{"title":"A Study on Factors Causing Prehospital Delay in Treatment of Status Epilepticus.","authors":"Muralidharan Kamalakannan, Malcolm Jeyaraj Krishnasamy, Yellaturi Sivaroja, Kondapally Swamy, Mugundhan Krishnan, Evangeline Mary Attlee","doi":"10.59556/japi.72.0749","DOIUrl":null,"url":null,"abstract":"<p><strong>Objective: </strong>To identify factors causing prehospital delay in treatment of status epilepticus (SE).</p><p><strong>Materials and methods: </strong>This is a prospective observational study done on 78 patients with SE in the Stanley Medical College, Chennai, over 2 years. Demographic SE-related data and treatment delay were entered and correlated with outcome.</p><p><strong>Results: </strong>The delay in reaching tertiary care was more in patients who traveled by own vehicle, compared to emergency medical services (EMS). Only 4 patients (5.1%) received treatment at the onset site and only seven patients (9%) who traveled in EMS received antiepileptic drugs. There is a significant delay in reaching the tertiary center from the onset of seizures if the patient is taken to any health center before coming to tertiary center (132.352 minutes). All the patients who were taken to another health center before reaching the tertiary center had received their initial treatment and favorable outcomes. Patients with prior history of seizures or SE had a better outcome.</p><p><strong>Conclusion: </strong>Early recognition of SE is necessary to initiate rapid treatment, preferably during the prehospital phase. EMS personnel should be prepared to treat SE promptly with the recommended first-line drugs.</p>","PeriodicalId":22693,"journal":{"name":"The Journal of the Association of Physicians of India","volume":"72 12","pages":"e22-e25"},"PeriodicalIF":0.0000,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"The Journal of the Association of Physicians of India","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.59556/japi.72.0749","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"Medicine","Score":null,"Total":0}
引用次数: 0
摘要
摘要确定导致院前延误癫痫状态（SE）治疗的因素：这是一项前瞻性观察研究，研究对象是钦奈斯坦利医学院的 78 名 SE 患者，历时 2 年。研究输入了与 SE 相关的人口统计学数据和治疗延迟情况，并将其与治疗结果进行了关联分析：结果：与急诊医疗服务（EMS）相比，自驾车前往三级医疗机构的患者延误时间更长。只有 4 名患者（5.1%）在发病地点接受了治疗，只有 7 名乘坐急救车的患者（9%）接受了抗癫痫药物治疗。如果患者在到达三级中心之前被送往任何一家医疗中心，那么从癫痫发作开始到到达三级中心的时间会明显延迟（132.352 分钟）。所有在到达三级中心前被送往其他医疗中心的患者都接受了初步治疗，并取得了良好的疗效。有癫痫发作或SE病史的患者预后较好：结论：早期识别 SE 对启动快速治疗很有必要，最好是在院前阶段。急救人员应做好准备，及时使用推荐的一线药物治疗 SE。
A Study on Factors Causing Prehospital Delay in Treatment of Status Epilepticus.
Objective: To identify factors causing prehospital delay in treatment of status epilepticus (SE).
Materials and methods: This is a prospective observational study done on 78 patients with SE in the Stanley Medical College, Chennai, over 2 years. Demographic SE-related data and treatment delay were entered and correlated with outcome.
Results: The delay in reaching tertiary care was more in patients who traveled by own vehicle, compared to emergency medical services (EMS). Only 4 patients (5.1%) received treatment at the onset site and only seven patients (9%) who traveled in EMS received antiepileptic drugs. There is a significant delay in reaching the tertiary center from the onset of seizures if the patient is taken to any health center before coming to tertiary center (132.352 minutes). All the patients who were taken to another health center before reaching the tertiary center had received their initial treatment and favorable outcomes. Patients with prior history of seizures or SE had a better outcome.
Conclusion: Early recognition of SE is necessary to initiate rapid treatment, preferably during the prehospital phase. EMS personnel should be prepared to treat SE promptly with the recommended first-line drugs.
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