title: Factors associated with ambulance requests for febrile seizures.
abstract: The objective of this study was to determine factors associated with ambulance requests for febrile seizures. This study retrospectively investigated medical records of patients who visited the Emergency Care Unit at Tokyo Metropolitan Toshima Hospital in the 5-year period after April 2001. Subjects' basic characteristics (e.g., age and sex), medical history of febrile seizures, sibling and parental medical history of febrile seizures, and distance from hospital were investigated. In total, 310 subjects used ambulances, and 106 came to the hospital without requesting ambulances. The results of binomial logistic analysis indicated that factors associated with ambulance requests included patient's and parents' medical history of febrile seizures. Increasing awareness of febrile seizures and provision of a general public educational campaign are possible strategies to help decrease unnecessary ambulance requests. However, a medical history of febrile seizures among siblings revealed no association, indicating the need to conduct repeated early-stage interventions.
authors.affiliation: Department of Public Health, Juntendo University School of Medicine, Tokyo, Japan. riesakai@med.juntendo.ac.jp
authors.forename: Rie
authors.initials: R
authors.lastname: Sakai
authors.forename: Eiji
authors.initials: E
authors.lastname: Marui
mesh_terms: D000552:Ambulances / Q000706:statistics & numerical data*; D001722:Birth Order; D002675:Child, Preschool; D005260:Female; D006300:Health Services Misuse / Q000706:statistics & numerical data; D006301:Health Services Needs and Demand; D006801:Humans; D007223:Infant; D008137:Longitudinal Studies; D008297:Male; D015999:Multivariate Analysis; D012189:Retrospective Studies; D003294:Seizures, Febrile / Q000175:diagnosis* / Q000453:epidemiology* / Q000503:physiopathology; D014600:Utilization Review