Factors Related to Delays in Pre-hospital Management of Status Epilepticus
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- 作者：Leena K?mppi ; Harri Mustonen ; Seppo Soinila
- 关键词：Epilepsy ; Seizure ; Treatment ; EMS ; Diagnosis ; Out ; of ; hospital
- 刊名：Neurocritical Care
- 出版年：2015
- 出版时间：February 2015
- 年：2015
- 卷：22
- 期：1
- 页码：93-104
- 全文大小：264 KB
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文摘
Introduction This study was designed to identify factors related to delays in pre-hospital management of status epilepticus (SE). Methods This retrospective study includes all adult (>16?years of age) patients (N?=?82) diagnosed with established SE in the Helsinki University Central Hospital emergency department (ED) over 2?years. SE was defined as a clinically observed episode fulfilling one of the following criteria: (1) continuous seizure lasting over 30?min; (2) recurring seizures without return of consciousness between seizures; (3) occurrence of more than four seizures within any 1?h. We collected 15 variables related to SE type, patient, and SE episode from the medical records, defined and calculated six pre-hospital delay parameters and analyzed their relations using univariate analysis and multivariate linear regression models. Results In the multivariate regression analysis, the focal SE was significantly associated with a long delay from SE onset to initial treatment (p?p?p?p?p?p?p?p?p?p?p?p? Conclusion We found remarkable inadequacy in recognition of SE both among laity and medical professionals. There is an obvious need for increasing awareness of imminent SE and optimizing the pre-hospital management of established SE. SE should be considered as a medical emergency comparable with stroke and cardiac infarction and be allocated with similar resources in the pre-hospital management.