دورية أكاديمية
Clinical aspects of patients visiting the emergency department with febrile seizure
| العنوان: | Clinical aspects of patients visiting the emergency department with febrile seizure |
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| المؤلفون: | Jong Min Kim, Hee Yu Hwang, Jung Hun Lee, Moon Kyu Kim, Soon Min Lee |
| المصدر: | Pediatric Emergency Medicine Journal, Vol 10, Iss 4, Pp 118-123 (2023) |
| بيانات النشر: | Korean Society of Pediatric Emergency Medicine, 2023. |
| سنة النشر: | 2023 |
| المجموعة: | LCC:Medicine |
| مصطلحات موضوعية: | covid-19, epidemiology, epilepsy, recurrence, seizures, febrile, Medicine |
| الوصف: | Purpose We aimed to analyze the clinical characteristics, recurrence, neurological outcomes, and the impact of coronavirus disease 2019 pandemic in children who visited 2 emergency departments (EDs) with febrile seizure (FS). Methods We retrospectively reviewed medical records of 3,172 episodes, involving 2,510 children aged 6-60 months whose diagnoses were FSs at the EDs in 2 hospitals from 2013 through 2022. Through the review, we analyzed clinical characteristics and associated factors for the recurrence of FS. As a sub-analysis, the variables were compared between before (2017-2019) and during (2020-2022) the pandemic. Results A total of 3,172 FS-related visits to the EDs were found in 2,510 children. Of these, 890 children (35.5%) underwent recurrences of FS. The recurrence of FS was associated with boys (63.3% vs. 57.8%; P = 0.007), seizures lasting longer than 5 minutes (16.6% vs. 12.7%; P = 0.007), family history of FS (23.7% vs. 16.2%; P < 0.001), complex FS (13.3% vs. 8.0%; P < 0.001), and epilepsy diagnosed thereafter (9.1% vs. 3.0%; P < 0.001). During the pandemic, we noted a decrease in the number of FS-related visits to the EDs (from 1,274 to 383), an increase in the percentage of complex FS (9.3% vs. 13.8%; P = 0.012), and a decrease in the percentage of recurrent FS (49.4% vs. 33.4%; P < 0.001), compared to before the pandemic. Conclusion Our study identified factors associated with recurrence of FS, and confirmed the increase in complex FS with the decrease in the recurrence during the coronavirus disease 2019 pandemic. These findings could be helpful when caring for children with FS in EDs. |
| نوع الوثيقة: | article |
| وصف الملف: | electronic resource |
| اللغة: | English Korean |
| تدمد: | 2383-4897 2508-5506 |
| Relation: | http://pemj.org/upload/pdf/pemj-2023-00752.pdf; https://doaj.org/toc/2383-4897; https://doaj.org/toc/2508-5506 |
| DOI: | 10.22470/pemj.2023.00752 |
| URL الوصول: | https://doaj.org/article/726d2bd94a964209aa145dae3a2cd973 |
| رقم الأكسشن: | edsdoj.726d2bd94a964209aa145dae3a2cd973 |
| قاعدة البيانات: | Directory of Open Access Journals |
Full Text Finder | تدمد: | 23834897 25085506 |
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| DOI: | 10.22470/pemj.2023.00752 |