患有状态的儿童的预后因素和状态严重程度得分表
Serap Bilge1, Gülen Gül Mert1, Özlem Hergüner1
1Department of Pediatric Neurology, College of Medicine, Balcalı Hospital, Çukurova University, Adana, Turkey.
Behavioural neurology
|January 27, 2025
概括
修改状态发症严重性得分 (mSTESS) 有效预测儿科状态发症 (SE) 的结果. 诸如非性SE和并发症等因素表明预后不佳,突出显示得分的临床效用.
科学领域:
- 儿科神经学 儿科神经学
- 发病学 (Epileptology) 是一个专业的学科.
- 关键护理医学 关键护理医学
背景情况:
- 状态 (SE) 被ILAE定义为持续超过5分钟或多次而没有恢复意识的.
- 评估预后因素和修改状态发症严重性评分 (mSTESS) 对于管理儿科SE至关重要.
- 国际上对mSTESS可靠性的比较有助于标准化SE预后评估.
研究的目的:
- 评估儿科状态 (SE) 的预后因素.
- 评估修改状态发症严重性评分 (mSTESS) 在预测SE结果中的可靠性.
- 将当地SE患者的数据与国际mSTESS治疗队列进行比较.
主要方法:
- 对72名SE患者 (1个月-17岁) 的儿科患者进行了回顾性分析,这些患者在大学医院的ICU接受治疗.
- 数据收集包括患者人口统计,史,SE病因,并发症和治疗细节.
- 分析了预后因素和结果,与mSTESS相关联.
主要成果:
- SE患者的平均年龄为5岁,其中61%患有并发症.
- 常见的病因包括脑膜炎 (19%) 和发烧状态 (8%).
- 不利的预后与非性SE,异常EEG/MRI-CT,昏迷和并发症有关;死亡率为1%.
结论:
- 修改状态发症严重性评分 (mSTESS) 是预测儿科SE预后的实用工具.
- 非性SE,神经系统异常 (EEG,MRI-CT),意识变化和并发症预测结果不佳.
- mSTESS在评估SE严重程度和指导儿童临床管理方面表现出可靠性.
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