Epidemiology of Suspected Epileptic Seizures

NCT04147663 | Unknown

• 1 other identifier: EPILEPSIE2019
• Study Type: observational
• Target: 2,300
• Locations: 1 country
• Sites: 1

Brief Summary

The occurrence of isolated or recurring epileptic seizures accounts for an important use of the healthcare system. Typically, epileptic patient will consult ten times a year a physician (specialist or familial doctor) and will justify 24 diagnostic procedures or additional examinations. Moreover, epileptic seizures are associated with frequent use of emergency departments. From the first emergency call received by the Emergency medical assistance service (SAMU), the actual management of the patient having epileptic seizure includes the eventual transfer to the paramedical team then within an emergency unit. However in some cases, emergency allocation may be avoided as 70% of patients recover their baseline condition upon admission. The main objective of this study is to describe the management of the adult population suffering from suspected seizure by the emergency structures. For 3 consecutive days, all patients with suspected epileptic seizures (diagnosed by the SAMU, paramedics and emergency unit) will be enrolled in the study. Data of medical care management and information from patients or witnesses will be collected on a questionnaire by the physicians of the SAMU, paramedics and emergency unit. Then, the anonymized questionnaires will be sent to RESUVAL (Emergency Network of the Rhone Valley) to ensure data entry and statistical analysis. By identifying the factors leading the SAMU to transfer a patient with suspected epileptic seizure to an emergency unit, this study will provide a more appropriate procedure to prevent unnecessary emergency admissions. It will also gain more insights into the patient outcomes, such as complementary medication, brain examination or referral to a neurologist.

Conditions

Epilepsy

Keywords

emergency; epileptic seizure; epilepsy; neurology

Outcome Measures

Primary Outcomes (1)

• Description of the management of the adult population suffering from suspected seizure by the emergency structures.

  The patient journey will be followed from the call to the emergency medical assistance service (SAMU) with a possible transfer by the paramedical team until the care, within the emergency unit.

  3 days

Secondary Outcomes (1)

• The patient characteristics, treatment pathway and outcomes after discharge

  11 days

Interventions

describe the management of the adult population suffering from suspected seizure by the emergency structures OTHER

For 3 consecutive days, all patients with suspected epileptic seizures (assessed by the Emergency medical assistance service ( SAMU), paramedical team and the emergency unit) will be included in the study. With the use of questionnaries, information will be collected from patients or witnesses by the SAMU, the paramedical team or physicians of the emergency unit. A 7-day follow-up will be carried out by the principal investigator (PI) of each center.

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)
• Sampling Method: Probability Sample

Study Population

Any patient ≥18 years calling the Emergency medical assistance service (SAMU)

You may qualify if:

• Any patient ≥18 years calling the SAMU and / or supported by a paramedical team and / or admitted to an emergency unit for suspected symptoms of epileptic seizure will be included.
• SAMU=Emergency medical assistance service

You may not qualify if:

• Patients with no epileptic seizures (assessed by the SAMU, paramedical team and the emergency unit) can't be enrolled in the study.
• SAMU=Emergency medical assistance service

Sponsors & Collaborators

• Centre Hospitalier Saint Joseph Saint Luc de Lyon: lead
• RESCUe - RESeau Cardiologie Urgence / RESUVal - RESeau des Urgences de la vallée du Rhône: collaborator

Study Sites (1)

Centre Hospitalier St Joseph St Luc

Lyon, 69007, France

Location

MeSH Terms

Conditions

Epilepsy; Emergencies; Seizures

Condition Hierarchy (Ancestors)

Brain Diseases; Central Nervous System Diseases; Nervous System Diseases; Disease Attributes; Pathologic Processes; Pathological Conditions, Signs and Symptoms; Neurologic Manifestations; Signs and Symptoms

Study Officials

• Sylvie MEYRAN, MD

  Centre Hospitalier Saint Joseph St Luc de Lyon

  PRINCIPAL INVESTIGATOR

Central Study Contacts

Sophie ARMAND

CONTACT

0033478618091; sarmand@ch-stjoseph-stluc-lyon.fr

Study Design

• Study Type: observational
• Observational Model: COHORT
• Time Perspective: OTHER
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: October 30, 2019
• First Posted: November 1, 2019
• Study Start: October 1, 2020
• Primary Completion: October 1, 2020
• Study Completion: October 1, 2020
• Last Updated: December 26, 2019

Record last verified: 2019-12

Locations

FR (1)