کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
3054178 1580045 2010 6 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Management of children with nonfebrile seizures in the emergency department
موضوعات مرتبط
علوم زیستی و بیوفناوری علم عصب شناسی علوم اعصاب تکاملی
پیش نمایش صفحه اول مقاله
Management of children with nonfebrile seizures in the emergency department
چکیده انگلیسی

BackgroundChildren with seizures are often referred to the emergency department where they are typically evaluated by a physician with limited knowledge of pediatric epileptology and undergo a costly and extensive work-up that contributes little to the final decision.AimThe aim of this study was to examine the medical management of children with nonfebrile seizures in the emergency department and to define the potential role of the neurology clinic in this context.Materials and methodsThe files of 85 children who made 104 visits to the emergency department of a pediatric tertiary hospital for nonfebrile seizures were retrospectively reviewed.ResultsAverage age was 7.5 years. Blood tests were performed in almost all visits; a minority also involved the use of brain scans and electroencephalography. A neurologist was consulted in about half the visits. Only electroencephalography and neurologic consultation contributed significantly to the final decision. Hospitalization was recommended in 71% of cases, but it was usually short term and not accompanied by significant changes in the management.ConclusionIn children with nonfebrile seizures, a problem-oriented approach including only the necessary work-up (e.g. electroencephalography) with neurologist consultation can potentially decrease the inpatient load and lower health care costs, while sparing patients unnecessary tests.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: European Journal of Paediatric Neurology - Volume 14, Issue 5, September 2010, Pages 439–444
نویسندگان
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