Determinants of mortality in status epilepticus

Epilepsia. Jan-Feb 1994;35(1):27-34. doi: 10.1111/j.1528-1157.1994.tb02908.x.

Abstract

Using univariate and multivariate regression analysis, we studied seizure duration, seizure type, age, etiologies, other clinical features, and mortality among 253 adults with status epilepticus (SE) admitted to the Medical College of Virginia. Cerebral vascular disease and discontinuation of antiepileptic drugs (AEDs) were the most prominent causes of SE, each accounting for approximately 22% of all patients in the series. The other principle etiologies were alcohol withdrawal, idiopathic, anoxia, metabolic disorders, hemorrhage, infection, tumor, drug overdose, and trauma. When the patients were divided into two groups, the group with SE lasting < 1 h had a lower mortality as compared with seizure duration > or = 1 h. Low mortality rates were noted in alcohol and AED discontinuation etiologies. Anoxia and increasing age were significantly correlated with higher mortality. The mortality rates of partial and generalized SE were not significantly different. Race and sex did not affect mortality significantly. Our findings represent the first multivariate analysis of predictive indicators of mortality in SE and demonstrate that specific factors influence mortality rate in SE.

Publication types

  • Research Support, Non-U.S. Gov't
  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Adolescent
  • Adult
  • Age Factors
  • Alcoholism / complications
  • Anticonvulsants / adverse effects
  • Ethanol / adverse effects
  • Female
  • Humans
  • Male
  • Middle Aged
  • Probability
  • Regression Analysis
  • Status Epilepticus / chemically induced
  • Status Epilepticus / etiology
  • Status Epilepticus / mortality*
  • Substance Withdrawal Syndrome / etiology
  • Substance Withdrawal Syndrome / mortality

Substances

  • Anticonvulsants
  • Ethanol