Prevalencia de comorbilidades asociadas a convulsiones febriles en pacientes de 6 meses a 5 años ingresados en el Hospital Francisco de Icaza Bustamante en el período 2020-2023.

Abstract

Introduction: Febrile seizures are the most frequent cause of benign neurological alteration in infants, comprised with greater occurrence in ages from 6 months to 5 years old, and in its treatment varies according to the presentation of the disease according to the classification of simple or complex. Materials and Methods: This observational, retrospective, cross-sectional study analyzes pediatric patients with febrile seizures seen at Hospital Francisco de Icaza Bustamante between 2020 and 2024. Data were collected from medical records, processed in Excel and SPSS, using descriptive measures such as frequencies, averages and standard deviation for categorical and quantitative variables. Results: The results show that 57.8% of the patients were male, with a mean age of 25.67 months (SD=15.53). Fifty-six.3% had a family history of type 2 diabetes mellitus, and 33.6% had had previous febrile seizures. Eighty-nine percent were from Guayaquil. 25.8% presented tonic-clonic seizures with bladder sphincter relaxation, this being the most frequent type. The mean duration of the episodes was 5 minutes (28.1%) and the mean temperature was 38.54°C. The most common associated pathology was bronchiolitis (37.5%), followed by pharyngotonsillitis (27.3%) and relapsing fever (15.6%). Conclusions: Febrile seizures in pediatrics, more common in boys and with bronchiolitis as the predominant associated pathology, usually last 5 minutes. Most patients had no history of seizures, and the mean age was 25.67 months.