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Relationship between Admission and Clinical Features of Children Who Visited the Emergency Department with Seizures

Journal of the Korean Pediatric Society 2003;46(10):1003-1007.
Published online October 15, 2003.
Relationship between Admission and Clinical Features of Children Who Visited the Emergency Department with Seizures
Sung Kwan Yoon1, Eun Young Kim1, Eun Seok Yang1, Kyung Rye Moon1, Sang Kee Park1, Young Bong Park1, Young Il Rho1, Soo Hyeong Cho2
1Department of Pediatrics, College of Medicine, Chosun University, Gwangju, Korea
2Department of Emergency Medicine, College of Medicine, Chosun University, Gwangju, Korea
경련을 주소로 응급실을 방문한 아이의 임상양상과 입원과의 관계
윤성관1, 김은영1, 양은석1, 문경래1, 박상기1, 박영봉1, 노영일1, 조수형2
1조선대학교 의과대학 소아과학교실
2조선대학교 의과대학 응급의학교실
Young Il Rho, Email: ryoung@chosun.ac.kr
: To review the seizure-related complaints and analyze the relationship between admission rates and clinical features in children who had visited the emergency department with seizures.
: Retrospectively, we reviewed 180 patients(male 100, female 80) suffering from seizures, who had visited to the emergency department of Chosun University Hospital from January 2000 to June 2002. We have analyzed the correlation between admission rate and clinical features such as age, seizure type, seizure duration and individual laboratory findings(CT or MRI, and CSF).
: Out of 4,865 total children who visited the emergency department, 180 patients(3.7%) were seizure related. The most common seizure type was simple febrile seizure(52.2%). The admission rate of children with seizures was 48.9%. The admission rate according to age, sex and abnormal laboratory findings revealed no significant correlations(P>0.05). There was a significant correlation between admission and both status epilepticus 82.4%(14/17) and complex febrile seizure 63.6%(14/22) (P<0.05). According to the duration of convulsions, admission rates were 41.2% when within five minutes, 60% when six-15 minutes, 58.8% when 16-30 minutes, 85.7% when 30 minutes, to one hour and 66.7% when above one hour of duration. According to the seizure frequency, admission rates of recurrent seizure patients(61.4%=43/70) was higher compared to the first time seizure patients(40.9%=45/110).
: We found that the admission rate of children visiting the emergency department for seizure treatment was 48.9% and significantly correlated with duration, type and frequency of seizure.
Key Words: Seizure, Emergency department, Admission rate, Laboratory findings

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