To investigate factors associated with tracheal intubation (TI) in children presenting with uncontrolled seizures in a safety net hospital, emphasizing the unique challenges faced in such settings.
Key Findings:
46% of patients (26/56) underwent tracheal intubation, with statistical significance noted for longer seizure duration (p = 0.036) and poly-drug therapy (p < 0.001).
The most common seizure type in the intubated group was complex febrile seizures (27%).
42% of intubations were for airway protection, and 46% for respiratory failure.
Interpretation:
Children with complex febrile seizures and longer seizure durations are more likely to require intubation, highlighting the need for careful monitoring and management strategies in pediatric EDs.
Limitations:
Retrospective design may introduce bias.
Small sample size limits generalizability.
No multivariable analysis was performed, and potential confounding factors were not controlled.
Conclusion:
Intubation is common in pediatric patients with uncontrolled seizures, particularly in those with complex febrile seizures and prolonged seizure activity, underscoring the need for vigilant monitoring and management.
