Outcomes of Status Epilepticus in the Elderly
Background: Status epilepticus (SE) is a serious medical condition associated with significant morbidity and mortality. Few studies have addressed this condition in the elderly. The present study examines predictors of SE mortality in this growing population.Methods: SE patients visiting the Virgini...
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2007
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ndltd-vcu.edu-oai-scholarscompass.vcu.edu-etd-24152017-03-17T08:31:39Z Outcomes of Status Epilepticus in the Elderly Towne, Alan R. Background: Status epilepticus (SE) is a serious medical condition associated with significant morbidity and mortality. Few studies have addressed this condition in the elderly. The present study examines predictors of SE mortality in this growing population.Methods: SE patients visiting the Virginia Commonwealth University Medical Center from July 1, 1989, to June 30,2006 were included in the study. Data on demographic characteristics, SE type, etiology, time to treatment and mortality were collected. Logistic regression analysis was conducted to examine the determinants of mortality due to SE. Data was stratified by age to examine the characteristics of SE among the elderly population.Results: A total of 2,220 SE patients were included in this study. One-third of the patient population were elderly (>60 years). Mortality in the elderly group was significantly higher than in the young group (OR=3.54 CI 2.53-4.95). The logistic regression model showed that being white, female, having hypoxia, CNS acute, non-CNS acute and remote etiology groups were significant predictors for mortality in the elderly.Conclusions: SE is a serious medical condition, consisting of prolonged seizure activity, associated with a significant mortality. Elderly patients with SE represent a distinct population with unique characteristics. 2007-01-01T08:00:00Z text application/pdf http://scholarscompass.vcu.edu/etd/1416 http://scholarscompass.vcu.edu/cgi/viewcontent.cgi?article=2415&context=etd © The Author Theses and Dissertations VCU Scholars Compass stroke epileptic treatment convulsion epilepsy seizure Epidemiology Medicine and Health Sciences Public Health |
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stroke epileptic treatment convulsion epilepsy seizure Epidemiology Medicine and Health Sciences Public Health |
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stroke epileptic treatment convulsion epilepsy seizure Epidemiology Medicine and Health Sciences Public Health Towne, Alan R. Outcomes of Status Epilepticus in the Elderly |
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Background: Status epilepticus (SE) is a serious medical condition associated with significant morbidity and mortality. Few studies have addressed this condition in the elderly. The present study examines predictors of SE mortality in this growing population.Methods: SE patients visiting the Virginia Commonwealth University Medical Center from July 1, 1989, to June 30,2006 were included in the study. Data on demographic characteristics, SE type, etiology, time to treatment and mortality were collected. Logistic regression analysis was conducted to examine the determinants of mortality due to SE. Data was stratified by age to examine the characteristics of SE among the elderly population.Results: A total of 2,220 SE patients were included in this study. One-third of the patient population were elderly (>60 years). Mortality in the elderly group was significantly higher than in the young group (OR=3.54 CI 2.53-4.95). The logistic regression model showed that being white, female, having hypoxia, CNS acute, non-CNS acute and remote etiology groups were significant predictors for mortality in the elderly.Conclusions: SE is a serious medical condition, consisting of prolonged seizure activity, associated with a significant mortality. Elderly patients with SE represent a distinct population with unique characteristics. |
author |
Towne, Alan R. |
author_facet |
Towne, Alan R. |
author_sort |
Towne, Alan R. |
title |
Outcomes of Status Epilepticus in the Elderly |
title_short |
Outcomes of Status Epilepticus in the Elderly |
title_full |
Outcomes of Status Epilepticus in the Elderly |
title_fullStr |
Outcomes of Status Epilepticus in the Elderly |
title_full_unstemmed |
Outcomes of Status Epilepticus in the Elderly |
title_sort |
outcomes of status epilepticus in the elderly |
publisher |
VCU Scholars Compass |
publishDate |
2007 |
url |
http://scholarscompass.vcu.edu/etd/1416 http://scholarscompass.vcu.edu/cgi/viewcontent.cgi?article=2415&context=etd |
work_keys_str_mv |
AT townealanr outcomesofstatusepilepticusintheelderly |
_version_ |
1718428855899783168 |