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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
1
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pubmed:dateCreated |
1991-6-14
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pubmed:abstractText |
From 1982 through 1987, 128 families, who were instructed in the use of rectally administered diazepam (R-DZP) for the treatment of severe epileptic seizures, were surveyed. Sixty-seven families returned questionnaires and met inclusion/exclusion criteria; the results were used to analyze the medical, psychosocial, and economic impact of this program during the first year following instruction. Twenty-six families did not use R-DZP, primarily because of patient improvement. Among families using R-DZP, a total of 428 doses were administered to 41 children. R-DZP was effective in controlling seizures in 85% of patients. Adverse reactions usually were mild, consisting of drowsiness and/or behavioral changes. Compared to the year prior to instruction, emergency room visits decreased in both R-DZP-treated and -nontreated children; however, cost-savings were greater for the R-DZP group ($1,039.00 vs $420.00 per patient per year). Improvements in quality of life associated with the availability of R-DZP were observed by 58% of users and 27% of nonusers which included improved management of their children's seizures, increased flexibility in family activities, and greater peace of mind. R-DZP appears to be a practical method in the effective treatment of severe seizures at home.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:chemical | |
pubmed:status |
MEDLINE
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pubmed:issn |
0887-8994
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
7
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
13-7
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pubmed:dateRevised |
2006-11-15
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pubmed:meshHeading |
pubmed-meshheading:2029287-Administration, Rectal,
pubmed-meshheading:2029287-Child, Preschool,
pubmed-meshheading:2029287-Cost Control,
pubmed-meshheading:2029287-Diazepam,
pubmed-meshheading:2029287-Dose-Response Relationship, Drug,
pubmed-meshheading:2029287-Epilepsy,
pubmed-meshheading:2029287-Female,
pubmed-meshheading:2029287-Home Nursing,
pubmed-meshheading:2029287-Humans,
pubmed-meshheading:2029287-Infant,
pubmed-meshheading:2029287-Male,
pubmed-meshheading:2029287-Quality of Life,
pubmed-meshheading:2029287-Seizures,
pubmed-meshheading:2029287-Status Epilepticus
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pubmed:articleTitle |
Home use of rectal diazepam for cluster and prolonged seizures: efficacy, adverse reactions, quality of life, and cost analysis.
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pubmed:affiliation |
Dept. of Neurology, Univ. of Minnesota, Mpls. 55455.
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pubmed:publicationType |
Journal Article,
Clinical Trial,
Randomized Controlled Trial,
Research Support, Non-U.S. Gov't
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