Abstract
BackgroundThis study aimed to investigate the association between nutritional characteristics in patients with refractory convulsive status epilepticus.MethodsWe retrospectively enrolled 73 patients with refractory convulsive status epilepticus over 18 years of age at the West China Hospital between January 2017 and May 2019. All patients met the 2016 International League Against Epilepsy diagnostic criteria for refractory convulsive status epilepticus. A logistic regression model was used to evaluate the association between malnutrition and refractory convulsive status epilepticus.ResultsOf the 73 patients with refractory convulsive status epilepticus, 33 (45.21 %) suffered from malnutrition during hospitalization, and duration of hospitalization in days (OR = 1.251; 95 % CI,–1.067–1.384; P = 0.007), nasal feeding (OR = 22.623; 95 % CI: 1.091-286.899; P = 0.013), and malnutrition on admission (OR = 30.760; 95 % CI: 1.064–89.797; P = 0.046) were significantly associated with malnutrition in patients with refractory convulsive status epilepticus.ConclusionsMalnutrition is a common complication during hospitalization in patients with refractory convulsive status epilepticus. The duration of hospitalization (days), nasal feeding, and malnutrition at admission are associated with malnutrition in patients with refractory convulsive status epilepticus. Further longitudinal studies are needed to identify the relationship between refractory convulsive status epilepticus and adverse outcomes.
Highlights
This study aimed to investigate the association between nutritional characteristics in patients with refractory convulsive status epilepticus
Yu and Ling BMC Neurology (2021) 21:344 support, various nutritional parameters remain on a downward trend, and this undernutrition could be associated with the poor prognosis of patients [7,8,9,10,11]
All refractory convulsive status epilepticus (RCSE) patients were treated in accordance with the American Epilepsy Society (AES) 2016 Status Epilepticus Guidelines [14]
Summary
This study aimed to investigate the association between nutritional characteristics in patients with refractory convulsive status epilepticus. Its main feature is continuous epileptic seizures, with high disability and death rates, while refractory convulsive status epilepticus (RCSE) has higher complication and mortality rates [2, 4, 5]. Yu and Ling BMC Neurology (2021) 21:344 support, various nutritional parameters remain on a downward trend, and this undernutrition could be associated with the poor prognosis of patients [7,8,9,10,11]. Malnutrition in patients with RCSE during hospitalization has not yet been reported. This study aimed to explore the association and prognosis of nutritional characteristics in patients with RCSE during hospitalization to develop strategies and purposeful early interventions and to improve the prognosis of these patients
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