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Title

Predisposing Factors of Seizure in Patients Presenting to the Emergency Department; a Brief Report

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Abstract

 Introduction: Identifying predisposing factors of seizure can be somewhat helpful in preventing it from occurring. Objective: The present study has been designed aiming to assess the frequency of predisposing factors of seizure in patients visiting the emergency department (ED). Methods: The present prospective cross-sectional study was performed on adult patients presenting to ED following seizure during 1 year. Known or probable predisposing Risk Factors for seizure were extracted from various studies and were asked from patients or their relatives during history taking and clinical examination. Results: Finally, 246 seizure patients with the mean age of 38. 8 ± 18. 3 (18 – 92) years were included (68. 7% male). Most patients were in the 18– 29 years age group (41. 1%), had an educational level less than high school diploma (59. 8%), and were unemployed (47. 8%). Among the predisposing factors of seizure, emotional stress with 107 (43. 7%) cases, insomnia with 44 (17. 9%), and irregular use of antiepileptic medications with 36 (14. 6%) cases were the most common predisposing factors, respectively. In 43. 5% of the patients, no identified predisposing factor was found. Insomnia (p = 0. 002), stress (p < 0. 001), and substance abuse (p < 0. 001) were the most important predisposing factors of seizure in individuals less than 60 years old. In addition, being in the menstruation period was also shown to be a predisposing risk factor for women aged less than 60 years (p = 0. 002). Conclusion: Emotional stress, insomnia, and irregular use of antiepileptic medication were the most important predisposing factors of seizure in the studied patients. In more than 40% of patients presenting to ED following seizure, no predisposing factor was found.

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APA: Copy

RAHMATI, FARHAD, Alavi, Shideh, & SAFARI, SAEED. (2020). Predisposing Factors of Seizure in Patients Presenting to the Emergency Department; a Brief Report. (FRONTIERS IN EMERGENCY MEDICINE) ADVANCED JOURNAL OF EMERGENCY MEDICINE, 4(4), 0-0. SID. https://sid.ir/paper/748158/en

Vancouver: Copy

RAHMATI FARHAD, Alavi Shideh, SAFARI SAEED. Predisposing Factors of Seizure in Patients Presenting to the Emergency Department; a Brief Report. (FRONTIERS IN EMERGENCY MEDICINE) ADVANCED JOURNAL OF EMERGENCY MEDICINE[Internet]. 2020;4(4):0-0. Available from: https://sid.ir/paper/748158/en

IEEE: Copy

FARHAD RAHMATI, Shideh Alavi, and SAEED SAFARI, “Predisposing Factors of Seizure in Patients Presenting to the Emergency Department; a Brief Report,” (FRONTIERS IN EMERGENCY MEDICINE) ADVANCED JOURNAL OF EMERGENCY MEDICINE, vol. 4, no. 4, pp. 0–0, 2020, [Online]. Available: https://sid.ir/paper/748158/en

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