Functional disability and related factor in status epilepticus: a preliminary study
Abstract number :
2.212
Submission category :
4. Clinical Epilepsy / 4D. Prognosis
Year :
2017
Submission ID :
349539
Source :
www.aesnet.org
Presentation date :
12/3/2017 3:07:12 PM
Published date :
Nov 20, 2017, 11:02 AM
Authors :
Jong-Geun Seo, School of Medicine, Kyungpook National University
Rationale: Status epilepticus may cause severe functional disability and is related with high mortality rate. The aims of this study were to investigate functional disability and related factor in status epilepticus. Methods: This was a retrospective study. Patients who admit to the hospital, a single tertiary referral center since March 2014 were included in this study. Demographics, clinical characteristics, the Status Epilepticus Severity Score (STESS), and the Modified Rankin Scale (MRS) at prior to admission and at discharge were recorded. The STESS is a clinical prognostic score to predict survival in status epilepticus and patients with a low score have a good prognosis for survival. The MRS was used as a functional outcome measure at discharge. Results: Thirty patients constituted the final group for analysis. Mean age was 64.0 ± 15.7 years (range 20–85) and 18 patients (60%) was convulsive status epilepticus. Patients with symptomatic etiology was 20 (66.7%) and structural abnormality was 18 (60%). At discharge, the MRS was increased in cases of 14 (46.7%) and patients who dead in hospital was 4 (13.3%). Among clinical variables, symptomatic etiology was only associated with functional disability at discharge (p=0.025). Conclusions: Patients with symptomatic etiology was related with poor prognosis in status epilepticus. Further large prospective study is needed to identify factors related to functional outcome in status epilepticus. Funding: This research reveived no specific grant from any funding agency in the public, commercial, or not-for-profit sectors.
Clinical Epilepsy