Modelo de riesgo de crisis en acúmulos o estado epiléptico e intervención en servicios de urgencias
| Autor: | C. Fernández Alonso, B. Gros Bañeres, M.E. Fuentes Ferrer, F. González Martínez, en representación de grupo Acesur, R. Alonso Avilés, M. Liñán López |
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| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
business.industry Psychological intervention Area under the curve Emergency department Status epilepticus Disease cluster 03 medical and health sciences Risk model 0302 clinical medicine Charlson comorbidity index Emergency medicine Medicine Observational study Neurology (clinical) medicine.symptom business 030217 neurology & neurosurgery |
| Zdroj: | Neurología. |
| ISSN: | 0213-4853 |
| DOI: | 10.1016/j.nrl.2021.02.015 |
| Popis: | OBJECTIVES To identify possible predictors of seizure cluster or status epilepticus (SE) and to evaluate whether these patients receive greater interventions in emergency departments. METHODOLOGY We conducted a secondary analysis of the ACESUR Registry, a multipurpose, observational, prospective, multicentre registry of adult patients with seizures from 18 emergency departments. Clinical and care-related variables were collected. We identified risk factors and risk models for seizure cluster or SE and assessed the effect of interventions by prehospital emergency services and the hospital emergency department. RESULTS We identified a total of 186 (28%) patients from the ACESUR registry with seizure cluster (126 [19%]) or SE (60 [9%]); the remaining 478 patients (72%) had isolated seizures. The risk model for seizure cluster or SE in the emergency department included Charlson Comorbidity Index scores≥3 (OR: 1.60; 95% CI, 1.05-2.46; P=.030), ≥2 habitual antiepileptic drugs (OR: 2.29; 95% CI, 1.49-3.51; P |
| Databáze: | OpenAIRE |
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