Febrile seizures: perceptions and knowledge of parents of affected and unaffected children

Eur J Pediatr. 2022 Apr;181(4):1487-1495. doi: 10.1007/s00431-021-04335-1. Epub 2021 Dec 7.

Abstract

Febrile seizures (FS) in children are common, but little is known about parents' perceptions and knowledge of FS. We interviewed parents of children aged 6 months to 6 years affected by FS (FS group, 65 parents) or unaffected (control group, 54 parents). In the FS group, 32% said they knew their child had an FS when the first event occurred, and 89% described fear when the child had a seizure, with a median intensity of 10/10 (Q25/Q75: 9/10). Related to follow-up, 77% in the FS group (will) observe their child more carefully after the first seizure happened, and 63% (will) give antipyretics earlier at a median temperature of 38.2 °C (100.8 °F). In the FS group, 62% were unaware of FS before the first event (54% of control group did not know about FS thus far, n.s.). In the FS group, 20% would put a solid object in the mouth of a child having a seizure (control group, 39%, p = 0.030), and 92% would administer an available anti-seizure rescue medication (control group, 78%, p = 0.019). In the FS group, 71% feared that children with FS might suffocate (control group, 70%, n.s.).

Conclusion: Information about FS and their management should be more available to improve parents' coping and patient safety.

What is known: • Febrile seizures in children are common. • The prognosis of children suffering from febrile seizures is usually rather good.

What is new: • Over half of parents had not informed themselves about febrile seizures so far; and only 32% of parents realized their child had a febrile seizure when it occurred. • Most parents described own fear with a median intensity of 10/10; and 63% (will) give antipyretics earlier at a median temperature of 38.2 °C (100.8 °F).

Keywords: Anti-seizure rescue medication; Antipyretics; Children; Fear; Febrile seizures; Perception.

MeSH terms

  • Antipyretics*
  • Child
  • Fear
  • Humans
  • Infant
  • Parents
  • Seizures
  • Seizures, Febrile* / drug therapy

Substances

  • Antipyretics