|
KMID : 1160420190010010018
|
|
Epilia: Epilepsy Commun
2019 Volume.1 No. 1 p.18 ~ p.22
|
|
|
The Etiology and Outcome of Seizures in the Emergency Department
|
|
Jeon Jae-Cheon
Bae Hyo-Eun
Cho Yong-Won
Kim Keun-Tae
|
|
|
Abstract
|
|
|
Background: Seizure occurs due to sudden electrical abnormalities of the brain. It is not a disease itself, but a symptom of various diseases. The aim of this study was to evaluate the etiologies and outcomes of patients presenting with seizure to an emergency department (ED).
Methods: All patients with seizures who visited a single ED from January to December 2018 were evaluated retrospectively. The destinations of the patients upon discharge from the ED, as well as their outcomes upon discharge from the hospital, were analyzed.
Results: Among the 34,772 patients who visited the ED during this time period, 185 (0.53%) patients with seizure were analyzed. The leading cause of seizure was unknown (122, 65.95%), followed by metabolic causes (19, 10.27%). The overall mortality rate among patients presenting to the ED with seizure was 8.65%. Admission to the intensive care unit was associated with a poor prognosis and high mortality.
Conclusions: Approximately 0.5% of patients who visited the ED presented with seizure, but they had a significant mortality rate. A careful and detailed approach is needed for patients who experience seizure in the ED.
|
|
|
KEYWORD
|
|
|
Seizure, Etiology, Emergency department
|
|
|
FullTexts / Linksout information
|
|
|
|
|
Listed journal information
|
|
|
|