A Descriptive Analysis of Febrile Seizure Hospitalizations in Children with Congenital Heart Disease in the United States.
| Autor: | Adebiyi EO; Pediatric Cardiology, University of Texas Health Science Center, Houston McGovern Medical School, Houston, USA., Eletta RY; Pediatrics, Woodhull Medical Center, New Jersey, USA., Ogedengbe W; Medicine and Surgery, Lagos State University Teaching Hospital (LUTH), Lagos, NGA., Kolade-Ernest OJ; Pediatrics, State University of New York (SUNY) Downstate Health Sciences University, New York, USA., Hunter J; Pediatric Cardiology, University of Miami Miller School of Medicine, Jackson Memorial Hospital, Miami, USA. |
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| Jazyk: | angličtina |
| Zdroj: | Cureus [Cureus] 2023 Aug 25; Vol. 15 (8), pp. e44128. Date of Electronic Publication: 2023 Aug 25 (Print Publication: 2023). |
| DOI: | 10.7759/cureus.44128 |
| Abstrakt: | Background: Febrile seizure (FS) is the most common convulsive disorder in children. This study analyzed the national proportion of congenital heart disease (CHD) and hospital resource utilization among children admitted for FSs in the U.S. Methods: This is a retrospective cross-sectional analysis of pediatric patients up to six years with a primary diagnosis of FS in 2016 and 2019 using the Kids Inpatient Database (KID). The demographic, hospital, and clinical characteristics of children with and without CHD were compared using the chi-square test for categorical variables and linear regressions for continuous variables. Multivariate logistic analysis was conducted to evaluate the impact of CHD on the mean length of hospital stay. Results: An estimated 10,039 children were admitted with the primary diagnosis of FS. Out of these, 117 (1.2%) had a discharge diagnosis of CHD. The mean age for children with and without CHD was 1.4 years (SD 1.60) and 1.5 years (SD 1.501), respectively. Children with CHD who required hospitalization for FS had longer mean lengths of hospital stay (2.1 days vs. 1.6 days), with an adjusted odd ratio of 0.43 (95% CI: 0.07-0.99; p-value: 0.017). Similarly, the hospital charges for children with CHD were higher than those without CHD ($30,960.28 vs. $21,005.11). Conclusion: Children with CHD who required inpatient admission for FSs in the U.S. were associated with increased length of hospital stay and higher resource utilization when compared with those without CHD. This highlights the need for preventive measures among this vulnerable population. Competing Interests: The authors have declared that no competing interests exist. (Copyright © 2023, Adebiyi et al.) |
| Databáze: | MEDLINE |
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