Mortality predictors of epilepsy and epileptic seizures among hospitalized elderly

Detalhes bibliográficos
Autor(a) principal: Assis,Telma M. R
Data de Publicação: 2015
Outros Autores: Bacellar,Aroldo, Costa,Gersonita, Nascimento,Osvaldo J. M.
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Arquivos de neuro-psiquiatria (Online)
Texto Completo: http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2015000600510
Resumo: 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.
id ABNEURO-1_e19ef073e39618345e3f7c6c820a6f64
oai_identifier_str oai:scielo:S0004-282X2015000600510
network_acronym_str ABNEURO-1
network_name_str Arquivos de neuro-psiquiatria (Online)
repository_id_str
spelling Mortality predictors of epilepsy and epileptic seizures among hospitalized elderlyelderlyepilepsyepileptic seizuresmortalitystatus epilepticusEpilepsy 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.Academia Brasileira de Neurologia - ABNEURO2015-06-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2015000600510Arquivos de Neuro-Psiquiatria v.73 n.6 2015reponame:Arquivos de neuro-psiquiatria (Online)instname:Academia Brasileira de Neurologiainstacron:ABNEURO10.1590/0004-282X20150043info:eu-repo/semantics/openAccessAssis,Telma M. RBacellar,AroldoCosta,GersonitaNascimento,Osvaldo J. M.eng2015-10-21T00:00:00Zoai:scielo:S0004-282X2015000600510Revistahttp://www.scielo.br/anphttps://old.scielo.br/oai/scielo-oai.php||revista.arquivos@abneuro.org1678-42270004-282Xopendoar:2015-10-21T00:00Arquivos de neuro-psiquiatria (Online) - Academia Brasileira de Neurologiafalse
dc.title.none.fl_str_mv Mortality predictors of epilepsy and epileptic seizures among hospitalized elderly
title Mortality predictors of epilepsy and epileptic seizures among hospitalized elderly
spellingShingle Mortality predictors of epilepsy and epileptic seizures among hospitalized elderly
Assis,Telma M. R
elderly
epilepsy
epileptic seizures
mortality
status epilepticus
title_short Mortality predictors of epilepsy and epileptic seizures among hospitalized elderly
title_full Mortality predictors of epilepsy and epileptic seizures among hospitalized elderly
title_fullStr Mortality predictors of epilepsy and epileptic seizures among hospitalized elderly
title_full_unstemmed Mortality predictors of epilepsy and epileptic seizures among hospitalized elderly
title_sort Mortality predictors of epilepsy and epileptic seizures among hospitalized elderly
author Assis,Telma M. R
author_facet Assis,Telma M. R
Bacellar,Aroldo
Costa,Gersonita
Nascimento,Osvaldo J. M.
author_role author
author2 Bacellar,Aroldo
Costa,Gersonita
Nascimento,Osvaldo J. M.
author2_role author
author
author
dc.contributor.author.fl_str_mv Assis,Telma M. R
Bacellar,Aroldo
Costa,Gersonita
Nascimento,Osvaldo J. M.
dc.subject.por.fl_str_mv elderly
epilepsy
epileptic seizures
mortality
status epilepticus
topic elderly
epilepsy
epileptic seizures
mortality
status epilepticus
description 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.
publishDate 2015
dc.date.none.fl_str_mv 2015-06-01
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2015000600510
url http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2015000600510
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv 10.1590/0004-282X20150043
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv text/html
dc.publisher.none.fl_str_mv Academia Brasileira de Neurologia - ABNEURO
publisher.none.fl_str_mv Academia Brasileira de Neurologia - ABNEURO
dc.source.none.fl_str_mv Arquivos de Neuro-Psiquiatria v.73 n.6 2015
reponame:Arquivos de neuro-psiquiatria (Online)
instname:Academia Brasileira de Neurologia
instacron:ABNEURO
instname_str Academia Brasileira de Neurologia
instacron_str ABNEURO
institution ABNEURO
reponame_str Arquivos de neuro-psiquiatria (Online)
collection Arquivos de neuro-psiquiatria (Online)
repository.name.fl_str_mv Arquivos de neuro-psiquiatria (Online) - Academia Brasileira de Neurologia
repository.mail.fl_str_mv ||revista.arquivos@abneuro.org
_version_ 1754212777933668352