You are seeing this message because your Web browser does not support basic Web standards. Find out more about why this message is appearing and what you can do to make your experience on this site better.


ABOUT ARCHIVES
Advanced Search

Welcome   | My Account | E-mail Alerts | Access Rights | Sign In


  Vol. 147 No. 1, January 1993 TABLE OF CONTENTS
  Archives
  •  Online Features
  ARTICLES
 This Article
 •References
 •Full text PDF
 •Send to a friend
 • Save in My Folder
 •Save to citation manager
 •Permissions
 Citing Articles
 •Citation map
 •Citing articles on HighWire
 •Contact me when this article is cited
 Related Content
 •Similar articles in this journal
 Social Bookmarking
  Add to CiteULike Add to Connotea Add to Del.icio.us Add to Digg Add to Reddit Add to Technorati Add to Twitter What's this?

Which Child Will Have a Febrile Seizure?

Peggy Bethune, MD; Kevin Gordon, MD, MS; Joseph Dooley, MB; Carol Camfield, MD; Peter Camfield, MD

Am J Dis Child. 1993;147(1):35-39.


Abstract

• Objective.
—To identify risk factors predictive of a first febrile seizure.

Design.
—Case-control study.

Setting.
—Regional referral pediatric hospital emergency department.

Patients.
—Seventy-five patients aged 6 months to 4 years presenting with a first febrile seizure were age-matched to two febrile and two afebrile noninfectious controls who had never had a seizure.

Methods.
—Telephone interview of parents.

Main Outcome Measures.
—Risk factors assessed included family history of febrile or afebrile seizures, neurodevelopmental abnormality, and child-care arrangement. Analysis was done by matched case-control and logistic regression.

Results.
—Factors associated with a significant increase in risk of a first febrile seizure were febrile seizures in first-degree relative (odds ratio [OR], 4.5) or second-degree relative (OR, 3.5); neonatal discharge at 28 days or later (OR, 5.6); parental report of "slow" development (OR, 4.9); and day-care attendance (OR, 3.1). For children with two risk factors (an estimated 3% of the population), the risk of developing febrile seizures is approximately 28% (assuming a population incidence of febrile seizures of 4%).

(AJDC. 1993;147:35-39)



Author Affiliations

From the Izaak Walton Killam Children's Hospital, Department of Pediatrics, Dalhousie University, Halifax, Nova Scotia.


Footnotes

Accepted for publication August 23, 1992.

Presented as a poster at the Child Neurology Society Meeting, Portland, Ore, October 3, 1991.

Reprint requests to Izaak Walton Killam Children's Hospital, 5850 University Ave, Box 3070, Halifax, Nova Scotia, Canada B3J 3G9 (Dr Gordon).



Add to CiteULike CiteULike   Add to Connotea Connotea   Add to Del.icio.us Del.icio.us   Add to Digg Digg   Add to Reddit Reddit   Add to Technorati Technorati   Add to Twitter Twitter     What's this?

THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES

FIRST: A Practical Approach to the Causes and Management of Febrile Seizures
Mohammad Reza Mohebbi et al.
J Child Neurol 2008;23:1484-1488.
ABSTRACT  

Prenatal Exposure to Cigarettes, Alcohol, and Coffee and the Risk for Febrile Seizures
Vestergaard et al.
Pediatrics 2005;116:1089-1094.
ABSTRACT | FULL TEXT  

Which Characteristics of Children With a Febrile Seizure Are Associated With Subsequent Physician Visits?
Gordon et al.
Pediatrics 2004;114:962-964.
ABSTRACT | FULL TEXT  

Febrile seizures: an update
Waruiru and Appleton
Arch. Dis. Child. 2004;89:751-756.
ABSTRACT | FULL TEXT  

Febrile Seizures
Shinnar and Glauser
J Child Neurol 2002;17:S44-S52.
ABSTRACT  

Childhood-onset epilepsy with and without preceding febrile seizures
Berg et al.
Neurology 1999;53:1742-1742.
ABSTRACT | FULL TEXT  

Febrile Seizures: Rate and Risk Factors of Recurrence
Al-Eissa
J Child Neurol 1995;10:315-319.
ABSTRACT  





HOME | CURRENT ISSUE | PAST ISSUES | TOPIC COLLECTIONS | SUBMIT | SUBSCRIBE | HELP
CONDITIONS OF USE | PRIVACY POLICY | CONTACT US | SITE MAP
 
© 1993 American Medical Association. All Rights Reserved.