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The evaluation of accesses for febrile and afebrile seizures in the pediatric emergency department during Covid-19 lockdown

Year 2022, Volume: 39 Issue: 3, 723 - 727, 30.08.2022

Abstract

We aimed to evaluate the admissions to the pediatric emergency department (PED) due to seizures one year before and one year after the first COVID-19 case in Turkey. The admission time was divided into as prelockdown period (March 2019-February 2020), and lockdown period (March 2020 – February2021). Seizures were divided into 6 parts as: first simple febril convulsion (FK), first complex FK, recurrent simple FK, recurrent complex FK, first nonfebrile seizure, and recurrent nonfebrile seizure. Prelockdown and lockdown periods were compared in terms of demographic and clinical characteristics and monthly admission of patients. The total number of patients admitted to PED was 37.323 and 10.191 patients during the prelockdown and lockdown period, respectively. While seizure-related PED accesses were 918 during the prelockdown period, 508 patients admitted to the PED during the lockdown period. Monthly average admissions were decreased in all seizure types during the lockdown period. The ratio of the first simple febrile seizure to total seizure decreased from 22.4% (206/918) to 16.3% (83/508), while the ratio of first afebrile seizure to total seizure increased from 29.6% (272/918) to 36.8% (186/508). While, the rate of first febrile seizures decreased, a significant increase in the rate of first afebrile seizures was observed. It is suggested that risk factors such as depression/anxiety or screen exposure may have caused seizures that had a predisposition to seizures.

References

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  • 2- World Health Organization. Novel coronavirus (COVID-19) situation. https://covid19.who.int/. Updated 2020. Accessed May 18, 2020.
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  • 4- Ludvigsson JF. Systematic review of COVID-19 in children shows milder cases and a better prognosis than adults. ActaPaediatr. 2020;109:1088-1095.
  • 5- Lazzerini M, Barbi E, Apicella A, Marchetti F, Cardinale F, Trobia G. Delayed access or provision of care in Italy resulting from fear of COVID-19. Lancet Child Adolesc Health. 2020;4:e10-e11.
  • 6- Xie X, Xue Q, Zhou Y, Zhu K, Liu Q, Zhang J, et al. Mental Health Status Among Children in Home Confinement During the Coronavirus Disease 2019 Outbreak in Hubei Province, China. JAMA Pediatr. 2020;174:898-900.
  • 7- Palladino F, Merolla E, Solimeno M, de Leva MF, Lenta S, Di Mita O, et al. Is Covid-19 lockdownrelatedto an increase of accessesforseizures in theemergencydepartment? An observationalanalysis of a paediatriccohort in theSouthernItaly. NeurolSci. 2020;41:3475-3483.
  • 8- Sanchez-Larsen A, Gonzalez-Villar E, Díaz-Maroto I, Layos-Romero A, Martínez-Martín Á, Alcahut-Rodriguez C , et al. Influence of the COVID-19 outbreak in people with epilepsy: Analysis of a Spanish population (EPICOVID registry). Epilepsy Behav. 2020;112:107396.
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  • 12- Krivec U, KofolSeliger A, Tursic J. COVID-19 lockdown dropped the rate of paediatric asthma admissions. Arch Dis Child. 2020;105:809-810.
  • 13- Sogawa Y, Maytal J. Emergency department admission of children with unprovoked seizure: recurrence within 24 hours. Pediatr Neurol. 2006;35:98e101.
  • 14- Hartnett KP, Kite-Powell A, DeVies J, Coletta MA, Boehmer TK, Adjemian J, et al; National Syndromic Surveillance Program Community of Practice. Impact of the COVID-19 Pandemic on Emergency Department Visits - United States, January 1, 2019-May 30, 2020. MMWR Morb Mortal Wkly Rep. 2020;69:699-704.
  • 15- Innocenti P, Puzella A, Mogavero MP, Bruni O, Ferri R. Letter to editor: CoVID-19 pandemic and sleep disorders-a web survey in Italy. Neurol Sci. 2020;41:2021-2022.
  • 16- Pietrobelli A, Pecoraro L, Ferruzzi A, Heo M, Faith M, Zoller T, et al. Effects of COVID-19 Lockdown on Lifestyle Behaviors in Children with Obesity Living in Verona, Italy: A Longitudinal Study. Obesity (Silver Spring). 2020;28:1382-1385.
  • 17- Nagata JM, Abdel Magid HS, Pettee Gabriel K. Screen Time for Children and Adolescents During the Coronavirus Disease 2019 Pandemic. Obesity (Silver Spring). 2020;28:1582-1583.
  • 18- Golberstein E, Wen H, Miller BF. Coronavirus Disease 2019 (COVID-19) and Mental Health for Children and Adolescents. JAMA Pediatr. 2020.
  • 19- Segre G, Campi R, Scarpellini F, Clavenna A, Zanetti M, Cartabia M, et al. Interviewing children: the impact of the COVID-19 quarantine on children's perceived psychological distress and changes in routine. BMC Pediatr. 2021;21:231.
  • 20- Smarrazzo A, Mariani R, Valentini F, Lombardi MH, Sinibaldi S, Peschiaroli E, et al. Three-fold increase in admissions for paediatric febrile convulsions during COVID-19 pandemic could indicate alternative virus symptoms. Acta Paediatr. 2021;110:939-940.
  • 21- Cheli M, Dinoto A, Olivo S, Tomaselli M, Stokelj D, Cominotto F, Brigo F, et al. SARS-CoV-2 pandemic and epilepsy: The impact on emergency department attendances for seizures. Seizure. 2020;82:23-26.
  • 22- Davico C, Marcotulli D, Lux C, Calderoni D, Terrinoni A, Di Santo F, et al. Where have the children with epilepsy gone? An observational study of seizure-related accesses to emergency department at the time of COVID-19. Seizure. 2020;83:38-40.
  • 23- Huang S, Wu C, Jia Y, Li G, Zhu Z, Lu K, et al. COVID-19 outbreak: The impact of stress on seizures in patients with epilepsy. Epilepsia. 2020;61:1884-1893.
  • 24- Chiu TGA, Leung WCY, Zhang Q, Lau EHY, Ho RW, Chan HS, et al. Changes in pediatric seizure-related emergency department attendances during COVID-19 - A territory-wide observational study. J Formos Med Assoc. 2020:S0929-6646(20)30554-4.
Year 2022, Volume: 39 Issue: 3, 723 - 727, 30.08.2022

Abstract

References

  • 1- Jiatong S, Wenjun L. Epidemiological characteristics and prevention and control measures of Corona Virus Disease 2019 in children. J Trop Med. 2020;20:153-156.
  • 2- World Health Organization. Novel coronavirus (COVID-19) situation. https://covid19.who.int/. Updated 2020. Accessed May 18, 2020.
  • 3- Isba R, Edge R, Jenner R, Broughton E, Francis N, Butler J. Where have all the children gone? Decreases in paediatric emergency department attendances at the start of the COVID-19 pandemic of 2020. Arch Dis Child. 2020;105:704.
  • 4- Ludvigsson JF. Systematic review of COVID-19 in children shows milder cases and a better prognosis than adults. ActaPaediatr. 2020;109:1088-1095.
  • 5- Lazzerini M, Barbi E, Apicella A, Marchetti F, Cardinale F, Trobia G. Delayed access or provision of care in Italy resulting from fear of COVID-19. Lancet Child Adolesc Health. 2020;4:e10-e11.
  • 6- Xie X, Xue Q, Zhou Y, Zhu K, Liu Q, Zhang J, et al. Mental Health Status Among Children in Home Confinement During the Coronavirus Disease 2019 Outbreak in Hubei Province, China. JAMA Pediatr. 2020;174:898-900.
  • 7- Palladino F, Merolla E, Solimeno M, de Leva MF, Lenta S, Di Mita O, et al. Is Covid-19 lockdownrelatedto an increase of accessesforseizures in theemergencydepartment? An observationalanalysis of a paediatriccohort in theSouthernItaly. NeurolSci. 2020;41:3475-3483.
  • 8- Sanchez-Larsen A, Gonzalez-Villar E, Díaz-Maroto I, Layos-Romero A, Martínez-Martín Á, Alcahut-Rodriguez C , et al. Influence of the COVID-19 outbreak in people with epilepsy: Analysis of a Spanish population (EPICOVID registry). Epilepsy Behav. 2020;112:107396.
  • 9- Berg AT, Berkovic SF, Brodie MJ, Buchhalter J, Cross JH, van Emde Boas W, et al. Revised terminology and concepts for organization of seizures and epilepsies: report of the ILAE Commission on Classification and Terminology, 2005-2009. Epilepsia. 2010;51:676-685.
  • 10- Natsume J, Hamano SI, Iyoda K, Kanemura H, Kubota M, Mimaki M, et al. New guidelines for management of febrile seizures in Japan. Brain Dev. 2017;39:2-9.
  • 11- Nelson KB, Ellenberg JH. Predictors of epilepsy in children who have experienced febrile seizures. N Engl J Med. 1976;295:1029-1033.
  • 12- Krivec U, KofolSeliger A, Tursic J. COVID-19 lockdown dropped the rate of paediatric asthma admissions. Arch Dis Child. 2020;105:809-810.
  • 13- Sogawa Y, Maytal J. Emergency department admission of children with unprovoked seizure: recurrence within 24 hours. Pediatr Neurol. 2006;35:98e101.
  • 14- Hartnett KP, Kite-Powell A, DeVies J, Coletta MA, Boehmer TK, Adjemian J, et al; National Syndromic Surveillance Program Community of Practice. Impact of the COVID-19 Pandemic on Emergency Department Visits - United States, January 1, 2019-May 30, 2020. MMWR Morb Mortal Wkly Rep. 2020;69:699-704.
  • 15- Innocenti P, Puzella A, Mogavero MP, Bruni O, Ferri R. Letter to editor: CoVID-19 pandemic and sleep disorders-a web survey in Italy. Neurol Sci. 2020;41:2021-2022.
  • 16- Pietrobelli A, Pecoraro L, Ferruzzi A, Heo M, Faith M, Zoller T, et al. Effects of COVID-19 Lockdown on Lifestyle Behaviors in Children with Obesity Living in Verona, Italy: A Longitudinal Study. Obesity (Silver Spring). 2020;28:1382-1385.
  • 17- Nagata JM, Abdel Magid HS, Pettee Gabriel K. Screen Time for Children and Adolescents During the Coronavirus Disease 2019 Pandemic. Obesity (Silver Spring). 2020;28:1582-1583.
  • 18- Golberstein E, Wen H, Miller BF. Coronavirus Disease 2019 (COVID-19) and Mental Health for Children and Adolescents. JAMA Pediatr. 2020.
  • 19- Segre G, Campi R, Scarpellini F, Clavenna A, Zanetti M, Cartabia M, et al. Interviewing children: the impact of the COVID-19 quarantine on children's perceived psychological distress and changes in routine. BMC Pediatr. 2021;21:231.
  • 20- Smarrazzo A, Mariani R, Valentini F, Lombardi MH, Sinibaldi S, Peschiaroli E, et al. Three-fold increase in admissions for paediatric febrile convulsions during COVID-19 pandemic could indicate alternative virus symptoms. Acta Paediatr. 2021;110:939-940.
  • 21- Cheli M, Dinoto A, Olivo S, Tomaselli M, Stokelj D, Cominotto F, Brigo F, et al. SARS-CoV-2 pandemic and epilepsy: The impact on emergency department attendances for seizures. Seizure. 2020;82:23-26.
  • 22- Davico C, Marcotulli D, Lux C, Calderoni D, Terrinoni A, Di Santo F, et al. Where have the children with epilepsy gone? An observational study of seizure-related accesses to emergency department at the time of COVID-19. Seizure. 2020;83:38-40.
  • 23- Huang S, Wu C, Jia Y, Li G, Zhu Z, Lu K, et al. COVID-19 outbreak: The impact of stress on seizures in patients with epilepsy. Epilepsia. 2020;61:1884-1893.
  • 24- Chiu TGA, Leung WCY, Zhang Q, Lau EHY, Ho RW, Chan HS, et al. Changes in pediatric seizure-related emergency department attendances during COVID-19 - A territory-wide observational study. J Formos Med Assoc. 2020:S0929-6646(20)30554-4.
There are 24 citations in total.

Details

Primary Language English
Subjects Health Care Administration
Journal Section Clinical Research
Authors

Esra Akyüz Özkan 0000-0001-9412-8010

Tuğba Ayçiçek Dinçer 0000-0001-8214-1509

Gökhan Arslan 0000-0003-4186-2478

Early Pub Date August 30, 2022
Publication Date August 30, 2022
Submission Date February 8, 2022
Acceptance Date July 1, 2022
Published in Issue Year 2022 Volume: 39 Issue: 3

Cite

APA Akyüz Özkan, E., Ayçiçek Dinçer, T., & Arslan, G. (2022). The evaluation of accesses for febrile and afebrile seizures in the pediatric emergency department during Covid-19 lockdown. Journal of Experimental and Clinical Medicine, 39(3), 723-727.
AMA Akyüz Özkan E, Ayçiçek Dinçer T, Arslan G. The evaluation of accesses for febrile and afebrile seizures in the pediatric emergency department during Covid-19 lockdown. J. Exp. Clin. Med. August 2022;39(3):723-727.
Chicago Akyüz Özkan, Esra, Tuğba Ayçiçek Dinçer, and Gökhan Arslan. “The Evaluation of Accesses for Febrile and Afebrile Seizures in the Pediatric Emergency Department During Covid-19 Lockdown”. Journal of Experimental and Clinical Medicine 39, no. 3 (August 2022): 723-27.
EndNote Akyüz Özkan E, Ayçiçek Dinçer T, Arslan G (August 1, 2022) The evaluation of accesses for febrile and afebrile seizures in the pediatric emergency department during Covid-19 lockdown. Journal of Experimental and Clinical Medicine 39 3 723–727.
IEEE E. Akyüz Özkan, T. Ayçiçek Dinçer, and G. Arslan, “The evaluation of accesses for febrile and afebrile seizures in the pediatric emergency department during Covid-19 lockdown”, J. Exp. Clin. Med., vol. 39, no. 3, pp. 723–727, 2022.
ISNAD Akyüz Özkan, Esra et al. “The Evaluation of Accesses for Febrile and Afebrile Seizures in the Pediatric Emergency Department During Covid-19 Lockdown”. Journal of Experimental and Clinical Medicine 39/3 (August 2022), 723-727.
JAMA Akyüz Özkan E, Ayçiçek Dinçer T, Arslan G. The evaluation of accesses for febrile and afebrile seizures in the pediatric emergency department during Covid-19 lockdown. J. Exp. Clin. Med. 2022;39:723–727.
MLA Akyüz Özkan, Esra et al. “The Evaluation of Accesses for Febrile and Afebrile Seizures in the Pediatric Emergency Department During Covid-19 Lockdown”. Journal of Experimental and Clinical Medicine, vol. 39, no. 3, 2022, pp. 723-7.
Vancouver Akyüz Özkan E, Ayçiçek Dinçer T, Arslan G. The evaluation of accesses for febrile and afebrile seizures in the pediatric emergency department during Covid-19 lockdown. J. Exp. Clin. Med. 2022;39(3):723-7.