Grand Rounds: A New Febrile Seizure Pathway at Akron Children’s Hospital – Charting a New Course in Our Approach to Febrile Seizures

01-05-2024

By Katherine Genet, MD, Fellow; Farimah Shariati, MD, Fellow; Karen Willis, MD, Pediatric Hospitalist; Michael DiSano, MD, Pediatric Epileptologist; and Francesca Shick, PA, Neurology , Akron Children's, Akron, OH

Objectives (Educational Content) :

1. Explore the origins and definition of febrile seizures, delving into their historical context. 2. Examine the conventional categorization of febrile seizures, shedding light on their typical classifications. 3. Analyze the 2012 guidelines outlined by the AAP concerning febrile seizures, highlighting their key aspects. 4. Differentiate between low-risk and high-risk complex febrile seizures, emphasizing their distinguishing features. 5. Evaluate preliminary findings related to the present clinical approach in managing febrile seizures at Akron Children's. 6. Understand what clinical pathways are and how they can help provide safe, evidence based, and high-quality care. 7. Understand ACH new Febrile Seizure pathway approach of using risk categorization of febrile seizures for guiding work up and admission decisions. 8. Understand which children presenting with febrile seizure will require hospitalization at ACH.

Target Audience:

General pediatricians, family physicians, nurse practitioners, physician assistants, social workers, psychologists, and nurses.

Identified Gap:

Febrile seizures are one of the most common causes of seizures in children less than 5 years old. Evidence-based approach to evaluation and management of febrile seizures depends on the appropriate classification of the patient as having a simple, low-risk or high-risk febrile seizure. Data has shown that practitioners often order more laboratory and imaging studies in children with simple and low-risk febrile seizures than evidence suggests is warranted.

Estimated Time to Complete the Educational Activity:

1 hour(s)

Expiration Date for CE/CME Credit:

01-03-2025

Method of Participation in the Learning Process:

The learner will view the presentation, successfully complete a post-test and complete an activity evaluation.

Evaluation Methods:

All learners must successfully complete a post-test, as well as an activity evaluation, to claim CE/CME credit.

Disclosure:

The speakers have returned the disclosure form, indicating that the following relevant financial or other relationship with the following commercial interest: Vital Talk Katherine Genet, MD, Farimah Shariati, MD, Karen Willis, MD, Michael DiSano, MD, Francesca Schick, PA The following CME Committee/Planning Committee member(s) has the following relevant financial relationships with ineligible companies to disclose: Merck Maria Victorio, MD All relationships have been mitigated.

Accreditation Statement:

Children’s Hospital Medical Center of Akron is accredited by the Ohio State Medical Association to provide continuing medical education for physicians.

CHMCA designates this enduring material activity for a maximum of 1.0 AMA PRA Category 1 Credit TM.  Physicians should only claim the credit commensurate with the extent of their participation in the activity.

Bibliography:

Fisher RS, Acevedo C, Arzimanoglou A, et al. ILAE Official Report: A practical clinical definition of epilepsy. Epilepsia. 2014;55(4):475-482.

DiSano M, Pestana-Knight E, Gupta A.  Chapter 8 .  "Seizures Not Diagnosed as Epilepsy."  Wasade VS, Spanaki MV, eds. Understanding Epilepsy: A Study Guide for the Boards. Cambridge University Press; 2019.  

Shinnar S, Hesdorffer DC, Nordli DR, et al. Phenomenology of prolonged febrile seizures: results of the FEBSTAT study. Neurology. 2008;71(3):170-176.

Hesdorffer DC, Shinnar S, Lewis DV, et al. Risk factors for febrile status epilepticus: A case-control study. Journal of Pediatrics. 2013;163(4):1147-1152. 

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