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Underestimated Rate of Status Epilepticus according to the Traditional Definition of Status Epilepticus
Purpose. Status epilepticus (SE) is an important neurological emergency. Early diagnosis could improve outcomes. Traditionally, SE is defined as seizures lasting at least 30 min or repeated seizures over 30 min without recovery of consciousness. Some specialists argued that the duration of seizures...
Autores principales: | , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Hindawi Publishing Corporation
2015
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4491403/ https://www.ncbi.nlm.nih.gov/pubmed/26185783 http://dx.doi.org/10.1155/2015/801834 |
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author | Ong, Cheung-Ter Wong, Yi-Sin Sung, Sheng-Feng Wu, Chi-Shun Hsu, Yung-Chu Su, Yu-Hsiang Hung, Ling-Chien |
author_facet | Ong, Cheung-Ter Wong, Yi-Sin Sung, Sheng-Feng Wu, Chi-Shun Hsu, Yung-Chu Su, Yu-Hsiang Hung, Ling-Chien |
author_sort | Ong, Cheung-Ter |
collection | PubMed |
description | Purpose. Status epilepticus (SE) is an important neurological emergency. Early diagnosis could improve outcomes. Traditionally, SE is defined as seizures lasting at least 30 min or repeated seizures over 30 min without recovery of consciousness. Some specialists argued that the duration of seizures qualifying as SE should be shorter and the operational definition of SE was suggested. It is unclear whether physicians follow the operational definition. The objective of this study was to investigate whether the incidence of SE was underestimated and to investigate the underestimate rate. Methods. This retrospective study evaluates the difference in diagnosis of SE between operational definition and traditional definition of status epilepticus. Between July 1, 2012, and June 30, 2014, patients discharged with ICD-9 codes for epilepsy (345.X) in Chia-Yi Christian Hospital were included in the study. A seizure lasting at least 30 min or repeated seizures over 30 min without recovery of consciousness were considered SE according to the traditional definition of SE (TDSE). A seizure lasting between 5 and 30 min was considered SE according to the operational definition of SE (ODSE); it was defined as underestimated status epilepticus (UESE). Results. During a 2-year period, there were 256 episodes of seizures requiring hospital admission. Among the 256 episodes, 99 episodes lasted longer than 5 min, out of which 61 (61.6%) episodes persisted over 30 min (TDSE) and 38 (38.4%) episodes continued between 5 and 30 min (UESE). In the 38 episodes of seizure lasting 5 to 30 minutes, only one episode was previously discharged as SE (ICD-9-CM 345.3). Conclusion. We underestimated 37.4% of SE. Continuing education regarding the diagnosis and treatment of epilepsy is important for physicians. |
format | Online Article Text |
id | pubmed-4491403 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2015 |
publisher | Hindawi Publishing Corporation |
record_format | MEDLINE/PubMed |
spelling | pubmed-44914032015-07-16 Underestimated Rate of Status Epilepticus according to the Traditional Definition of Status Epilepticus Ong, Cheung-Ter Wong, Yi-Sin Sung, Sheng-Feng Wu, Chi-Shun Hsu, Yung-Chu Su, Yu-Hsiang Hung, Ling-Chien ScientificWorldJournal Clinical Study Purpose. Status epilepticus (SE) is an important neurological emergency. Early diagnosis could improve outcomes. Traditionally, SE is defined as seizures lasting at least 30 min or repeated seizures over 30 min without recovery of consciousness. Some specialists argued that the duration of seizures qualifying as SE should be shorter and the operational definition of SE was suggested. It is unclear whether physicians follow the operational definition. The objective of this study was to investigate whether the incidence of SE was underestimated and to investigate the underestimate rate. Methods. This retrospective study evaluates the difference in diagnosis of SE between operational definition and traditional definition of status epilepticus. Between July 1, 2012, and June 30, 2014, patients discharged with ICD-9 codes for epilepsy (345.X) in Chia-Yi Christian Hospital were included in the study. A seizure lasting at least 30 min or repeated seizures over 30 min without recovery of consciousness were considered SE according to the traditional definition of SE (TDSE). A seizure lasting between 5 and 30 min was considered SE according to the operational definition of SE (ODSE); it was defined as underestimated status epilepticus (UESE). Results. During a 2-year period, there were 256 episodes of seizures requiring hospital admission. Among the 256 episodes, 99 episodes lasted longer than 5 min, out of which 61 (61.6%) episodes persisted over 30 min (TDSE) and 38 (38.4%) episodes continued between 5 and 30 min (UESE). In the 38 episodes of seizure lasting 5 to 30 minutes, only one episode was previously discharged as SE (ICD-9-CM 345.3). Conclusion. We underestimated 37.4% of SE. Continuing education regarding the diagnosis and treatment of epilepsy is important for physicians. Hindawi Publishing Corporation 2015 2015-06-21 /pmc/articles/PMC4491403/ /pubmed/26185783 http://dx.doi.org/10.1155/2015/801834 Text en Copyright © 2015 Cheung-Ter Ong et al. https://creativecommons.org/licenses/by/3.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Clinical Study Ong, Cheung-Ter Wong, Yi-Sin Sung, Sheng-Feng Wu, Chi-Shun Hsu, Yung-Chu Su, Yu-Hsiang Hung, Ling-Chien Underestimated Rate of Status Epilepticus according to the Traditional Definition of Status Epilepticus |
title | Underestimated Rate of Status Epilepticus according to the Traditional Definition of Status Epilepticus |
title_full | Underestimated Rate of Status Epilepticus according to the Traditional Definition of Status Epilepticus |
title_fullStr | Underestimated Rate of Status Epilepticus according to the Traditional Definition of Status Epilepticus |
title_full_unstemmed | Underestimated Rate of Status Epilepticus according to the Traditional Definition of Status Epilepticus |
title_short | Underestimated Rate of Status Epilepticus according to the Traditional Definition of Status Epilepticus |
title_sort | underestimated rate of status epilepticus according to the traditional definition of status epilepticus |
topic | Clinical Study |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4491403/ https://www.ncbi.nlm.nih.gov/pubmed/26185783 http://dx.doi.org/10.1155/2015/801834 |
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