With your elevated rate of seizures and epilepsy post stroke, is your doctor prepared to prevent bad occurrences?
10% seizures post stroke (19 posts to April 2017)
5% epileptic seizures after stroke (10 posts to April 2021)
epileptic seizures (6 posts to December 2015)
post-stroke epilepsy (7 posts to December 2016)
Elevated Mortality Rate in Patients With Functional Seizures After Diagnosis and Referral
Abstract
Background and Objectives
To
evaluate the standardized mortality ratio (SMR) of patients in the
United States referred to a multidisciplinary clinic for treatment of
functional seizures.
Methods
We
identified patients who had or had not died based on automated
retrospective review of electronic health records from a registry of
patients referred to a single-center multidisciplinary functional
seizures treatment clinic. We calculated an SMR by comparing the number
of observed deaths with the expected number of deaths in an age-matched,
sex-matched, and race-matched population within the same state, and
year records were available.
Results
A
total of 700 patients with functional seizures (mean age 37 years, 78%
female) were followed up for 1,329 patient-years for a median of 15
months per patient (interquartile range 6–37 months). We observed 11
deaths, corresponding to a mortality rate of 8.2 per 1,000 patient-years
and an SMR of 2.4 (95% confidence interval: 1.17–4.22). Five of 9
patients with identified circumstances around their death were in
hospice care when they passed. None of the identified causes of death
were related to seizures directly.
Discussion
These
data provide further evidence of elevated mortality in functional
seizures soon after diagnosis and referral to treatment. These data from
the decentralized health care system of the United States build on the
findings from other countries with large-scale health registries.
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