Seizure Analysis Presented to Emergency Department in Saudi Arabia: New VS Chronic Cases.

Autor:	AlGhamdi FA; College of Medicine, Imam Abdulrahman bin Faisal University, Dammam, Saudi Arabia., Alharbi ZT; College of Medicine, Imam Abdulrahman bin Faisal University, Dammam, Saudi Arabia., Alharbi RS; College of Medicine, Imam Abdulrahman bin Faisal University, Dammam, Saudi Arabia., Alfryyan AA; College of Medicine, Imam Abdulrahman bin Faisal University, Dammam, Saudi Arabia., AlJoaib NA; College of Medicine, Imam Abdulrahman bin Faisal University, Dammam, Saudi Arabia., AlMaghraby NH; Emergency Medicine Department, King Fahad University Hospital, Dammam, Saudi Arabia., AlGhamdi MM; Radiology Department, King Fahad University Hospital, Dammam, Saudi Arabia., AlMulhim M; Emergency Medicine Department, King Fahad University Hospital, Dammam, Saudi Arabia.
Jazyk:	angličtina
Zdroj:	Medical archives (Sarajevo, Bosnia and Herzegovina) [Med Arch] 2023; Vol. 77 (6), pp. 465-470.
DOI:	10.5455/medarh.2023.77.465-470
Abstrakt:	Background: Epilepsy, characterized by recurrent unprovoked seizures, poses a significant global burden on individuals and healthcare systems. Accurate identification of underlying causes is vital for optimal intervention. However, studies reveal a lack of standardized approaches, potentially resulting in unnecessary investigations. Objective: We aimed to highlight the importance of avoiding unnecessary testing to minimize healthcare costs and resource waste. Methods: In the Emergency Department of King Fahd Hospital of the University (KFUH) in Alkhobar, a retrospective cross-sectional study encompassed 190 patients presenting with seizures from January 1, 2020, to December 31, 2022. The study aimed to elucidate the epidemiological profile and distinguish clinical and demographic factors between new onset seizures and known cases. Results: The study included 190 epilepsy cases, with 51.1% known and 48.9% new onset. Generalized tonic-clonic seizures were prominent (43.2%), and non-compliance (24.2%) was a leading cause. New onset seizures were associated with abnormal CT findings (p=0.025), drug use (74.2%), and intoxication (6.5%). Demographically, Saudis showed higher new onset prevalence (82.8%, p=0.001). Conclusion: The average length of stay was 5.93 hours, and the distribution of new vs. known cases was nearly equal among the 190 patients. Laboratory findings showed no significant associations with either group, mostly falling within the normal range. To optimize care further, we recommend continued refinement of protocols, emphasis on medication compliance. Competing Interests: The authors declare that research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest. (© 2023 Faisal A. AlGhamdi, Zeyad T. Alharbi, Rakan S. Alharb, Abdulrahman A. Alfryyan, Nasser A. AlJoaib, Nisreen H. AlMaghraby, Mohammed M. AlGhamdi, Mohammed AlMulhim.)
Databáze:	MEDLINE
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