The role of China's acute seizure action plan in the management of out-of-hospital seizures in children with epilepsy: a pilot study

Introduction This study aimed to explore the function and applicability of localized China acute seizure action plan (CASAP) in the management of out-of-hospital seizures in children with epilepsy, and to provide a theoretical basis and practical framework for further optimisation and promotion of this action plan. Methods A self-paired research design was employed. The CASAP was used to provide out-of-hospital seizure management guidance to the primary family caregivers of children with epilepsy. The children were followed up for six months after the intervention. Results Sixty two children aged 0–18 years participated. The M (P25, P75) of the total seizures in children with epilepsy within six months before intervention with CASAP was nine (3–169), which was lower than seven (0–20) within six months after intervention ( P < 0.05). The M of the average duration of seizures before intervention was 1.5 (1.0–5.4), and 0.5 (0.0–1.0) after intervention ( P < 0.001). After intervention, number of children with no emergency visits increased from 35 (56) to 47 (76%), and those with ≥1 emergency visit decreased from 27 (44) to 15 (24%); ( P < 0.05). Discussion The results provide beneficial insights for out-of-hospital seizure management and improves health outcomes in children.