  - 40
PB  - Science Publishing Group
SN  - 2469-8342
UR  - https://doi.org/10.11648/j.jfmhc.20230902.12
AB  - Objectives: Risk factors associated with recurrent febrile convulsions in children in southwest China were the main objective of this study. To summarize the effect of telephone follow-up continuous nursing on preventing recurrence after hyperthermia in emergency children. To study the influencing factors and preventive measures of febrile convulsion recurrence in children. Methods: This study was carried out in the pediatrics department of the Affiliated Hospital of Yunnan University of Traditional Chinese Medicine, which is prospective and longitudinal. Children aged 6 months to 6 years who had febrile convulsions for the first time and were seen between October 2016 and September 2019 were included in the study and followed up for recurrence. From The clinical data of 290 children with febrile convulsion were analyzed retrospectively, and the influencing factors of recurrence were analyzed by single factor analysis. Patients were randomly divided into control group and experimental group with 47 cases in each group. The control group was given routine discharge guidance, and the experimental group was given continuous telephone follow-up nursing. Results: Of the 1728 children, 605 (35.1%) had recurrences and 1123 (64.9%) had single febrile convulsions. The recurrence rate was higher in children PPConclusion: The main risk factors of recurrent febrile attacks in children are young age of onset, short febrile time before the first febrile attack, low body temperature at onset, and family history of febrile attacks. Age < 3 years old, family history of high fever convulsion, season of onset < 6 months, onset temperature ≥39°C, frequency ≥2, complex onset and duration ≥3 min are all risk factors for recurrence of high fever convulsion. Prevention should be conducted against the above risk factors to avoid recurrence of convulsion.
VL  - 9
IS  - 2
ER  -

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