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Determination of the effect of lactate values in the first blood taken of patients admitted to the emergency department with epileptic seizures on prognosis

Year 2020, Volume: 2 Issue: 3, 232 - 235, 15.12.2020

Abstract

ABSTRACT
Epileptic seizures occur as a result of sudden, excessive and abnormal discharge in cerebral neuron groups. It can be defined as different clinical symptoms. Grand mal type has the most severe attacks, and motor activity characteristically consists of tonic and subsequent clonic phases. Epilepsy in industrialized countries incidence values vary between 20-70 / 100,000. Average epilepsy for developed countries the prevalence of 6/1000 and in developing countries, studies, which performed with the WHO protocol, this ratio is calculated to be 18.5 / 1000 on average. In epilepsy mortality etiologies are still being investigated. PH and CO 2 levels are measured with arterial blood gas. CO 2 level is a good indicator of ventilation. Lactic acidosis one hour after the seizure and associated metabolic acidosis may occur. However, in this case, no treatment is usually required. Acidosis lasting more than an hour should be investigated for other reasons.
In our study, retrospectively, between January 2020-March 2020, patients with seizure and epileptic seizures as the primary diagnosis, the age between 18-75 years and whose blood gas was studied were included. Lactate values in blood gas are on file and patients were observed for mortality.
102 patients whose results were evaluated, mean age was 40. 41% women, 58% was male. The mean blood gas lactate values were 3.39. In another study (3) Biochemical CK, LDH and Prolactin values of patients who had a seizure by the time entering E.R. and those who without seizure were compared. All three values tend to increase in patients presenting with epileptic seizures. 2 of the patients in our study died and their lactate values were compared with other patients. There was no significant difference.
In conclusion, in determining mortality and morbidity rates in the management of epilepsy patients lactate has not been a pioneering guide. There are not many studies on this. The patients’ clinic is more valuable than lactate levels. Patients with frequent seizures should be followed up in intensive care units.

References

  • 1. Adams RA, Victor M. Principles of neurology. In: Adams RA, editor. Epilepsy and other seizure disorders. 3rd ed. New York: McGraw Hill; 1989. p. 249-79.
  • 2. Shen W, Bowman ES, Markand ON. Presenting the diagnosis of pseudoseizure. Neurology 1990;40:756-9.
  • 3. Bolayır ve ark.Jeneralize Tonik Klonik Nöbet ile Yalancı Nöbetlerin Ayrımında Kas Enzimleri ve Prolaktinin Önemi, Epilepsi Cilt 7, Say› 3, 2001
  • 4. Ozer S. Epileptik Nöbetlerde Hemşirelik Yönetimi, Yoğun Bakım Hemşireliği Dergisi 2005;9(1-2):28-34
  • 5. Naz Yeni S. Epilepsi epidemiyolojisi, Turkiye Klinikleri J Neurol-Special Topics.2008;1(2):9-16
  • 6. Yılmaz A. ve ark. Epileptik Hastalarda Yaşam Kalitesinin Depresyon ve Cinsel İşlev Bozukluğu İle İlişkisi, Epilepsi 2019;25(3):128-135, DOI: 10.14744/ epilepsi.2019.89410
  • 7. Soyuer F.,Erdoğan F. Fiziksel aktivite ve epilepsi. Sağlık Bilimleri Dergisi (Journal of Health Sciences) 20(1) 77-81, 2011
  • 8. Sander JW. The epidemiology of epilepsy revisited. Curr Opin Neurol 2003; 16:165-170.
  • 9. Türk Epilepsi ile Savaş Derneği. http://www.turkepilepsi.org.tr/index. 2009.
  • 10. Baker GA, Jacoby A, Buck D. Quality of life people with epilepsy. Epilepsia 1997;38: 353-362.
  • 11. Bjorholt PG, Nakken KO, Rohme K, Hansen H: Leisure time habits and physical fitness in adults with epilepsy. Epilepsia 1990, 31:83–87.
  • 12. Eriksen HR, Ellertsen B, Gronningsaeter H, et al. Physical exercise in women with intractable epilepsy. Epilepsia 1994, 35:1256–1264.
Year 2020, Volume: 2 Issue: 3, 232 - 235, 15.12.2020

Abstract

References

  • 1. Adams RA, Victor M. Principles of neurology. In: Adams RA, editor. Epilepsy and other seizure disorders. 3rd ed. New York: McGraw Hill; 1989. p. 249-79.
  • 2. Shen W, Bowman ES, Markand ON. Presenting the diagnosis of pseudoseizure. Neurology 1990;40:756-9.
  • 3. Bolayır ve ark.Jeneralize Tonik Klonik Nöbet ile Yalancı Nöbetlerin Ayrımında Kas Enzimleri ve Prolaktinin Önemi, Epilepsi Cilt 7, Say› 3, 2001
  • 4. Ozer S. Epileptik Nöbetlerde Hemşirelik Yönetimi, Yoğun Bakım Hemşireliği Dergisi 2005;9(1-2):28-34
  • 5. Naz Yeni S. Epilepsi epidemiyolojisi, Turkiye Klinikleri J Neurol-Special Topics.2008;1(2):9-16
  • 6. Yılmaz A. ve ark. Epileptik Hastalarda Yaşam Kalitesinin Depresyon ve Cinsel İşlev Bozukluğu İle İlişkisi, Epilepsi 2019;25(3):128-135, DOI: 10.14744/ epilepsi.2019.89410
  • 7. Soyuer F.,Erdoğan F. Fiziksel aktivite ve epilepsi. Sağlık Bilimleri Dergisi (Journal of Health Sciences) 20(1) 77-81, 2011
  • 8. Sander JW. The epidemiology of epilepsy revisited. Curr Opin Neurol 2003; 16:165-170.
  • 9. Türk Epilepsi ile Savaş Derneği. http://www.turkepilepsi.org.tr/index. 2009.
  • 10. Baker GA, Jacoby A, Buck D. Quality of life people with epilepsy. Epilepsia 1997;38: 353-362.
  • 11. Bjorholt PG, Nakken KO, Rohme K, Hansen H: Leisure time habits and physical fitness in adults with epilepsy. Epilepsia 1990, 31:83–87.
  • 12. Eriksen HR, Ellertsen B, Gronningsaeter H, et al. Physical exercise in women with intractable epilepsy. Epilepsia 1994, 35:1256–1264.
There are 12 citations in total.

Details

Primary Language English
Subjects Emergency Medicine
Journal Section Original Articles
Authors

Ahmet Erdur 0000-0002-3778-0632

Hasan Çam 0000-0002-1088-7202

Melih Uçan 0000-0001-6826-1053

Şervan Kurt 0000-0001-6464-9931

Ömer Faruk Türkoğlu 0000-0002-9333-2957

Basar Cander 0000-0002-3308-5843

Publication Date December 15, 2020
Submission Date December 6, 2020
Acceptance Date December 6, 2020
Published in Issue Year 2020 Volume: 2 Issue: 3

Cite

APA Erdur, A., Çam, H., Uçan, M., Kurt, Ş., et al. (2020). Determination of the effect of lactate values in the first blood taken of patients admitted to the emergency department with epileptic seizures on prognosis. Eurasian Journal of Critical Care, 2(3), 232-235.
AMA Erdur A, Çam H, Uçan M, Kurt Ş, Türkoğlu ÖF, Cander B. Determination of the effect of lactate values in the first blood taken of patients admitted to the emergency department with epileptic seizures on prognosis. Eurasian j Crit Care. December 2020;2(3):232-235.
Chicago Erdur, Ahmet, Hasan Çam, Melih Uçan, Şervan Kurt, Ömer Faruk Türkoğlu, and Basar Cander. “Determination of the Effect of Lactate Values in the First Blood Taken of Patients Admitted to the Emergency Department With Epileptic Seizures on Prognosis”. Eurasian Journal of Critical Care 2, no. 3 (December 2020): 232-35.
EndNote Erdur A, Çam H, Uçan M, Kurt Ş, Türkoğlu ÖF, Cander B (December 1, 2020) Determination of the effect of lactate values in the first blood taken of patients admitted to the emergency department with epileptic seizures on prognosis. Eurasian Journal of Critical Care 2 3 232–235.
IEEE A. Erdur, H. Çam, M. Uçan, Ş. Kurt, Ö. F. Türkoğlu, and B. Cander, “Determination of the effect of lactate values in the first blood taken of patients admitted to the emergency department with epileptic seizures on prognosis”, Eurasian j Crit Care, vol. 2, no. 3, pp. 232–235, 2020.
ISNAD Erdur, Ahmet et al. “Determination of the Effect of Lactate Values in the First Blood Taken of Patients Admitted to the Emergency Department With Epileptic Seizures on Prognosis”. Eurasian Journal of Critical Care 2/3 (December 2020), 232-235.
JAMA Erdur A, Çam H, Uçan M, Kurt Ş, Türkoğlu ÖF, Cander B. Determination of the effect of lactate values in the first blood taken of patients admitted to the emergency department with epileptic seizures on prognosis. Eurasian j Crit Care. 2020;2:232–235.
MLA Erdur, Ahmet et al. “Determination of the Effect of Lactate Values in the First Blood Taken of Patients Admitted to the Emergency Department With Epileptic Seizures on Prognosis”. Eurasian Journal of Critical Care, vol. 2, no. 3, 2020, pp. 232-5.
Vancouver Erdur A, Çam H, Uçan M, Kurt Ş, Türkoğlu ÖF, Cander B. Determination of the effect of lactate values in the first blood taken of patients admitted to the emergency department with epileptic seizures on prognosis. Eurasian j Crit Care. 2020;2(3):232-5.

Indexing and Abstracting

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