Risk factors for the recurrence of convulsions with mild gastroenteritis in children

Kaili Shi, Jiehui Yang, Yunhong Wu, Hong Han, Junxiu Guo, Wenxiong Chen.  Risk factors for the recurrence of convulsions with mild gastroenteritis in children. Seizure. Open Access Published: June 16, 2020 DOI:https://doi.org/10.1016/j.seizure.2020.06.016

Highlights

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Children with convulsions with mild gastroenteritis (CwG) have a risk of recurrence.

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The risk of recurrence rate within 6 months of onset is high in children with CwG.

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An age of onset of ≤18 months is a risk factors for CwG recurrence.

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History of convulsions in first-degree relatives is a risk factor for CwG recurrence.

Abstract

Purpose

To identify risk factors for the recurrence of convulsions with mild gastroenteritis (CwG)1 in children.

Methods

Altogether, 613 children with CwG admitted to Children's Hospital of Shanxi Province from January 2010 to December 2015 were selected, their clinical data were retrospectively analyzed, and patients were followed up for 4-10 years. Risk factors for the recurrence of CwG were analyzed based on the clinical characteristics of the children.

Results

Relapse occurred in 35 patients (6.3%). Recurrence occurred within 6 months after the first CwG in majority of the patients (80%), and recurrence occurred once in most patients (91.4%). Risk factors associated with CwG recurrence were age at first attack of ≤18 months (recurrence rates at ages ≤ and >18 months were 8.7%, and 3.1%, respectively; χ2 = 4.856, P = 0.028), and a history of convulsions in first-degree relatives (recurrence rates in first-degree relatives with and without a history of convulsion were 20% and 6.2%, respectively; χ2 = 5.501, P = 0.019).

Conclusions

Children with CwG have a possibility of recurrence. The risk of recurrence within 6 months of onset is high and such patients should be carefully observed. Furthermore, the age of onset of ≤18 months and history of convulsions in first-degree relatives are risks factors for CwG recurrence; therefore, these children should be closely followed up.

Coutesy of: https://www.mdlinx.com/journal-summary/risk-factors-for-the-recurrence-of-convulsions-with-mild-gastroenteritis-in-children/3ABLq4Vl18XZibMMuL2enj