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Underestimated Rate of Status Epilepticus according to the Traditional Definition of Status Epilepticus
Joint Authors
Sung, Sheng-Feng
Ong, Cheung-Ter
Wong, Yi-Sin
Wu, Chi-Shun
Hsu, Yung-Chu
Su, Yu-Hsiang
Hung, Ling-Chien
Source
Issue
Vol. 2015, Issue 2015 (31 Dec. 2015), pp.1-5, 5 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2015-06-21
Country of Publication
Egypt
No. of Pages
5
Main Subjects
Medicine
Information Technology and Computer Science
Abstract EN
Purpose.
Status epilepticus (SE) is an important neurological emergency.
Early diagnosis could improve outcomes.
Traditionally, SE is defined as seizures lasting at least 30 min or repeated seizures over 30 min without recovery of consciousness.
Some specialists argued that the duration of seizures qualifying as SE should be shorter and the operational definition of SE was suggested.
It is unclear whether physicians follow the operational definition.
The objective of this study was to investigate whether the incidence of SE was underestimated and to investigate the underestimate rate.
Methods.
This retrospective study evaluates the difference in diagnosis of SE between operational definition and traditional definition of status epilepticus.
Between July 1, 2012, and June 30, 2014, patients discharged with ICD-9 codes for epilepsy (345.X) in Chia-Yi Christian Hospital were included in the study.
A seizure lasting at least 30 min or repeated seizures over 30 min without recovery of consciousness were considered SE according to the traditional definition of SE (TDSE).
A seizure lasting between 5 and 30 min was considered SE according to the operational definition of SE (ODSE); it was defined as underestimated status epilepticus (UESE).
Results.
During a 2-year period, there were 256 episodes of seizures requiring hospital admission.
Among the 256 episodes, 99 episodes lasted longer than 5 min, out of which 61 (61.6%) episodes persisted over 30 min (TDSE) and 38 (38.4%) episodes continued between 5 and 30 min (UESE).
In the 38 episodes of seizure lasting 5 to 30 minutes, only one episode was previously discharged as SE (ICD-9-CM 345.3).
Conclusion.
We underestimated 37.4% of SE.
Continuing education regarding the diagnosis and treatment of epilepsy is important for physicians.
American Psychological Association (APA)
Ong, Cheung-Ter& Wong, Yi-Sin& Sung, Sheng-Feng& Wu, Chi-Shun& Hsu, Yung-Chu& Su, Yu-Hsiang…[et al.]. 2015. Underestimated Rate of Status Epilepticus according to the Traditional Definition of Status Epilepticus. The Scientific World Journal،Vol. 2015, no. 2015, pp.1-5.
https://search.emarefa.net/detail/BIM-1079149
Modern Language Association (MLA)
Ong, Cheung-Ter…[et al.]. Underestimated Rate of Status Epilepticus according to the Traditional Definition of Status Epilepticus. The Scientific World Journal No. 2015 (2015), pp.1-5.
https://search.emarefa.net/detail/BIM-1079149
American Medical Association (AMA)
Ong, Cheung-Ter& Wong, Yi-Sin& Sung, Sheng-Feng& Wu, Chi-Shun& Hsu, Yung-Chu& Su, Yu-Hsiang…[et al.]. Underestimated Rate of Status Epilepticus according to the Traditional Definition of Status Epilepticus. The Scientific World Journal. 2015. Vol. 2015, no. 2015, pp.1-5.
https://search.emarefa.net/detail/BIM-1079149
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1079149