首页TY - JOUR T1 - Characteristics of Patients Intubated for Psychogenic Non-epileptic Seizures (P3.9-072) JF - Neurology JO - Neurology VL - 92 IS - 15 Supplement SP - P3.9-072 AU - Stephan Mayer AU - Tanuwong Viarasilpa AU - Nicha Panyavachiraporn AU - Gamaleldin Osman AU - Panayiotis Varelas AU - Noel Akioyamen Y1 - 2019/04/09 UR - //www.ez-admanager.com/content/92/15_Supplement/P3.9-072.abstract N2 - Objective: This study described characteristics and outcomes of intubated psychogenic non-epileptic seizures patients.Background: Patients with psychogenic non-epileptic seizures (PNES) sometimes receive aggressive treatment leading to endotracheal intubation in the emergency department (ED).Design/Methods: We retrospectively reviewed all patients with PNES as a discharge diagnosis who underwent continuous electroencephalography (cEEG) monitoring at Henry Ford Hospital between January 2012 and October 2017.ED和CEG报告的人口学、临床介绍和处理比较PNES插管病人和不插管病人。 Results:在接受CEEG监控的1 735名病人中,144名病人主要诊断PNES24名病人(17%)插管Compared with non-intubated patients, intubated PNES patients were more likely to be white (91% vs 63%, P = 0.01), have lower admission Glasgow Coma Scale scores (12 [interquartile range, IQR 11–15] vs 15 [IQR 15–15], P < 0.001), have convulsive symptoms in the ED (100% vs 76%, P = 0.004), and have longer seizure duration in the ED (12 [IQR 2–49] vs 2 [IQR 1–7] minutes, P = 0.044), In addition, intubated PNES patients were more frequently diagnosed as status epilepticus (88% vs 8%, P < 0.001), treated with multiple antiepileptic drugs (AEDs, 2 [IQR 1–3] vs 1 [IQR 1–2], P = 0.001) and continuous infusion AEDs (CIV-AEDs, 55% vs 9%, P < 0.001), and received higher dose of benzodiazepines (30 [IQR 18–44] vs 10 [IQR 5–20] mg of diazepam equivalents, P = 0.001).无死法30天内复院率高得多(21%对5%,P=0.02)超长阻塞时间段、低敏度和主动处理benzodiazeres将PNES病人置于不必要的插管风险中Mayer因咨询、科学咨询委员会服务、演讲或Idorsia、Edge和NFL的其他活动而获得个人补偿博士Viarasilpa没有什么可透露博士Panyavachiorn没有什么披露博士Osman没什么可透露博士Varelas因咨询、科学咨询委员会服务、发言或波尔图拉的其他活动而获得个人补偿博士秋叶门没什么可透露ER-