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

Yoon, Sung Kwan; Kim, Eun Young; Yang, Eun Seok; Moon, Kyung Rye; Park, Sang Kee; Park, Young Bong; Rho, Young Il; Cho, Soo Hyeong

Original Article

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

윤성관^¹^, 김은영^¹^, 양은석^¹^, 문경래^¹^, 박상기^¹^, 박영봉^¹^, 노영일^¹^, 조수형^²

^¹조선대학교 의과대학 소아과학교실
^²조선대학교 의과대학 응급의학교실

Correspondence:
Young Il Rho, Email: ryoung@chosun.ac.kr

Abstract

Purpose
: 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.
Methods
: 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).
Results
: 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).
Conclusion
: 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