Cyclical Trends in Emergency Room Visits for Seizures (ERVS) in Pediatric and Adult Patients
Abstract number :
3.372
Submission category :
16. Epidemiology
Year :
2021
Submission ID :
1826633
Source :
www.aesnet.org
Presentation date :
12/6/2021 12:00:00 PM
Published date :
Nov 22, 2021, 06:55 AM
Authors :
Manan Nath, MBBS - Cohen Children's Medical Center; Sanjeev Kothare - Division Chief, Pediatric Neurology, Cohen Children's Medical Center; Yash Shah - PGY5, Pediatric Neurology, Cohen Children's Medical Center; Christian Suri - PGY1, Pediatric Neurology, Cohen Children's Medical Center
Rationale: Seizures are known to organize cyclically and tend to be influenced by external and endogenous factors. Understanding the factors that influence seizures and being able to predict seizure timing not only removes uncertainty from patient’s life but also has implications for diagnostic and therapeutic practices employed by physicians.
Methods: The aim of our study is to elucidate cyclical trends in seizure patients who presented to our institution. For this we performed a retrospective chart review of 56,974 ERVS in pediatric and adult patients from May 2013 till November 2020. 10,902 visits were for pediatric patients.
Results: Our data shows significantly higher average monthly ERVS between the months of July and December (p< 0.05). We also saw an increasing trend in average annual ERVS between 2014 to 2019 (p< 0.05) from 315 to 871 and eventually reduced to 701 in 2020. We observed a lower ERVS on weekends compared to weekdays with a significant overall trend. We additionally noticed significantly higher hourly ERVS between 9 AM to 9 PM compared to 9 PM to 9 AM. These trends persisted regardless of patient age group, gender, race and seizure type.
Epidemiology