Assessment of Pre Hospital Rescue Intervention for Seizure in Pediatric Patients

Not yet recruiting

• Conditions: Seizure

• Registration Number: NCT06723431
• Lead Sponsor: Assiut University

Brief Summary

1. Evaluation of pre hospital rescue intervention of seizure management.

2. To investigate the type of rescue medication, Efficacy, route of administration, Side effects of this drug, frequency and Indication of its use.

Detailed Description

An epileptic seizure is a transient occurrence with signs or symptoms due to abnormal excessive and synchronous neuronal activity in the brain.

There are many different types of seizures:

Current classification designates two large categories - partial or generalized. In a partial seizure, one area of the cortex is thought to be activated initially and may show simple symptoms such as a motor or sensory phenomena.

Partial seizures may rapidly secondarily generalize and spread to involve all cortical areas.

Generalized seizures result from diffuse cortical activation at seizure onset . Seizure cluster provides an opportunity to administer prompt treatment.

Delays in the treatment of seizure emergencies are often associated with negative patient outcomes.

Seizure clusters become less responsive to treatment when they continue unabated over time .

In addition to using anti epileptic medications, the treatment of seizures aims at correcting any identifiable causative process. Care is needed to prevent any secondary brain injury, which may include advanced respiratory and cardiovascular support. Monitoring is necessary to detect hypotension and hypoxia and steps taken to correct those conditions when recognized. Common complications may include traumatic injuries such as tongue lacerations or scalp lacerations . Convulsive status epileptic leads to brain damage on the cellular level and may itself be epileptogenic. Transformed or subtle generalized convulsive status epileptic or non convulsive seizures detected by EEG monitoring in critically ill patients may also contribute to brain laceration .

Study Timeline

• Study First Submitted: 2024-10-01
• Status Verified: 2024-12
• Study First Submitted QC: 2024-12-04
• Last Update Submitted: 2024-12-04
• Study First Posted: 2024-12-09
• Last Update Posted: 2024-12-09
• Study Start: 2025-01
• Primary Completion: 2025-10
• Study Completion: 2025-11

Recruitment & Eligibility

• Status: NOT_YET_RECRUITING
• Sex: All
• Target Recruitment: 50

Inclusion Criteria

• Patient with recurrent attack of seizure and with prolonged seizure with prescribed treatment at home.
• Patients aged from 2 years to 18 years

Exclusion Criteria

• First attack of seizure
• condition mimic epilepsy

Study & Design

• Study Type: OBSERVATIONAL
• Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
Aim of the study	Baseline	1. Evaluation of prehospital rescue intervention of seizure management.; 2. To investigate the type of rescue medication,; 1. it's Efficacy.; 2. it's route of administration.; 3. Side effects of this drug.; 4. frequency .; 5. Indication of it's use.

Secondary Outcome Measures

Name	Time	Method
Seizure triggers	Baseline	Seizures can be triggered by things in the environment. Seizure triggers don't cause epilepsy, but they may trigger seizures in people who have epilepsy.; Most people with epilepsy don't have reliable triggers that always cause a seizure. However, they often can identify factors that make it easier to have a seizure. Possible :seizure triggers include; * Illness; * Skipping doses of antiseizure medicines or taking more than prescribed.; * Dehydration; * Lack of sleep; * Flashing lights; * Stress; * Hormone changes during the menstrual cycle• Illicit drug use; * Skipped meals