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首页> 外文期刊>The Canadian Journal of Neurological Sciences: le Journal Canadien des Sciences Neurologiques >GP.04 Prevalence and determinants of seizure action plans in a pediatric epilepsy population
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GP.04 Prevalence and determinants of seizure action plans in a pediatric epilepsy population

机译：GP.04儿科癫痫患者癫痫发作计划的患病率和决定因素

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Background: Status epilepticus (SE) is the most common pediatric neurological emergency. Timely treatment is crucial, yet administration of rescue medications is often delayed and under-dosed. We aim to improve SE management by ensuring that every child at risk of SE in our province has an individualized seizure action plan (SAP) outlining the steps that should be taken during SE. Methods: A survey was distributed to parents of epilepsy patients aged 1 month to 19 years. Primary outcome was percentage of patients with SAPs. Secondary outcome was parental interest in a SAP mobile application. Following chart review, univariate and multivariate analysis was performed to identify variables that predict whether patients have SAPs. Results: Of 192 participants, 61.5% have SAPs. On univariate analysis, history of prior SE and male gender increased likelihood of having a SAP. On logistic regression, Nagelkerke R2 was 0.204 and our model correctly predicted 82.2% of patients with SAPs. 83.3% of parents were interested in a SAP mobile application. Conclusions: This is one of the first studies to examine SAP prevalence in a pediatric epilepsy population. There is a need to increase the percentage of epilepsy patients with SAPs. Most parents would find a SAP mobile application valuable in their child’s management.
机译：背景：状态癫痫症（SE）是最常见的儿科神经系统急诊症。及时治疗至关重要，但救援药物的施用通常延迟并提出给药。我们的目标是通过确保我们省中SE风险的每个孩子具有个性化癫痫发作行动计划（SAP）来改进SE管理层，概述了在SE期间应采取的步骤。方法：将调查分发给1个月为19年的癫痫患者的父母。主要结果是SAP患者的百分比。次要结果是SAP移动应用程序的父母兴趣。遵循图表审查，进行单变量和多变量分析以识别预测患者是否具有SAP的变量。结果：192名参与者，61.5％有SAP。论单变量分析，先前硒和男性性别的历史增加了患有SAP的可能性。在Logistic回归中，Nagelkerke R2为0.204，我们的模型正确预测了82.2％的SAP患者。 83.3％的父母对SAP移动应用程序感兴趣。结论：这是第一次检查儿科癫痫患者中SAP患病率的研究之一。需要增加癫痫患者的癫痫患者的患者。大多数父母都会在孩子的管理中找到一个有价值的SAP移动应用程序。

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