1690 Prevalence of Febrile Seizures in Children Admitted to Teaching Public Hospital

Abstract

Background and Aims Febrile seizure is the manifestation neuropediatric more frequent, occurring in 2% and 5% in childhood. It occurs in children between 6 months and 5 years, associated with fever in the absence of intracranial infection or other cause neurological defined and not preceded by afebrile seizures. It is usually generalized tonic-clonic, short, single, early and not accompanied by neurological phenomena after the crisis. The objective of this study was identify the prevalence of Febrile Convulsion in patients hospitalized for febrile seizures, in January 2006 to December 2010. Methods Cross-sectional study of patients admitted to the pediatric ward in a teaching hospital in the State of Rio de Janeiro. We analyzed 174 patients admitted with seizures of any etiology. Results Febrile seizures accounted for 36% of 174 cases of seizures and 1.11% of 5667 cases admitted in the five years of the study. The mean age was 2.2 years, ranging in age from 6 months and a maximum of six years. The mean hospital stay was 5.73 days. Males accounted for 68.25% of cases. Regarding the focus of fever, respiratory tract accounted for nearly 50% of cases being diagnosed with 23.76% and 19.04% of upper respiratory infections to pneumonia. Conclusion This study confirms the prevalence of the epidemiological literature, predominantly male (2:1), average age between 6 months and 5 years and the respiratory tract as the main focus for febrile seizures. It is imperative that further studies to evaluate diagnosis, treatment and follow up cases.