Format

Send to

Choose Destination
Arq Neuropsiquiatr. 2015 Jun;73(6):510-5. doi: 10.1590/0004-282X20150043.

Mortality predictors of epilepsy and epileptic seizures among hospitalized elderly.

Author information

1
Departamento de Neurologia, Hospital São Rafael, Salvador, BA, Brazil.
2
Departamento de Neurologia, Universidade Federal Fluminense, Rio de Janeiro, RJ, Brasil.

Abstract

Epilepsy and epileptic seizures are common brain disorders in the elderly and are associated with increased mortality that may be ascribed to the underlying disease or epilepsy-related causes.

OBJECTIVE:

To describe mortality predictors of epilepsy and epileptic seizures in elderly inpatients.

METHOD:

Retrospective analysis was performed on hospitalized elderly who had epilepsy or epileptic seizures, from January 2009 to December 2010. One hundred and twenty patients were enrolled.

RESULTS:

The most common etiology was ischemic stroke (37%), followed by neoplasias (13%), hemorrhagic stroke (12%), dementias (11.4%) and metabolic disturbances (5.5%). In a univariate analysis, disease duration (p = 0.04), status epilepticus (p < 0.001) and metabolic etiology (p = 0.005) were associated with mortality. However after adjustment by logistic regression, only status epilepticus remained an independent predictor of death (odds ratio = 13; 95%CI = 2.3 to 72; p = 0.004).

CONCLUSION:

In this study status epilepticus was an independent risk factor for death during hospitalization.

PMID:
26083887
DOI:
10.1590/0004-282X20150043
[Indexed for MEDLINE]
Free full text

Supplemental Content

Full text links

Icon for Scientific Electronic Library Online
Loading ...
Support Center