8. The impact of comorbidity on seizure severity in elderly patients
| Autor: | Madihah Alhubayshi, Salah Al Baz |
|---|---|
| Rok vydání: | 2018 |
| Předmět: |
Selection bias
medicine.medical_specialty education.field_of_study business.industry media_common.quotation_subject Medical record Population macromolecular substances medicine.disease Severe epilepsy Comorbidity Sensory Systems Epilepsy Neurology Physiology (medical) Internal medicine Diabetes mellitus Medicine Neurology (clinical) business education Dyslipidemia media_common |
| Zdroj: | Clinical Neurophysiology. 129:e47 |
| ISSN: | 1388-2457 |
| DOI: | 10.1016/j.clinph.2018.03.034 |
| Popis: | Objective To evaluate the effect of the presence of comorbidities on the severity of seizures among elderly patients in Saudi Arabia KFSH&RC. Methods We retrospectively reviewed the medical records of patients who are 60 years old and above at KFSH&RC, in Riyadh, KSA between 1990 and 2014 with epilepsy and systemic illness (diabetes, hypertensive, metabolic disease and CVD). Results 78 epilepsy patients were studied where in 22.4% (17) patients of our population have mild form of epilepsy and 13.1% (10) patients have a moderate severity of epilepsy, while half of them 51% (39) classified as severe epilepsy, this ratio probably due to selection bias. There was a significant correlation found between the severity of seizures and a presence of comorbidities in the majority of our population. Those with severe epilepsy, around 88% (33), complained of comorbid diseases, and 66% (24) suffer from vascular comorbidities. Conclusion There was significant influence of comorbidities on severity of epilepsy and epilepsy control in the elderly. This indicates a positive correlation between vascular comorbidities and severity of epilepsy, which indicate the importance of controlling risk factors (HTN, dyslipidemia, DM, CVD). This may have a significant role in reducing the severity of epilepsy in our population. |
| Databáze: | OpenAIRE |
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