Investigating Serum Electrolyte Disorders in Hospitalized Children with Fever and Seizures
Authors
-
Mousa Ghelichi-Ghojogh
- Dept of Epidemiology, Neonatal and Children’s Research Center, Department of Biostatistics and Epidemiology, School of Health, Faculty of Health, Golestan University of Medical Sciences, Gorgan, Iran.
https://orcid.org/0000-0002-0726-5509
-
Iman Barzegari
- Medical Doctor, Golestan University of Medical Sciences, Gorgan, Gorgan.
https://orcid.org/0000-0002-6172-2555
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Seyed Ahmad Hosseini
- Dept. of Pediatric Neurology, Neonatal and Children's Health Research Center, Golestan University of Medical Sciences, Gorgan, Iran.
https://orcid.org/0000-0002-8404-0039
DOI:
https://doi.org/10.22100/jkh.v19i2.3178Keywords:
Fever, Convulsions, Children, ElectrolytesAbstract
Introduction: A febrile seizure is a convulsion in a child that's caused by a fever. Disruptions in the balance of serum electrolytes significantly contribute to the onset of these issues. This study aimed to investigate serum electrolyte abnormalities in hospitalized children experiencing fever and seizures.
Methods: In this cross-sectional study, a census was conducted to examine all children hospitalized with fever and convulsions at Taleghani Hospital in Gorgan during the years 2013 and 2014. Demographic information, seizure type, recurrence, and test results of patients were gathered using a checklist developed from the data available in the patients' inpatient records and the hospital's information system. Spearman and Mann-Whitney correlation tests were performed using software for statistical analysis.
Results: The study's results indicated that the average age of the patients was 22.6 ± 13.9 months, with 117 of them (54.7%) being boys.The findings revealed an inverse and significant relationship between age and serum levels of potassium, calcium, and magnesium; however, no such relationship was found between age and sodium serum levels. Additionally, there was no correlation between gender, type of fever and seizures, or the recurrence of seizures with serum levels of sodium, potassium, calcium, and magnesium.
Conclusion: It appears that measuring serum electrolytes in children with fever and convulsions should be conducted on a case-by-case basis, guided by a physician's assessment.
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