Clinico-etiological profile and outcome of children with status epilepticus admitted in pediatric intensive care unit of a tertiary care hospital: A prospective cross-sectional study.
DOI:
https://doi.org/10.51168/sjhrafrica.v7i3.2554Keywords:
Status epilepticus, pediatric intensive care unit (PICU), seizures, etiology, outcomeAbstract
Background:Status epilepticus (SE) is a life-threatening neurological emergency in children, associated with significant morbidity and mortality. Early identification of etiological factors and prompt management are crucial for improving outcomes.
Methodology:A prospective observational study was conducted over 8 months in the pediatric intensive care unit (PICU) of the Government Medical College & Hospital, Purnea. A total of 100 children aged 1 month to 12 years diagnosed with status epilepticus were included.
Results: The majority of children were below 5 years of age (58%), with a slight male predominance. Most patients belonged to rural backgrounds. Febrile seizures (32%) and central nervous system infections (28%) were the most common etiologies. Generalized tonic-clonic seizures were predominant (70%). Mortality rate was 12%. Conclusion:Status epilepticus in children is primarily associated with preventable causes. Early recognition and timely intervention significantly improve prognosis.
Recommendation:Public awareness, early referral, and strengthening PICU facilities are essential.
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