title: Neonatal seizures in a rural Iranian district hospital: etiologies, incidence and predicting factors.
abstract: Current study determined the overall incidence, common causes as well as main predictors of this final diagnosis among neonates admitted to a rural district hospital in Iran. This study was conducted on 699 neonates who were candidate for admission to the NICU. Study population was categorized in the case group, including patients exposed to final diagnosis of neonatal seizures and the control group without this diagnosis. Neonatal seizure was reported as final diagnosis in 25 (3.6%) of neonates. The most frequent discharge diagnosis in the seizure group was neonatal sepsis and in the non-seizure group was respiratory problems. No significant difference was found in early fatality rate between neonates with and without seizures (8.0% vs. 10.1%). Only gestational age <38 week had a relationship with the appearance of neonatal seizure. Low gestational age has a crucial role for predicting appearance of seizure in Iranian neonates.
authors.affiliation: Department of Pediatrics, Fatemieh Hospital, Shahrood University of Medical Sciences, Shahrood, Semnan. submissionmedical@googlemail.com
authors.forename: Afsaneh
authors.initials: A
authors.lastname: Sadeghian
authors.forename: Maryam
authors.initials: M
authors.lastname: Damghanian
authors.forename: Mohammad
authors.initials: M
authors.lastname: Shariati
mesh_terms: D000328:Adult; D000465:Algorithms; D016022:Case-Control Studies; D005260:Female; D005865:Gestational Age; D006767:Hospitals, District; D006801:Humans; D015994:Incidence; D007231:Infant, Newborn; D007232:Infant, Newborn, Diseases / Q000175:diagnosis* / Q000453:epidemiology / Q000209:etiology; D007297:Inpatients; D007363:Intensive Care Units, Neonatal; D007492:Iran / Q000453:epidemiology; D016015:Logistic Models; D008297:Male; D009035:Mothers / Q000706:statistics & numerical data; D011379:Prognosis; D018570:Risk Assessment; D012307:Risk Factors; D012424:Rural Population / Q000706:statistics & numerical data*; D012640:Seizures / Q000175:diagnosis* / Q000453:epidemiology / Q000209:etiology