Short-Term Mortality in Adult Patients With Seizures Admitted to the Emergency Department and a Comparison of the First and Recurrent Seizure

Bibliographic Details
Title: Short-Term Mortality in Adult Patients With Seizures Admitted to the Emergency Department and a Comparison of the First and Recurrent Seizure
Authors: Turgay DEMİR, Kezban ASLAN, Gonca KÖKSALDI ŞAHİN, Zeynep KEKEÇ, Hacer BOZDEMİR
Source: Archives of Epilepsy, Vol 24, Iss 3, Pp 107-113 (2018)
Publisher Information: Galenos Yayinevi, 2018.
Publication Year: 2018
Collection: LCC:Neurology. Diseases of the nervous system
LCC:Medicine
Subject Terms: electroencephalography, emergency, first-seizure, mortality, status epilepticus, unprovoked seizure, Neurology. Diseases of the nervous system, RC346-429, Medicine
More Details: Objectives:Patients with seizures constitute 1%–2% of all emergency department (ED) admissions. The purpose of this study was to compare demographic and clinical characteristics and short-term mortality in patients with unprovoked first and recurrent seizures, admitted to the ED.Methods:This prospectively planned study was conducted in a university hospital ED between January and December, 2015, and included patients with unprovoked seizures. Demographic characteristics, neurological examination findings, etiological risk factors, seizure type, and frequency, electroencephalography and neuroimaging findings, hospitalization rate, duration of hospitalization, short-term mortality, and medical and family history data were recorded.Results:A total of 125 patients (62.4% male, n=78) with a mean age of 40.10±17.09 years (range, 18–86) were included in the study. The level of patients presenting due to first lifetime seizure was 23.2%. The short-term mortality rate in patients with status epilepticus (SE) was 7.69%. The most common finding at electroencephalography was interictal epileptic discharges.Conclusion:A careful evaluation of cases presenting due to first lifetime seizure and initiation of antiepileptic drug therapy in the early period will significantly reduce the risk of seizure recurrence and also prevent complications, such as SE that can even result in death.
Document Type: article
File Description: electronic resource
Language: English
ISSN: 2792-0550
Relation: http://archepilepsy.org/archives/archive-detail/article-preview/short-term-mortality-in-adult-patients-with-seizur/54884; https://doaj.org/toc/2792-0550
DOI: 10.14744/epilepsi.2018.47113
Access URL: https://doaj.org/article/c97a67508df74d9ea55b73fbeca2632e
Accession Number: edsdoj.97a67508df74d9ea55b73fbeca2632e
Database: Directory of Open Access Journals
More Details
ISSN:27920550
DOI:10.14744/epilepsi.2018.47113
Published in:Archives of Epilepsy
Language:English