Evidence map›Paper›PMID 39444030›Full record

ArticleBMC health services research2024

ER and doctors' preparedness to manage status epilepticus: a multi-institutional survey from the Gaza Strip.

Belal Aldabbour, Ayoub AbuNemer, Muhammed Ghazi Alfarra, Osama Aldabbour, Yousef Abu Zaydah, Haytham Abuzaid, Abd Al-Karim Sammour, Samah Elamassie, Ahmed Yassin

Abstract readMulticenter Study
PubMed Full text at PMC Publisher
In one paragraph

Article in BMC health services research, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Belal AldabbourFaculty of Medicine, Islamic University of Gaza, P.O. Box 108, Gaza, State of Palestine. belal90md@gmail.com.
Ayoub AbuNemerFaculty of Medicine, Islamic University of Gaza, P.O. Box 108, Gaza, State of Palestine.
Muhammed Ghazi AlfarraFaculty of Medicine, Islamic University of Gaza, P.O. Box 108, Gaza, State of Palestine.
Osama AldabbourFaculty of Medicine, Islamic University of Gaza, P.O. Box 108, Gaza, State of Palestine.
Yousef Abu ZaydahFaculty of Medicine, Islamic University of Gaza, P.O. Box 108, Gaza, State of Palestine.
Haytham AbuzaidFaculty of Medicine, Islamic University of Gaza, P.O. Box 108, Gaza, State of Palestine.
Abd Al-Karim SammourFaculty of Medicine, Islamic University of Gaza, P.O. Box 108, Gaza, State of Palestine.
Samah ElamassieHealth Services, United Nations Relief and Works Agency (UNRWA), Gaza, State of Palestine.
Ahmed YassinDepartment of Neurology, Jordan University of Science and Technology, Irbid, Jordan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundStatus epilepticus (SE) is a top neurological and medical emergency. Adequate staff knowledge and sufficient hospital resources are mandatory for timely management and better outcomes. This study aims to evaluate Palestinian ER doctors' knowledge and beliefs towards SE and assess the state and availability of hospital resources needed to manage SE appropriately.

methodsThis cross-sectional study surveyed all ER doctors working in the six governmental hospitals in the Gaza Strip during June 2022. A questionnaire assessed the knowledge and beliefs toward SE and the practice of SE knowledge acquisition. Simultaneous field surveys determined the availability of essential medications and resources at each hospital and doctors' actual awareness about the status of these resources. Linear regression determined predictors of higher knowledge scores.

results137 doctors participated (response rate 81%). Most were males, had graduated within six years of data collection, and 45.3% worked at Shifa Medical Complex. 63.5% of participants recognized the correct operational definition of status epilepticus. 85.4 and 83.9% recognized that it might cause permanent brain damage or death, respectively. Only 10.9% recognized the average mortality rate of a single convulsive SE episode. 44.5% believed that awaiting spontaneous SE resolution is a valid approach to management. Significant defects were noted in the awareness of subclinical SE, including its recognition and prevalence in ciritcally ill patients. Having a higher qualification and graduating from local medical schools predicted higher scores. In field surveys, EEG was unavailable at all hospitals, while CT scans and a neurologist physician were unavailable at two hospitals. IV phenytoin was the only second-line treatment available at all hospitals. IV valproate and levetiracetam were universally unavailable.

conclusionsThe survey revealed significant defects in Palestinian ER doctors' knowledge and beliefs towards SE. Several hospitals also demonstrated a critical lack of resources to manage this condition appropriately. This should be addressed by the local health authorities to avoid potentially preventable SE-related mortality and morbidity.

Indexed as

Emergency Service, HospitalPhysiciansStatus EpilepticusAdultAnticonvulsantsClinical CompetenceCross-Sectional StudiesFemaleHealth Knowledge, Attitudes, PracticeHumansMaleMiddle AgedMiddle EastSurveys and QuestionnairesAnticonvulsantsDelivery of health care health knowledge, attitudes, practiceDeveloping nationsEmergency medical servicesHealth resourcesStatus epilepticus

Identifiers

PMID39444030
PMCPMC11515649

What Socratic holds

Textmetadata
LicenceCC BY-NC-ND
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.