CARACTERÍSTICAS CLÍNICAS DE CRISIS CONVULSIVAS FEBRILES EN EL SERVICIO DE URGENCIAS PEDIÁTRICAS DEL HGR-1 QUERÉTARO, EN EL AÑO 2009

Abstract

Objective: It was determined most common age of presentation, most affected sex, clinical presentation form, number and duration of febrile seizure, also the degree of temperature that were occurring, disease or precipitating cause and if there was family history of febrile seizure. Methodology: The study was cross-sectional, descriptive, were included children aged six months to five years old, from Queretaro delegation who attended the pediatric emergency department of the Regional General Hospital-1 by febrile seizure, studied at the date of January 1 to December 31, 2009. The sample size was calculated with the formula for infinite population, and a non-probability sampling for quota. Eight variables were included to study. This work was submitted to a local board of health research. Was analyzed with mean, standard deviation, ranges, frequencies and percentages. Results: We studied 110 patients with CCF, the most common age was between one and two years of age, predominantly male (61%), the generalized tonic-clonic seizure was the most common form (60%), with two episodes (54 %), with a duration of 31-60 seconds (55%). Acute diarrheal disease was the main precipitating cause (55%) rectal temperature was usually 38.0 to 38.4 ° (68%) in 9% there was a family history of febrile seizures. Discussion: Except for the precipitating cause or disease in the rest of the features virtually no differences with regard to literature. Conclusions: Acute diarrheal disease predominated as the main cause in the genesis of this crisis. Although febrile seizures are frightening episodes, most are benign and are not considered epilepsy. It will be important to identify in the emergency department, the clinical features of presentation in order to provide a proper diagnosis and treatment in this population.