Febrile Seizures: Clinical Factors Influencing the Length of Hospital Stay

Yusuf Deniz

doi:10.18621/eurj.1818986

Febrile Seizures: Clinical Factors Influencing the Length of Hospital Stay

Abstract

Objectives: This study aimed to identify the clinical factors influencing the length of hospital stay (LOS) in children aged 0–60 months hospitalized with febrile seizures (FS), and to explore potential immunological and psychosocial modulators that may affect hospitalization decisions.

Methods: A retrospective observational study was conducted at a tertiary hospital in Karabük, Türkiye, between September 2023 and September 2025. Medical records of patients diagnosed with FS (ICD-10 R56.0) were reviewed using the FONET and e-Nabız systems. Demographic and clinical variables - including age, sex, fever, seizure duration, type (simple/complex), recurrence, infection focus, and presence of seasonal allergic rhinitis (SAR) - were analyzed. Factors associated with LOS were evaluated using multivariable linear regression (P<0.05).

Results: A total of 93 children (53.3% male, mean age: 24.6±13.7 months) were included. The mean LOS was 48.2±44.7 hours. Regression analysis showed that recurrence and SAR were associated with shorter LOS (P=0.062 and P=0.065, respectively), while seizure duration and prematurity had no significant effect. Bronchitis, otitis, and tonsillitis were linked to longer stays, whereas acute gastroenteritis and mild upper respiratory infections were linked to shorter ones. Family history was strongly associated with recurrence but not with LOS.

Conclusions: Hospital stay in FS is influenced more by immunological and psychosocial dynamics than by traditional demographic factors. The presence of SAR may act as a modulatory condition reducing LOS, possibly through pre-activated immune regulation. Family experience appears to facilitate earlier discharge. Integrating these factors into clinical decision-making may improve resource use and standardize hospitalization criteria.

Keywords

Ethical Statement

This study was approved by the Karabük University Non-Interventional Clinical Research Ethics Committee (Decision No: 2025/2505; date: 02.10.2025). All procedures were conducted in accordance with the ethical standards of the institutional and national research committee and with the 1964 Helsinki Declaration and its later amendments. Because the study was retrospective and no additional intervention was performed on the participants, the informed consent form was waived.

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Details

Primary Language

English

Subjects

Infant and Child Health, Pediatric Emergency

Journal Section

Research Article

Authors

Yusuf Deniz ^*
0000-0003-3684-2421
Türkiye

Early Pub Date

December 30, 2025

Publication Date

February 1, 2026

Submission Date

November 7, 2025

Acceptance Date

December 25, 2025

Published in Issue

Year 2026 Volume: 12 Number: 2

DOI

https://doi.org/10.18621/eurj.1818986

IZ

https://izlik.org/JA69CP95CW

Cite

RIS / Bibtex

APA

Deniz, Y. (2026). Febrile Seizures: Clinical Factors Influencing the Length of Hospital Stay. The European Research Journal, 12(2), 249-255. https://doi.org/10.18621/eurj.1818986

AMA

1.Deniz Y. Febrile Seizures: Clinical Factors Influencing the Length of Hospital Stay. Eur Res J. 2026;12(2):249-255. doi:10.18621/eurj.1818986

Chicago

Deniz, Yusuf. 2026. “Febrile Seizures: Clinical Factors Influencing the Length of Hospital Stay”. The European Research Journal 12 (2): 249-55. https://doi.org/10.18621/eurj.1818986.

EndNote

Deniz Y (February 1, 2026) Febrile Seizures: Clinical Factors Influencing the Length of Hospital Stay. The European Research Journal 12 2 249–255.

IEEE

[1]Y. Deniz, “Febrile Seizures: Clinical Factors Influencing the Length of Hospital Stay”, Eur Res J, vol. 12, no. 2, pp. 249–255, Feb. 2026, doi: 10.18621/eurj.1818986.

ISNAD

Deniz, Yusuf. “Febrile Seizures: Clinical Factors Influencing the Length of Hospital Stay”. The European Research Journal 12/2 (February 1, 2026): 249-255. https://doi.org/10.18621/eurj.1818986.

JAMA

1.Deniz Y. Febrile Seizures: Clinical Factors Influencing the Length of Hospital Stay. Eur Res J. 2026;12:249–255.

MLA

Deniz, Yusuf. “Febrile Seizures: Clinical Factors Influencing the Length of Hospital Stay”. The European Research Journal, vol. 12, no. 2, Feb. 2026, pp. 249-55, doi:10.18621/eurj.1818986.

Vancouver

1.Yusuf Deniz. Febrile Seizures: Clinical Factors Influencing the Length of Hospital Stay. Eur Res J. 2026 Feb. 1;12(2):249-55. doi:10.18621/eurj.1818986