TO DETERMINE THE SHORT TERM OUTCOME IN TERMS OF SEIZURE RECURRENCE AND NEUROLOGICAL MORBIDITY AT DISCHARGE AND AT 3 MONTH FOLLOW UP PERIOD IN PICU.

Abstract

Background & Method: This study was conducted at Department of Pediatrics, Index Medical College Hospital and Research Centre, Indore over a period of 01 year from Nov 2019 to Oct 2020. A detail history and clinical examination will be done and recorded on a proforma especially designed for the study. The etiology of the seizure was ascertained based on clinical data and relevant investigations. The neurological examination and seizure details were reviewed at discharge and once at 3 months follow up period. For those patients who did not come physically for follow up, a phone call was made to find the seizure outcome.

Result: Out of 211 patients 144(68.2%) patient had excellent recovery whereas 35(16.6%) patients had partial recovery. Recovery was poor in 32(15.2%) patients. No association (P=0.063) was observed between recovery and type of seizures.

Conclusion: Children with preexisting neurological deficits and those having etiologies known to have a poor prognosis had seizure recurrence on follow up at three months. Major cause of mortality in our study included severe CNS infection and hence the importance on prompt diagnosis and management for a better neurological outcome. The mortality amongst our study group was 12% and the most common cause being central nervous system infections.

Keywords: Seizure, Neurological Morbidity & PICU.

Study Designed: Observational Study.