Recurrence of Attack and Associated Factors in Children with Febril Convulsion Admitted in Hospital

ABSTRACT Febrile Convulsion is the most common reason of seizures of epilepsy during child hood from 9 mo to 5 years of age. That is classified in to two groups, as simple and complex based on it's Clinical Features. One of the factors in this dividing is repetation of convulsion for several hours or days. In some studies sex, age , family history, temprture at the time of convulsion and duration between starting fever and convulsion attack are effective in the recurrence. With observation of repetition of convulsions in a large group of patients in 17 Shahrivar Hospital and their development from simple to complex. In this study main object was determination the factors that may be effective in repetition of counvulsions in paitients during bedridding in hospital. In this cross sectional study 693 record of children with fever and convulsion which are admitted in 17-Shahrivar Hospital of Rasht in 1999-2000 reviewed. Informations were produced with use of SPSS hardware and statistical t- test and chi- 2. 269 Cases (39%) had recurrence, including 197 Cases (73%) with one new attak ,62 Cases (23%) with two attaks and 9 Cases (4%) With 3 attaks. In Overal, 374 Cases 54% were males and 319 Cases (46%) were Females. There were no any Significant diference between age and sex with the recurrence, but about the family and personal history of convulsion differences were significant (P<0/001). Recurrence was higher when siezure occur in tempreture below 38°C and when duration between starting fever and first convulsion was lesser than two dayes. 70% of patients who had recurrence were admitted in the hospital with simple febrile convulsion and 98.5% of patients with recurrence discharge with phenobarbital and 94% of them With EEG request. Recurrent of attack in children with convulsion and fever admitted in haspital was higher.