神経学的障害

Evaluation of Adherence to The Neurocritical Care Society Guidelines in Management of Generalized Convulsive Status Epilepticus at The Emergency Department of Suez Canal University Hospital

Abstract

Salah Al-Shamy, Ahmed Osama Hosny, Monira Taha Ismail, Mohamed Shaaban M Alsekaya and Mohamed Abdeldayem

Introduction: Status epilepticus management protocols have adopted the operational defining of generalizedconvulsive status epilepticus (GCSE) as “more than 5 minutes of either continuous seizures or two or more seizureswith incomplete recovery of consciousness in between.

Subjects and Methods: This study was conducted as a cross sectional observational study among 81 patientspresenting with generalized convulsive status epilepticus. The study was applied by comparing the steps of managementof GCSE at the Emergency Department of Suez Canal university hospital to the management guidelines of NeurocriticalCare Society in evaluation and management of GCSE.

Results: The study showed that (37%) of the studied patients had a history of epilepsy and (9%) of the patientshad a positive family history of epilepsy. It showed that the commonest causes of GCSE were AEDs noncompliance/Discontinuation, febrile seizures and cerebro-vascular stroke by a percentage of (30.8%, 19.7%, and 10%) respectively.It showed that adherence to the guidelines of the total studied patients who took the emergent therapy was (28.4%).Seizure termination occurred in (32%) of the patients after emergent therapy.

Conclusion: The present study revealed that the median percentage of adherence to NCS 2012 Guidelines forGCSE management in the Emergency Department of Suez Canal University Hospital was (55.7%) and the percentageof adherence for Emergent AEDs therapy was (28.4%), the percentage of adherence for Urgent AEDs control therapywas (45.5%) and the percentage of adherence for Refractory GCSE was (33.3%).