Evidence map›Paper›PMID 42062853›Full record

ArticleBMC pediatrics2026

Recurrence of febrile convulsions in children treated with intermittent benzodiazepines: a retrospective study investigating predisposing factors.

Sepideh Ahmadi, Nima Mosayebi, Amirmohammad Akbari, Ahora Zahedi, Samin Ahmadi, Elmira Haji Esmaeil Memar

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Article in BMC pediatrics, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

6 authors.

Sepideh AhmadiFaculty of Medicine, Tehran University of Medical Sciences, Tehran, Iran.ORCID 0000-0002-3141-405X
Nima MosayebiFaculty of Medicine, Tehran University of Medical Sciences, Tehran, Iran.ORCID 0009-0009-5894-7487
Amirmohammad AkbariFaculty of Medicine, Tehran University of Medical Sciences, Tehran, Iran.ORCID 0009-0009-5549-5569
Ahora ZahediDepartment of Artificial Intelligence in Medical Sciences, Faculty of Advanced Technologies in Medicine, Iran University of Medical Sciences, Tehran, Iran.ORCID 0000-0001-8163-6833
Samin AhmadiFaculty of Nursing, Department of Surgical Technologies, Zanjan University of Medical Sciences, Zanjan, Iran.ORCID 0009-0001-2132-7139
Elmira Haji Esmaeil MemarPediatric Center of Excellence, Children's Medical Center, Tehran University of Medical Sciences, Tehran, Iran. Elmira.memar@yahoo.com.ORCID 0000-0003-4813-7228

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionFebrile seizures are the most common neurologic disorder in infants and young children, affecting 2-4% of those under six years of age. Although their overall prognosis is benign, recurrence is frequent and a major concern for families. This study aimed to identify factors associated with recurrence despite intermittent benzodiazepine prophylaxis.

methodWe conducted a retrospective cohort study at Tehran Children's Medical Center including 76 children aged 6-60 months with febrile seizures who were discharged on intermittent benzodiazepine therapy. The primary outcome was recurrence despite treatment. Clinical and laboratory variables were compared between recurrence and non-recurrence groups using logistic regression.

resultsFebrile seizures recurred in 20 of 76 children (26.3%). Age at first febrile seizure was significantly lower in the recurrence group (p-value = 0.001), and a history of previous febrile seizures was associated with recurrence (p = 0.018). Hyponatremia was also more frequent among recurrent cases (p-value = 0.003). In multivariable analysis, lower serum sodium (OR 0.713; 95% CI 0.518-0.981; p = 0.038) and younger age at first febrile seizure (OR 0.902; 95% CI 0.818-0.995; p = 0.039) remained independent predictors.

conclusionYounger age at first seizure and lower serum sodium were associated with recurrence despite intermittent benzodiazepine prophylaxis. These findings may help identify children at higher risk of treatment failure and guide counselling of families considering prophylaxis.

Indexed as

AnticonvulsantsBenzodiazepinesSeizures, FebrileAge FactorsChild, PreschoolFemaleHumansInfantLogistic ModelsMaleRecurrenceRetrospective StudiesRisk FactorsAnticonvulsantsBenzodiazepinesBenzodiazepinesFebrile seizureRecurrenceSeizure in children.

Identifiers

PMID42062853
PMCPMC13330451

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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.