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• W1557540336 abstract "OBJECTIVE: Although patients presenting seizures are commonly admitted in the emergency department (ED), the specific use of resources for known epileptic patients (KEP) is rarely studied. DESIGN/METHODS: All consecutive KEP admitted for seizures at our academic ED were included prospectively from November 2011 to November 2012.We collected pre and intra hospital data including clinical features, informations about management and use of resources. Hospitalized patients or outpatients for whom a brain imaging or/and an electroencephalogram were performed in ED were considered as users of resources. RESULTS: Among the 60 578 admissions in ED, 580 files (1%) concerned 451 KEP (344 males; median age 43 years, interquartile range (IQR)15-91years). Four hundred thirty nine (76%) patients utilized emergency medical system (EMS) call centre and 65 (11%) received therapeutics before the admission. One hundred fifty nine (27%) patients were assessed by brain imaging and 91(16%) by EEG. The median ED length of stay in ED was 5h32 (IQR 4:05-8:12 ). At the end of ED management, 50% of patients were hospitalized with a median length of stay of 5 days (interquartile range 2-9 days). Two hundred fifty-five (43%) patients were admitted for usual seizure without additional investigations excepting a blood test. Patients no users of resources were younger, more frequently men, followed by a specialist of epilepsy and admitted for usual seizure (p<0.005). The use of EMS did not differ between patients associated with a consumption of resources and the others. CONCLUSIONS: The admission of KEP was associated to a high amount of resources. Our results suggest that some ED visits could be avoid in a large number of patients. Further studies should be performed in order to optimize the seizure care pathway for KEP. Study Supported by: Disclosure: Dr. Girot has nothing to disclose. Dr. Lenne has nothing to disclose. Dr. Leblanc has nothing to disclose. Dr. Szurhaj has nothing to disclose. Dr. Chochoi has nothing to disclose. Dr. Goldstein has nothing to disclose. Dr. Williate has nothing to disclose. Dr. Wiel has nothing to disclose. Dr. Hubert has nothing to disclose. Dr. Derambure has nothing to disclose. Dr. Tyvaert has nothing to disclose." @default.
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• W1557540336 date "2014-04-08" @default.
• W1557540336 modified "2023-09-24" @default.
• W1557540336 title "Known Epileptic Patients Use of Resources of Emergency Departments (P5.067)" @default.
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