COVID-19 大流行对儿科急诊室癫痫发作就诊的影响。

IF 1.4 4区医学 Q4 CLINICAL NEUROLOGY

Brain & Development Pub Date : 2024-11-16 DOI:10.1016/j.braindev.2024.104303

Alberto M. Cappellari , Alessandro Salici , Antonio A. Tirozzi , Maria T. Molisso , Gaia Bruschi , Elisabetta Lo Iudice , Sarah Palumbo , Giuseppe Bertolozzi

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引用次数: 0

摘要

背景：一些研究报告称，在COVID-19大流行期间，因癫痫发作而前往儿科急诊室（ED）就诊的人数有所减少。我们的研究旨在评估大流行期间因癫痫发作到儿科急诊室就诊的情况，以及癫痫发作类型和个人癫痫发作史对入院率的影响：方法：2017 年 1 月至 2021 年 12 月期间，在意大利米兰的一家医院收集了因癫痫发作而被儿科急诊室收治的患者人数和临床特征。通过比较大流行期间（2020 年 3 月至 2021 年 12 月）与大流行前（2017 年 1 月至 2020 年 2 月）的发病率比（IRR），量化了 COVID-19 对入院率的影响：在研究期间，共有 1091 名癫痫发作患者接受了评估，其中 776 人（71.1%）在大流行前接受了评估，315 人（28.9%）在大流行期间接受了评估。评估时的平均年龄为 3.9 岁（范围：1 个月至 17 岁）。大流行期间，我们发现每月评估率下降了 30%（IRR，0.70；95 % CI，0.58-0.84），无诱因癫痫发作率上升（44.8% vs 26.5%，P 结论：大流行期间，每月评估率下降了 30%（IRR，0.70；95 % CI，0.58-0.84）：我们的研究表明，在 COVID-19 大流行期间，因癫痫发作而进行紧急评估的人数有所减少。评估率受癫痫发作类型和既往癫痫发作史的影响。

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Impact of COVID-19 pandemic on accesses for seizures in the pediatric emergency department

Background

Several studies reported a reduced rate of accesses to pediatric emergency department (ED) for seizures during COVID-19 pandemic. The aim of our study is to evaluate the attendance to pediatric ED for seizures, as well as the influence of seizure type and personal history of seizures on the rate of admissions during the pandemic period.

Methods

The number and clinical features of patients admitted to the pediatric ED because of seizures were collected at a single hospital in Milan, Italy, between January 2017 and December 2021. The impact of COVID-19 on the rate of admissions was quantified by using the incidence rate ratio (IRR), comparing the pandemic period (March 2020 to December 2021) to the pre-pandemic (January 2017 to February 2020).

Results

During the study period, 1091 patients with seizures were evaluated, 776 (71.1 %) before the pandemic and 315 (28.9 %) during the pandemic. Mean age at evaluation was 3.9 years (range: 1 month to 17 years). During the pandemic, we found a 30 % decrease in evaluation rates per month (IRR, 0.70; 95 % CI, 0.58–0.84), as well as an increased rate of unprovoked seizures (44.8 %, vs 26.5 %, p < 0.001) and focal seizures (29.5 % vs 13.1 %, p < 0.001).

Conclusions

Our study showed a reduction in the number of emergency evaluations for seizures during the COVID-19 pandemic. The rate of evaluations was influenced by seizure type and previous history of seizures.

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来源期刊

Brain & Development 医学-临床神经学

CiteScore

3.60

自引率

0.00%

发文量

153

审稿时长

50 days

期刊介绍： Brain and Development (ISSN 0387-7604) is the Official Journal of the Japanese Society of Child Neurology, and is aimed to promote clinical child neurology and developmental neuroscience. The journal is devoted to publishing Review Articles, Full Length Original Papers, Case Reports and Letters to the Editor in the field of Child Neurology and related sciences. Proceedings of meetings, and professional announcements will be published at the Editor''s discretion. Letters concerning articles published in Brain and Development and other relevant issues are also welcome.