Abstract
AimThis study was aimed to analyze the predictors of in-hospital mortality in epilepsy and epileptic seizures in the elderly population of the rural regions of North India. Methods250 hospitalized elderly (≥60 years of age) were evaluated for predictors of in- hospital mortality who presented with epilepsy or epileptic seizures during the study period from July 2017 to September 2019. ResultsThe mean age of the study population was 67.2 ± 7.7 years, among them, 49.2 % (123) cases were of convulsive status epilepticus (CSE), 37.6 % (94) cases were of acute symptomatic seizures and 13.2 % (33) cases were of epilepsy. The most common etiology was a stroke in 58 % of cases. In -hospital mortality was 21.6 % and the variables significantly related with mortality on multivariate analysis were: cases with age more than 70 years (odds ratio(OR) = 2.76, 95 % confidence interval (CI) = 1.24−6.12; p = 0.013), cases with new onset CSE (NOCSE) (OR = 15.24, 95 % CI = 3.13–73.92; p = 0.001), duration of hospital stay more than ≥5 days (OR = 2.27, 95 % CI = 1.03−4.99; p = 0.042). ConclusionsThe predictors of in-hospital mortality in the elderly were related to age more than 70 years, NOCSE, longer duration of hospital stay.
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