Cargando…

Non-1(st) seizure was less severe than 1(st) seizure with non-urgent level among suspected seizures transferred by ambulance

BACKGROUND: To prioritize emergency medical calls for ambulance transport for patients with suspected seizures, information about whether the event is their 1(st) or non-1(st) seizure is important. However, little is known about the difference between 1(st) and non-1(st) seizures in terms of severit...

Descripción completa

Detalles Bibliográficos
Autores principales: Asano, Yotaro, Fujimoto, Ayataka, Hatano, Keisuke, Sato, Keishiro, Atsumi, Takahiro, Enoki, Hideo, Okanishi, Tohru
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Public Library of Science 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10464987/
https://www.ncbi.nlm.nih.gov/pubmed/37643171
http://dx.doi.org/10.1371/journal.pone.0290783
_version_ 1785098581776007168
author Asano, Yotaro
Fujimoto, Ayataka
Hatano, Keisuke
Sato, Keishiro
Atsumi, Takahiro
Enoki, Hideo
Okanishi, Tohru
author_facet Asano, Yotaro
Fujimoto, Ayataka
Hatano, Keisuke
Sato, Keishiro
Atsumi, Takahiro
Enoki, Hideo
Okanishi, Tohru
author_sort Asano, Yotaro
collection PubMed
description BACKGROUND: To prioritize emergency medical calls for ambulance transport for patients with suspected seizures, information about whether the event is their 1(st) or non-1(st) seizure is important. However, little is known about the difference between 1(st) and non-1(st) seizures in terms of severity. We hypothesized that patients transferred multiple times (≥2 times) would represent a milder scenario than patients on their first transfer. The purpose of this study was to compare patients with suspected seizures on 1(st) transfer by ambulance and patients who had been transferred ≥2 times. METHODS: We statistically compared severity of suspected seizures between two groups of patients with suspected seizures transferred between December 2014 and November 2019 (before the coronavirus disease 2019 pandemic) to our facility by ambulance for either the first time (1(st) Group) or at least the second time (Non-1(st) Group). Severity categories were defined as: Level 1 = life-threatening; Level 2 = emergent, needing admission to the intensive care unit; Level 3 = urgent, needing admission to a hospital general ward; Level 4 = less urgent, needing intervention but not hospitalization; and Level 5 = non-urgent, not needing intervention. RESULTS: Among 5996 patients with suspected seizures conveyed to the emergency department by ambulance a total of 14,263 times during the study period, 1222 times (8.6%) and 636 patients (11%) met the criteria. Severity grade of suspected seizures ranged from 1 to 5 (median, 4; interquartile range, 3–4) for the 1(st) Group and from 1 to 5 (median, 5; interquartile range, 4–5) for the Non-1(st) Group. Most severe grade ranged from 1 to 5 (median, 4; interquartile range, 4–5) for the Non-1(st) Group. Severity grade differed significantly between groups (p < 0.001, Mann–Whitney U-test). Uni- and multivariate logistic regression tests also suggested a significant difference (p < 0.001) in severity grades. CONCLUSION: In direct comparisons, grade of suspected seizure severity was lower in the Non-1(st) Group than in the 1(st) Group.
format Online
Article
Text
id pubmed-10464987
institution National Center for Biotechnology Information
language English
publishDate 2023
publisher Public Library of Science
record_format MEDLINE/PubMed
spelling pubmed-104649872023-08-30 Non-1(st) seizure was less severe than 1(st) seizure with non-urgent level among suspected seizures transferred by ambulance Asano, Yotaro Fujimoto, Ayataka Hatano, Keisuke Sato, Keishiro Atsumi, Takahiro Enoki, Hideo Okanishi, Tohru PLoS One Research Article BACKGROUND: To prioritize emergency medical calls for ambulance transport for patients with suspected seizures, information about whether the event is their 1(st) or non-1(st) seizure is important. However, little is known about the difference between 1(st) and non-1(st) seizures in terms of severity. We hypothesized that patients transferred multiple times (≥2 times) would represent a milder scenario than patients on their first transfer. The purpose of this study was to compare patients with suspected seizures on 1(st) transfer by ambulance and patients who had been transferred ≥2 times. METHODS: We statistically compared severity of suspected seizures between two groups of patients with suspected seizures transferred between December 2014 and November 2019 (before the coronavirus disease 2019 pandemic) to our facility by ambulance for either the first time (1(st) Group) or at least the second time (Non-1(st) Group). Severity categories were defined as: Level 1 = life-threatening; Level 2 = emergent, needing admission to the intensive care unit; Level 3 = urgent, needing admission to a hospital general ward; Level 4 = less urgent, needing intervention but not hospitalization; and Level 5 = non-urgent, not needing intervention. RESULTS: Among 5996 patients with suspected seizures conveyed to the emergency department by ambulance a total of 14,263 times during the study period, 1222 times (8.6%) and 636 patients (11%) met the criteria. Severity grade of suspected seizures ranged from 1 to 5 (median, 4; interquartile range, 3–4) for the 1(st) Group and from 1 to 5 (median, 5; interquartile range, 4–5) for the Non-1(st) Group. Most severe grade ranged from 1 to 5 (median, 4; interquartile range, 4–5) for the Non-1(st) Group. Severity grade differed significantly between groups (p < 0.001, Mann–Whitney U-test). Uni- and multivariate logistic regression tests also suggested a significant difference (p < 0.001) in severity grades. CONCLUSION: In direct comparisons, grade of suspected seizure severity was lower in the Non-1(st) Group than in the 1(st) Group. Public Library of Science 2023-08-29 /pmc/articles/PMC10464987/ /pubmed/37643171 http://dx.doi.org/10.1371/journal.pone.0290783 Text en © 2023 Asano et al https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Research Article
Asano, Yotaro
Fujimoto, Ayataka
Hatano, Keisuke
Sato, Keishiro
Atsumi, Takahiro
Enoki, Hideo
Okanishi, Tohru
Non-1(st) seizure was less severe than 1(st) seizure with non-urgent level among suspected seizures transferred by ambulance
title Non-1(st) seizure was less severe than 1(st) seizure with non-urgent level among suspected seizures transferred by ambulance
title_full Non-1(st) seizure was less severe than 1(st) seizure with non-urgent level among suspected seizures transferred by ambulance
title_fullStr Non-1(st) seizure was less severe than 1(st) seizure with non-urgent level among suspected seizures transferred by ambulance
title_full_unstemmed Non-1(st) seizure was less severe than 1(st) seizure with non-urgent level among suspected seizures transferred by ambulance
title_short Non-1(st) seizure was less severe than 1(st) seizure with non-urgent level among suspected seizures transferred by ambulance
title_sort non-1(st) seizure was less severe than 1(st) seizure with non-urgent level among suspected seizures transferred by ambulance
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10464987/
https://www.ncbi.nlm.nih.gov/pubmed/37643171
http://dx.doi.org/10.1371/journal.pone.0290783
work_keys_str_mv AT asanoyotaro non1stseizurewaslessseverethan1stseizurewithnonurgentlevelamongsuspectedseizurestransferredbyambulance
AT fujimotoayataka non1stseizurewaslessseverethan1stseizurewithnonurgentlevelamongsuspectedseizurestransferredbyambulance
AT hatanokeisuke non1stseizurewaslessseverethan1stseizurewithnonurgentlevelamongsuspectedseizurestransferredbyambulance
AT satokeishiro non1stseizurewaslessseverethan1stseizurewithnonurgentlevelamongsuspectedseizurestransferredbyambulance
AT atsumitakahiro non1stseizurewaslessseverethan1stseizurewithnonurgentlevelamongsuspectedseizurestransferredbyambulance
AT enokihideo non1stseizurewaslessseverethan1stseizurewithnonurgentlevelamongsuspectedseizurestransferredbyambulance
AT okanishitohru non1stseizurewaslessseverethan1stseizurewithnonurgentlevelamongsuspectedseizurestransferredbyambulance