Clinical Profile and Management of Children with Seizures Presenting to Pediatric Emergency Department

Introduction: Seizures are one of the most common presentations in children requiring urgent care in Emergency Departments. This study was conducted to determine the clinical profile, management and spectrum of patients presenting to Emergency department in a low middle income country.
Methods: This was an observational cross-sectional study carried out in Aga Khan University Hospital, Karachi, Pakistan. Data was collected on a predesigned questionnaire from June 2018- May 2019. Qualitative variables like gender and type of seizure were expressed as percentages and frequencies. Quantitative variables like age, levels of sodium, potassium and calcium were expressed as median, interquartile ranges and Wilcoxin Rank Sum test was used.
Conclusion: Seizure was one of the commonest neurological condition occurring predominantly in males. Febrile seizures usually donot require hospitalization. Emergency Department care was needed in majority of children and 45.7% were discharged directly from Emergency Room.