Evidence map›Paper›PMID 30038660›Full record

ReviewDrugs in context2018

Febrile seizures: an overview.

Alexander Kc Leung, Kam Lun Hon, Theresa Nh Leung

3 registry-linked trialsOpen access · goldAbstract readReview
In one paragraph

Review in Drugs in context, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 3 registered trials, which are not on this map. Cited by 94 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
94citing papers in PubMed, 1 pooled it
14.5field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT04368936 completednot on this map

Relationship Between Polymorphisms of TRPV1 and KCC2 Gene in Children With Febrile Seizures

Typeobservational_patient_registrySponsorInstitut za Rehabilitaciju Sokobanjska BeogradRan2015 to 2021Enrolled121ConditionsFebrile SeizureArmsIsolated DNA, Real Time PCR
NCT05008458 unknown statusnot on this mapstarted 2021, after this paper: background citation

Value of Von Willebrand Factor and Copeptin Assay in Children With Febrile Seizures at Sohag University Hospital

TypeobservationalSponsorSohag UniversityRan2021 to 2022Enrolled90ConditionsFebrile SeizureArmsvon willebrand factor and copeptin
NCT05215366 unknown statusnot on this mapstarted 2022, after this paper: background citation

Value of Copeptin Assay in Children With Febrile Seizures at Sohag University Hospital

TypeobservationalSponsorSohag UniversityRan2022 to 2022Enrolled90ConditionsFebrile SeizureArmscopeptin biomarker in children with febrile seizures
3 · Its place in the literature

Who cites it

94 citing papers in PubMed, 1 synthesis or guideline pooled it, 253 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Can epilepsy be predicted after the first febrile seizure? Insights from machine learning of postictal EEG.Epileptic disorders : international epilepsy journal with videotape · 2026
    Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Study of Clinico-Etiological Profile of New-Onset Seizure in Infants.Journal of pharmacy & bioallied sciences · 2025
    Article
  18. Article
  19. Article
  20. Article

34 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors at 3 institutions in 3 countries.

Alexander Kc LeungDepartment of Pediatrics, The University of Calgary, Alberta Children's Hospital, Calgary, Alberta, Canada.
Kam Lun HonDepartment of Pediatrics, The Chinese University of Hong Kong, Shatin, Hong Kong.
Theresa Nh LeungDepartment of Pediatrics and Adolescent Medicine, Li Ka Shing Faculty of Medicine, The University of Hong Kong, Hong Kong.
Chinese University of Hong Kong · CNUniversity of Calgary · CAUniversity of Hong Kong · HK

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundFebrile seizures are the most common neurologic disorder in childhood. Physicians should be familiar with the proper evaluation and management of this common condition.

objectiveTo provide an update on the current understanding, evaluation, and management of febrile seizures.

methodsA PubMed search was completed in Clinical Queries using the key terms 'febrile convulsions' and 'febrile seizures'. The search strategy included meta-analyses, randomized controlled trials, clinical trials, observational studies, and reviews.

resultsFebrile seizures, with a peak incidence between 12 and 18 months of age, likely result from a vulnerability of the developing central nervous system to the effects of fever, in combination with an underlying genetic predisposition and environmental factors. The majority of febrile seizures occur within 24 hours of the onset of the fever. Febrile seizures can be simple or complex. Clinical judgment based on variable presentations must direct the diagnostic studies which are usually not necessary in the majority of cases. A lumbar puncture should be considered in children younger than 12 months of age or with suspected meningitis. Children with complex febrile seizures are at risk of subsequent epilepsy. Approximately 30-40% of children with a febrile seizure will have a recurrence during early childhood. The prognosis is favorable as the condition is usually benign and self-limiting. Intervention to stop the seizure often is unnecessary.

conclusionContinuous preventative antiepileptic therapy for the prevention of recurrent febrile seizures is not recommended. The use of intermittent anticonvulsant therapy is not routinely indicated. Antipyretics have no role in the prevention of febrile seizures.

Indexed as

anticonvulsantsantipyreticsepilepsyfebrile infection-related epilepsy syndromefebrile status epilepticusmeningitis

Identifiers

PMID30038660
PMCPMC6052913
OpenAlexW2883630143

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.