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KMID : 0391520160240010015
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Journal of the Korean Child Neurology Society
2016 Volume.24 No. 1 p.15 ~ p.20
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The Incidence and Characteristics of Children with Status pilepticus who Visited Emergency Rooms in Korea: A Retrospective Seven-year Nationwide Review
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Shin Eun-Ju
Hwang Se-Hee
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Abstract
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Purpose: Status epilepticus (SE) is the most common life-threatening neurological
condition in childhood. To clarify the incidence and outcome, we have evaluated
the epidemiological and clinical characteristics of SE patients in Korea.
Methods: In evaluating data from the National Emergency Department Information
System (NEDIS), we retrospectively analyzed patients, and classified them by age
and sex distribution, body temperature, time on arrival, seasonal variation and
treatment outcome. The patients were under 8 years old who visited 111 general
hospital emergency rooms in Korea between 2007 and 2013.
Results: There were 4,257 total patients enrolled in our study. The ratio of males to
females was 1.11:1. The incidence of SE in Korean children was 14.5/100,000 in 2010, and
the highest incidence was seen in patients 1 to 2 years old. We could not find a seasonal
variation. Febrile patients with temperatures over 38 °C accounted for 1,901 patients
(44.7%). Peak time on arrival was 6 p.m. to midnight for 1,301 patients (30.5%). 3,356
patients (78.8%) were admitted immediately for proper treatment, while 678 patients
(15.9%) were allowed to go home after emergency treatment. Unfortunately, 4 patients
(0.1%) died despite first aid.
Conclusion: The most common age in SE is 1 to 2 years. Regarding the correlation of
fever with SE, patients who exhibit fever accounted for almost half of the patients
with SE. In our study, the mortality rate in emergency room was 0.1%. Therefore,
anyone who is suspected to have SE should be immediately transferred to a general
hospital with ICU facilities for intensive treatment under the direction of medical
experts.
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KEYWORD
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Emergency room, Status epilepticus
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