@article {Peariso10.1212 / WNL。0000000000207472,作者={卡特里娜Peariso Ravindra以及六字大明格劳瑟和特蕾西和尼古拉斯·S .异常终止克里斯蒂娜Barcia Aguilar和玛尔塔Amengual-Gual和安妮·安德森和布莱恩·l·Appavu和j·尼古拉斯Brenton和杰西卡·卡彭特和凯文·E·查普曼和正义克拉克和威廉D盖拉德和滨Ga{\ ' \我}nza-Lein约书亚·戈尔茨坦和霍华德Goodkin Zachary Grinspan和Rejean m . Guerriero和保罗·霍恩和琳达·哈和罗伯特·科索夫Kahoud和萨拉·凯利和Eric H和库什Kapur Yi-Chen Lai和b . Oyinkan侯爵此举麦克唐纳和穆罕默德·摩根和林赛和爱德华Novotny和亚当p T Ostendorf和埃里克•佩恩和胡安Piantino和詹姆斯·里维耶洛和特里斯坦金沙和卡尔·E Stafstrom Tasker罗伯特C和德米特里•Tchapyjnikov Alejandra Vasquez-Avila和马克温赖特和安格斯威尔福格Korwyn威廉姆斯和Tobias Loddenkemper小儿癫痫持续状态研究集团(pSERG)}, title ={早期临床变量与难治性惊厥的儿童癫痫持续状态},elocation-id = {10.1212 / WNL。={2023}0000000000207472},年,doi = {10.1212 / WNL。出版商0000000000207472}= {Wolters Kluwer健康,公司代表美国神经病学学会},文摘={目的:确定针对病人的急救护理的因素已知近似表示与耐火材料的发展,抽搐的癫痫持续半岛投注体育官网状态(交易所)的孩子。方法:一项观察病例对照研究比较儿科患者(1月21年{\ textendash})与惊厥的SE发作停止后的苯二氮卓类(BZD)和一个二线抗癫痫药物(ASM)(响应建立癫痫持续状态;复位)患者需要一个多BZD和一个二线ASM停止他们的癫痫(交易所)。这些群体从小儿癫痫持续状态获得研究小组(pSERG)研究队列。我们探索临床变量,可以获得早期演讲后紧急医疗服务与单变量分析的原始数据。变量与p \ < 0.1保留了单变量和多变量回归分析。多变量逻辑回归模型适合年龄和性别匹配的数据获取与交易所相关变量。结果:我们比较的数据共595集的小儿。单变量分析表明没有差异,第一个BZD(低于16分钟(差5-45);复位18分钟(IQR 6-44), p = 0.068)。 Time to second-line ASM was shorter in RSE patients (RSE 65 min; rESE 70 min; p=0.021). Both univariable and multivariable regression analysis revealed a family history of seizures (OR 0.37; 95\% CI 0.20 -0.70, p = 0.0022) or a prescription for rectal diazepam (OR 0.21; 95\% CI 0.078 - 0.53, p = 0.0012) were associated with decreased odds of RSE.Conclusions: Time to initial BZD or second-line ASM was not associated with progression to RSE in our cohort of patients with rESE. A family history of seizures and a prescription for rectal diazepam were associated with a decreased likelihood of progression to RSE. Early attainment of these variables may help care for pediatric rESE in a more patient-tailored manner.COE: This study provides class II evidence that patient and clinical factors may predict RSE in children with convulsive seizures.}, issn = {0028-3878}, URL = {//www.ebmtp.com/content/early/2023/06/09/WNL.0000000000207472}, eprint = {//www.ebmtp.com/content/early/2023/06/09/WNL.0000000000207472.full.pdf}, journal = {Neurology} }