Abstract

GRAUS-TEJEDA, Juan M et al. Clinical and epidemiological factors related with mortality in patients with status epilepticus in a general hospital in Lima: a comparative case series. Rev Neuropsiquiatr [online]. 2016, vol.79, n.4, pp.207-215. ISSN 0034-8597.  http://dx.doi.org/10.20453/rnp.v79i4.2975.

Objectives: The goal of this study is to compare, among two groups of patients, a series of clinical-epidemiological factors related to mortality: age, sex, comorbidity, type of status epilepticus and use of mechanical ventilation. Material and Methods: The study was carried out in the Hospital Cayetano Heredia from January 2012 to December 2014. It includes 94 patients with status epilepticus admitted during the established period. The study compared data from the survivors against data from the deceased. Information from medical records was collected in a Data Sheet to elaborate a data bank. Results: In-hospital mortality was 8.51%. The mean of age was 41,8 años. The main etiologies found were idiopathic epilepsy (28.72%), neurocysticercosis (14.89%) and cerebrovascular disease (14.89%). It was found that 19.5% of patients had discontinued antiepileptic treatment. Bivariate analysis showed, for in-hospital lethality, a significant relationship (p<0.05) with a high Charlson Index and the use of mechanical ventilation. Conclusions: The presence of comorbidities and the use of mechanical ventilation are significantly related with in-hospital mortality in patients with status epilepticus.

Keywords : Status epilepticus; mortality; comorbidity; neurocysticercosis; artificial respiration.

        · abstract in Spanish     · text in Spanish     · Spanish ( pdf )