Socio-demographic risk factors associated with febrile seizures at Puducherry: a retrospective study


  • Gobinaath . Department of Paediatrics, Sri Venkateshwaraa Medical College, Research centre and Hospital, Pondicherry, India
  • Arun Daniel J. Department of Community Medicine, Aarupadai Veedu Medical College and Hospital, Pondicherry, India



Family history, Febrile seizures, Recurrent febrile seizures, Socio-demographic factors


Background: Febrile seizures occur commonly in the under 5 age group and is associated with few risk factors causing its recurrence like very high fever, family history of seizures, low sodium levels and younger age of onset which are subject to seasonal and wide geographical variations. This study aimed at detecting the major risk factors associated with recurrent febrile seizures in an Indian population.

Methods: A retrospective hospital-based study was conducted among a total of 300 cases aged 6 months to 5 years attending to the paediatric OPD with history of fever followed by febrile seizures. Information regarding socio-demographic and clinical variables associated with febrile seizure was collected and analyzed.

Results: The mean age of the study participants was 25.6±2.2 months and majority (60%) were males. Family history of seizures was present in 25.3% (n=76) of the children with febrile seizures. Respiratory infections (73.3%) and gastroenteritis (17%) were the major infective reasons associated with the occurrence of febrile seizures followed by pneumonia (6.3%) and urinary tract infections (5%). Recurrence of FS was significantly higher among the children with family history of FS (p=0.009), age at onset lesser (p<0.001) and simple FS seizures.

Conclusions: Younger age at onset and positive family history of seizures were important socio-demographic risk factors associated with recurrent febrile seizures.


Hirtz DG. Febrile seizures. Pediatr Rev. 1997;18(1):5-8.

Berg A, Shinnar S, Hauser W and Leventhal J. Predictors of recurrent febrile seizures: A metaanalytic review. J Pediater. 1990;116(3):329-37.

Pavlidou E, Tzitiridou M, Kontopoulos E, Panteliadis CP. Which factors determine febrile seizure recurrence? A prospective study. Brain Dev. 2008;30(1):7-13.

Watanabe T. Pros and cons of treatments and studies of recurrent febrile seizures. J Pediatr. 1998;133(5):715.

Baldin E, Ludvigsson P, Mixa O and Hesdorffer DC. Prevalence of recurrent symptoms and their association with epilepsy and febrile seizure in school-aged children: A community-based survey in Iceland. Epilepsy Behav. 2012; 23(3):315-9.

Kantamalee W, Katanyuwong K, Louthrenoo O. Clinical characteristics of febrile seizures and risk factors of its recurrence in chiang mai university hospital. Neurol Asia. 2017;22(3):203-8.

Esmaili Gourabi H, Bidabadi E, Cheraghalipour F, Aarabi Y, Salamat F. Febrile seizure: demographic features and causative factors. Iran J Child Neurol. 2012;6(4):33-7.

Hussain S, Tarar SH, Moin Ud Din S. Febrile seizrues: demographic, clinical and etiological profile of children admitted with febrile seizures in a tertiary care hospital. J Pak Med Assoc. 2015;65(9):1008-10.

Javadi MS, Naseri R, Moshfeghi S. Etiology, Epidemiologic Characteristics and Clinical Pattern of Children with Febrile Convulsion Admitted to Hospitals of Germi and Parsabad Towns in 2016. World Fam Med J/Middle East J Fam Med. 2017;15(8):217-22.

Van Stuijvenberg M, Steyerberg EW, Derksen-Lubsen G, Moll HA. Temperature, age, and recurrence of febrile seizure. Arch Pediatr Adolesc Med. 1998;152(12):1170-5.

Berg AT. Recurrent febrile seizures. In: Baram T, Shinnar S, eds. Febrile seizures. New York: Academic Press; 2002:7-52.






Original Research Articles