Management of convulsive status epilepticus in children: an adapted clinical practice guideline for pediatricians in Saudi Arabia

被引:13
作者
Bashiri, Fahad A. [1 ,13 ]
Hamad, Muddathir H. [1 ,2 ]
Amer, Yasser S. [2 ,9 ,10 ,11 ]
Abouelkheir, Manal M. [2 ,10 ,12 ]
Mohamed, Sarar [2 ,14 ]
Kentab, Amal Y. [1 ,13 ]
Salih, Mustafa A. [1 ,13 ]
Al Nasser, Mohammad N. [1 ]
Al-Eyadhy, Ayman A. [3 ]
Al Othman, Mohammed A. [6 ]
Al-Ahmadi, Tahani [2 ,4 ]
Iqbal, Shaikh M. [2 ,10 ,23 ]
Somily, Ali M. [7 ]
Wahabi, Hayfaa A. [10 ,11 ,16 ]
Hundallah, Khalid J. [13 ,15 ]
Alwadei, Ali H. [13 ]
Albaradie, Raidah S. [13 ,20 ,21 ]
Al-Twaijri, Waleed A. [13 ,17 ]
Jan, Mohammed M. [13 ,20 ,22 ]
Al-Otaibi, Faisal [18 ,19 ]
Alnemri, Abdulrahman M. [5 ,20 ]
Al-Ansary, Lubna A. [8 ,10 ,11 ]
机构
[1] King Saud Univ, King Khalid Univ Hosp, King Saud Univ Med City, Div Neurol, Riyadh, Saudi Arabia
[2] King Saud Univ, King Khalid Univ Hosp, King Saud Univ Med City, Pediat CPGs Dept Comm, Riyadh, Saudi Arabia
[3] King Saud Univ, King Khalid Univ Hosp, King Saud Univ Med City, Pediat Intens Care Unit, Riyadh, Saudi Arabia
[4] King Saud Univ, King Khalid Univ Hosp, King Saud Univ Med City, Div Gen Pediat, Riyadh, Saudi Arabia
[5] King Saud Univ, King Khalid Univ Hosp, King Saud Univ Med City, Div Neonatol,Dept Pediat, Riyadh, Saudi Arabia
[6] King Saud Univ, King Khalid Univ Hosp, King Saud Univ Med City, Pediat Emergency Unit,Emergency Med Dept, Riyadh, Saudi Arabia
[7] King Saud Univ, King Khalid Univ Hosp, King Saud Univ Med City, Dept Pathol & Lab Med,Microbiol Unit, Riyadh, Saudi Arabia
[8] King Saud Univ, King Khalid Univ Hosp, King Saud Univ Med City, Dept Family Community Med,Coll Med, Riyadh, Saudi Arabia
[9] King Saud Univ, King Khalid Univ Hosp, King Saud Univ Med City, Qual Management Dept, Riyadh, Saudi Arabia
[10] King Saud Univ, King Khalid Univ Hosp, King Saud Univ Med City, Clin Practice Guidelines Steering Comm, Riyadh, Saudi Arabia
[11] King Saud Univ, King Khalid Univ Hosp, King Saud Univ Med City, Res Chair Evidence Based Hlth Care & Knowledge Tr, Riyadh, Saudi Arabia
[12] King Saud Univ, King Khalid Univ Hosp, King Saud Univ Med City, Pediat Clin Pharm Serv, Riyadh, Saudi Arabia
[13] Prince Sultan Mil Med City, Dept Pediat, Saudi Pediat Neurol Soc, Riyadh, Saudi Arabia
[14] Prince Sultan Mil Med City, Dept Pediat, Genet Metab Div, Riyadh, Saudi Arabia
[15] Prince Sultan Mil Med City, Dept Pediat, Pediat Neurol, Riyadh, Saudi Arabia
[16] King Fahad Med City, Natl Neurosci Inst, Pediat Neurol Dept, Riyadh, Saudi Arabia
[17] Natl Guard King Saud bin Abdulaziz Univ, King Abdullah Specialist Children Hosp, Riyadh, Saudi Arabia
[18] King Faisal Specialist Hosp & Res Ctr, Dept Neurosci, Riyadh, Saudi Arabia
[19] Saudi Epilepsy Soc, Gulf League Epilepsy, Riyadh, Saudi Arabia
[20] Saudi Epilepsy Soc, Riyadh, Saudi Arabia
[21] King Fahad Specialist Hosp, Dept Pediat Neurol, Dammam, Saudi Arabia
[22] King Abdulaziz Univ, Fac Med, Dept Pediat, Jeddah, Saudi Arabia
[23] Univ Manitoba, Dept Pediat & Child Hlth, Sect Respirol, Winnipeg, MB, Canada
关键词
HEALTH-CARE; LORAZEPAM; COMMITTEE; DIAZEPAM; ADULTS;
D O I
10.17712/nsj.2017.2.20170093
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Objective: To increase the use of evidence-based approaches in the diagnosis, investigations and treatment of Convulsive Status Epilepticus (CSE) in children in relevant care settings. Method: A Clinical Practice Guideline (CPG) adaptation group was formulated at a university hospital in Riyadh. The group utilized 2 CPG validated tools including the ADAPTE method and the AGREE II instrument. Results: The group adapted 3 main categories of recommendations from one Source CPG. The recommendations cover; (i) first-line treatment of CSE in the community; (ii) treatment of CSE in the hospital; and (iii) refractory CSE. Implementation tools were built to enhance knowledge translation of these recommendations including a clinical algorithm, audit criteria, and a computerized provider order entry. Conclusion: A clinical practice guideline for the Saudi healthcare context was formulated using a guideline adaptation process to support relevant clinicians managing CSE in children.
引用
收藏
页码:146 / 155
页数:10
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