Influencia de los factores de riesgo asociados a convulsión febril en niños de 3 meses a 6 años de edad tratados en el área de Emergencia del Hospital del Niño Francisco Icaza Bustamante en el periodo septiembre del 2014 a mayo del 2015
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2015
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La convulsión febril es la emergencia más frecuente en niños menores de 6 años, es una causal de admisión en pediatría y un motivo de preocupación de los padres, esta puede presentarse como la primera manifestación de epilepsia por eso este trabajo es un estudio descriptivo, transversal, retrospectivo observacional, en el cual se recolectaron datos de las historias clínicas de pacientes entre 3 meses y 6 años y través de encuestas a padres de pacientes con primera convulsión febril que ingresaron al área de Emergencia del Hospital Francisco Icaza Bustamante de la ciudad de Guayaquil de Ecuador. Objetivo: Establecer criterios sobre los factores de riesgos asociados a la convulsión febril para así disminuir su incidencia mediante la elaboración de medidas preventivas en pacientes pediátricos y así poder evaluar con mayor precisión la gravedad de estos factores de riesgo y evitar su incidencia primoconvulsión febril y recurrencia en la población infantil más afecta que consultaron en Emergencia pediátrica en el hospital Francisco Icaza Bustamante de Guayaquil Método: Estudio observacional descriptivo de niños con primoconvulsión febril entre el Septiembre del 2014 y mayo del 2015 con seguimiento promedio de 9 meses. Resultados: De 110 pacientes, el 78% debutó con una CF simple y el 22% con una CF compleja y estas asociadas a factores de riesgo fueron en un 89% recurrentes (1 status febril). En el 17% había antecedentes de CF de primer grado respectivamente. Recurrieron 22% del total de los pacientes. El promedio de tiempo de recurrencia fue 12 a 24 meses. Los factores de riesgo más importantes fue la edad en el rango de 3mese a 6años de edad puesto que estos presentan la población infantil más vulnerable a las CF y su recurrencia fueron los antecedentes familiares de primer grado y tipo de crisis respectivamente. Conclusiones: La mayoría de las CF es simple y recurre un 22%.La edad así como los antecedentes familiares de CF y que estos presenten un patología de base son factores de riesgo asociados a recurrencia.
He febrile seizure is the most common in children under 6 emergency, is a cause for admission in pediatrics and a concern of parents, this may occur as the first manifestation of epilepsy why this work is a descriptive, cross observational retrospective, in which data from the medical records of patients aged 3 months to 6 years and through surveys of parents of patients with first febrile seizure admitted to the area's Emergency Hospital Francisco Icaza Bustamante city of Guayaquil were collected from Ecuador. Objective: To establish criteria on the risk factors associated with febrile seizure to reduce their impact by developing preventive measures in pediatric patients so they can better assess the severity of these risk factors and prevent its occurrence and recurrence feverish first seizure in children who watch more affects pediatric Emergency Francisco Icaza Bustamante Hospital in Guayaquil Methods: Descriptive observational study of children with febrile first seizure between September 2014 and May 2015 with an average follow-up of 9 months. Results: Of 110 patients, 78% debuted with a simple CF and 22% with a complex CF and those associated with risk factors were 89% recurrent (one febrile status). 17% had a history of first-degree CF respectively. They used 22% of patients. The average recurrence time was 12-24 months. The most important risk factor was the age range to 6years old 3mese since these present the most vulnerable to CF children and their recurrence were family history of first degree and type of crisis respectively. Conclusions: Most of the CF is simple and uses 22% .The age as well as family history of CF and that these present a baseline disease are risk factors associated with recurrence.
He febrile seizure is the most common in children under 6 emergency, is a cause for admission in pediatrics and a concern of parents, this may occur as the first manifestation of epilepsy why this work is a descriptive, cross observational retrospective, in which data from the medical records of patients aged 3 months to 6 years and through surveys of parents of patients with first febrile seizure admitted to the area's Emergency Hospital Francisco Icaza Bustamante city of Guayaquil were collected from Ecuador. Objective: To establish criteria on the risk factors associated with febrile seizure to reduce their impact by developing preventive measures in pediatric patients so they can better assess the severity of these risk factors and prevent its occurrence and recurrence feverish first seizure in children who watch more affects pediatric Emergency Francisco Icaza Bustamante Hospital in Guayaquil Methods: Descriptive observational study of children with febrile first seizure between September 2014 and May 2015 with an average follow-up of 9 months. Results: Of 110 patients, 78% debuted with a simple CF and 22% with a complex CF and those associated with risk factors were 89% recurrent (one febrile status). 17% had a history of first-degree CF respectively. They used 22% of patients. The average recurrence time was 12-24 months. The most important risk factor was the age range to 6years old 3mese since these present the most vulnerable to CF children and their recurrence were family history of first degree and type of crisis respectively. Conclusions: Most of the CF is simple and uses 22% .The age as well as family history of CF and that these present a baseline disease are risk factors associated with recurrence.
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Convulsiones febriles, Factores de riesgo, Epidemiología descrptiva, Estudios retrospectivos, Hospital del Niño Francisco de Icaza Bustamante, Cantón Guayaquil, Ecuador