Article ; Online: Crisis en urgencias: una vista a las características clínicas y terapéuticas a través de 122 pacientes.
2024 Volume 78, Issue 5, Page(s) 121–125
Abstract: Introduction: Epileptic seizures are a common cause of admission in emergency services at hospitals. Performing the correct diagnosis can be difficult, and deciding when and which anti-seizure medication (ASM) to prescribe is critical. Our objective is ... ...
| Title translation | Seizures in the emergency service: the clinical and therapeutic characteristics of 122 patients. |
|---|---|
| Abstract | Introduction: Epileptic seizures are a common cause of admission in emergency services at hospitals. Performing the correct diagnosis can be difficult, and deciding when and which anti-seizure medication (ASM) to prescribe is critical. Our objective is to detail the characteristics of patients treated in a medium-sized hospital for this reason. Patients and methods: A retrospective observational study was performed, including all the adult patients treated by the emergency service of the Lucus Augusti University Hospital between January 2022 and January 2023 with a diagnosis of epileptic seizure on discharge. The study recorded their demographic variables, history, whether it was their first seizure, the number of seizures, whether an anti-seizure medication was administered and which one, the diagnosis, the tests performed, and whether the patient was referred to the neurology service. Results: A total of 122 patients were diagnosed with epileptic seizures in the emergency service. 50.8% of the patients were women. The mean age was 69.8 years. Neurological assessment was requested for 47.6%. 50.8% presented their first seizure. No diagnosis was performed in 46% of the cases, of which only 10 were evaluated by the neurology service. The most common etiology was vascular. An electroencephalogram was performed on 41.8%. Levetiracetam was practically the only drug administered when the neurology department was not consulted. Conclusions: Early evaluation of patients with their first seizure in the emergency service by a neurological specialist is crucial for the diagnosis of epilepsy. The same anti-seizure medication is almost always prescribed when no cross-consultation takes place. |
| MeSH term(s) | Adult ; Humans ; Female ; Aged ; Male ; Emergency Medical Services ; Electroencephalography ; Hospitalization ; Hospitals, University ; Seizures/diagnosis ; Seizures/drug therapy |
| Language | Spanish |
| Publishing date | 2024-02-05 |
| Publishing country | Spain |
| Document type | Observational Study ; English Abstract ; Journal Article |
| ZDB-ID | 1468278-3 |
| ISSN | 1576-6578 ; 0210-0010 |
| ISSN (online) | 1576-6578 |
| ISSN | 0210-0010 |
| DOI | 10.33588/rn.7805.2023324 |
| Database | MEDical Literature Analysis and Retrieval System OnLINE |
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