Evaluation of Clinical and Demographic Characteristics of Patients Hospitalized in the Pediatric Intensive Care Unit due to Convulsive Status Epilepticus

Introduction:Status epilepticus is an important part of pediatric intensive care hospitalizations. In this study, it was aimed to investigate the general characteristics and to share the clinical and demographical features of patients who were hospitalized due to convulsive status epilepticus.Method...

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Autores principales: Ülkem Koçoğlu Barlas, Nihal Akçay, Mey Talip Petmezci, Hasan Serdar Kıhtır, Osman Yeşilbaş, Kübra Boydağ Güvenç, Güner Özçelik, Esra Şevketoğlu
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Publicado: Galenos Yayinevi 2021
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spelling oai:doaj.org-article:0988e8545b984090ac8a1a538c71a5f62021-11-23T10:20:16ZEvaluation of Clinical and Demographic Characteristics of Patients Hospitalized in the Pediatric Intensive Care Unit due to Convulsive Status Epilepticus2146-23992148-733210.4274/cayd.galenos.2021.48343https://doaj.org/article/0988e8545b984090ac8a1a538c71a5f62021-12-01T00:00:00Z http://www.caybdergi.com/archives/archive-detail/article-preview/evaluation-of-clinical-and-demographic-characteris/49680 https://doaj.org/toc/2146-2399https://doaj.org/toc/2148-7332Introduction:Status epilepticus is an important part of pediatric intensive care hospitalizations. In this study, it was aimed to investigate the general characteristics and to share the clinical and demographical features of patients who were hospitalized due to convulsive status epilepticus.Methods:One hundred-thirty one cases were included in this study. Identity information of patients, presence of acute and chronic diseases, duration of intensive care stay and hospitalization, first seizure type, where they were admitted, number of seizures during intensive care follow-up, antiepileptics used in treatment and other treatments and the status of discharge-mortality were recorded.Results:62.6% of cases were male and the mean age of all cases was 53.69±47.14 months. The most common chronic disease was epilepsy and the most common acute disease was lower respiratory tract infection. The first admission of 34.4% of the cases was due to status epilepticus, and the rate of cases accepted from other hospitals was 60.3%. During intensive care follow-up, no convulsions were observed in 77.1% of the cases. In the first treatment, benzodiazepine infusion was used in 77.1% of the cases. The median length of stay in intensive care unit was 4 days (minimum-maximum= 3-8 days) in the benzodiazepine infusion group, and 3 days (minimum-maximum=2-3 days) in the group that was not given benzodiazepine. The other most preferred antiepileptics were levetiracetam and phenytoin in 62.6% and 39.7% of the cases, respectively. The mortality rate was found as 2.3%.Conclusion:In our study, it was observed that the majority of the patients who were hospitalized in our pediatric intensive care unit due to convulsive status epilepticus were male, convulsive status epilepticus was more common in children with chronic neurological disease, benzodiazepine infusion was the first choice for treatment and Levetiracetam was the second most commonly used antiepileptic.Ülkem Koçoğlu BarlasNihal AkçayMey Talip PetmezciHasan Serdar KıhtırOsman YeşilbaşKübra Boydağ GüvençGüner ÖzçelikEsra ŞevketoğluGalenos Yayineviarticlebenzodiazepinechildphenobarbitallevetiracetamstatus epilepticusMedicineRPediatricsRJ1-570Medical emergencies. Critical care. Intensive care. First aidRC86-88.9ENTRJournal of Pediatric Emergency and Intensive Care Medicine, Vol 8, Iss 3, Pp 172-176 (2021)
institution DOAJ
collection DOAJ
language EN
TR
topic benzodiazepine
child
phenobarbital
levetiracetam
status epilepticus
Medicine
R
Pediatrics
RJ1-570
Medical emergencies. Critical care. Intensive care. First aid
RC86-88.9
spellingShingle benzodiazepine
child
phenobarbital
levetiracetam
status epilepticus
Medicine
R
Pediatrics
RJ1-570
Medical emergencies. Critical care. Intensive care. First aid
RC86-88.9
Ülkem Koçoğlu Barlas
Nihal Akçay
Mey Talip Petmezci
Hasan Serdar Kıhtır
Osman Yeşilbaş
Kübra Boydağ Güvenç
Güner Özçelik
Esra Şevketoğlu
Evaluation of Clinical and Demographic Characteristics of Patients Hospitalized in the Pediatric Intensive Care Unit due to Convulsive Status Epilepticus
description Introduction:Status epilepticus is an important part of pediatric intensive care hospitalizations. In this study, it was aimed to investigate the general characteristics and to share the clinical and demographical features of patients who were hospitalized due to convulsive status epilepticus.Methods:One hundred-thirty one cases were included in this study. Identity information of patients, presence of acute and chronic diseases, duration of intensive care stay and hospitalization, first seizure type, where they were admitted, number of seizures during intensive care follow-up, antiepileptics used in treatment and other treatments and the status of discharge-mortality were recorded.Results:62.6% of cases were male and the mean age of all cases was 53.69±47.14 months. The most common chronic disease was epilepsy and the most common acute disease was lower respiratory tract infection. The first admission of 34.4% of the cases was due to status epilepticus, and the rate of cases accepted from other hospitals was 60.3%. During intensive care follow-up, no convulsions were observed in 77.1% of the cases. In the first treatment, benzodiazepine infusion was used in 77.1% of the cases. The median length of stay in intensive care unit was 4 days (minimum-maximum= 3-8 days) in the benzodiazepine infusion group, and 3 days (minimum-maximum=2-3 days) in the group that was not given benzodiazepine. The other most preferred antiepileptics were levetiracetam and phenytoin in 62.6% and 39.7% of the cases, respectively. The mortality rate was found as 2.3%.Conclusion:In our study, it was observed that the majority of the patients who were hospitalized in our pediatric intensive care unit due to convulsive status epilepticus were male, convulsive status epilepticus was more common in children with chronic neurological disease, benzodiazepine infusion was the first choice for treatment and Levetiracetam was the second most commonly used antiepileptic.
format article
author Ülkem Koçoğlu Barlas
Nihal Akçay
Mey Talip Petmezci
Hasan Serdar Kıhtır
Osman Yeşilbaş
Kübra Boydağ Güvenç
Güner Özçelik
Esra Şevketoğlu
author_facet Ülkem Koçoğlu Barlas
Nihal Akçay
Mey Talip Petmezci
Hasan Serdar Kıhtır
Osman Yeşilbaş
Kübra Boydağ Güvenç
Güner Özçelik
Esra Şevketoğlu
author_sort Ülkem Koçoğlu Barlas
title Evaluation of Clinical and Demographic Characteristics of Patients Hospitalized in the Pediatric Intensive Care Unit due to Convulsive Status Epilepticus
title_short Evaluation of Clinical and Demographic Characteristics of Patients Hospitalized in the Pediatric Intensive Care Unit due to Convulsive Status Epilepticus
title_full Evaluation of Clinical and Demographic Characteristics of Patients Hospitalized in the Pediatric Intensive Care Unit due to Convulsive Status Epilepticus
title_fullStr Evaluation of Clinical and Demographic Characteristics of Patients Hospitalized in the Pediatric Intensive Care Unit due to Convulsive Status Epilepticus
title_full_unstemmed Evaluation of Clinical and Demographic Characteristics of Patients Hospitalized in the Pediatric Intensive Care Unit due to Convulsive Status Epilepticus
title_sort evaluation of clinical and demographic characteristics of patients hospitalized in the pediatric intensive care unit due to convulsive status epilepticus
publisher Galenos Yayinevi
publishDate 2021
url https://doaj.org/article/0988e8545b984090ac8a1a538c71a5f6
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