Factors associated with poor discharge status in patients with status epilepticus at Khon Kaen hospital

Factors associated with poor discharge status in patients with status epilepticus at Khon Kaen hospital

Piyawan Chiewthanakul,1 Parinya Noppaklao,2 Kittisak Sawanyawisuth,3,4 Somsak Tiamkao3,5 1Department of Medicine, Khon Kaen Hospital, Khon Kaen, Thailand; 2Department of Medicine, Faculty of Medicine, Khon Kaen University, Khon Kaen, Thailand; 3Department of Medicine, Faculty of Medicine, Khon Kaen...

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Autores principales: Chiewthanakul P, Noppaklao P, Sawanyawisuth K, Tiamkao S
Formato: article
Lenguaje:EN
Publicado: Dove Medical Press 2015
Materias:
Neurosciences. Biological psychiatry. Neuropsychiatry
RC321-571
Neurology. Diseases of the nervous system
RC346-429
Acceso en línea:https://doaj.org/article/9bbe3b2d6e214042b9ce709c348f8be9
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spelling oai:doaj.org-article:9bbe3b2d6e214042b9ce709c348f8be92021-12-02T04:55:55ZFactors associated with poor discharge status in patients with status epilepticus at Khon Kaen hospital1178-2021https://doaj.org/article/9bbe3b2d6e214042b9ce709c348f8be92015-04-01T00:00:00Zhttp://www.dovepress.com/factors-associated-with-poor-discharge-status-in-patients-with-status--peer-reviewed-article-NDThttps://doaj.org/toc/1178-2021Piyawan Chiewthanakul,1 Parinya Noppaklao,2 Kittisak Sawanyawisuth,3,4 Somsak Tiamkao3,5 1Department of Medicine, Khon Kaen Hospital, Khon Kaen, Thailand; 2Department of Medicine, Faculty of Medicine, Khon Kaen University, Khon Kaen, Thailand; 3Department of Medicine, Faculty of Medicine, Khon Kaen University, Khon Kaen, Thailand; 4Research Center in Back, Neck, Other Joint Pain and Human Performance (BNOJPH), Khon Kaen University, Khon Kaen, Thailand; 5Integrated Epilepsy Research Group, Khon Kaen University, Khon Kaen, Thailand Background: Status epilepticus (SE) is a serious neurological condition and has high a mortality rate. Data on importance of factors associated with poor outcomes in Asian or Thai populations are limited.Methods: Adult patients diagnosed as SE at Khon Kaen hospital, Thailand from October 1, 2010 to September 30, 2012 were enrolled. Patients were categorized as good or poor outcomes at discharge. Good outcomes were defined by improvement at discharge and absence of neurological deficits, while poor outcomes were defined by: not being improved at discharge; being discharged against advice; death; or presence of a neurological deficit. Clinical factors were compared between both groups.Results: During the study period, there were 211 patients diagnosed as SE. Of those, 130 patients were male (61.61%). The mean age of all patients was 53.28 years. Acute stroke was the most common cause of SE in 33 patients (15.64%). At discharge, there were 91 patients (43.13%) who had poor outcomes. Only initial plasma glucose levels were significantly associated with poor outcomes with an adjusted odds ratio of 1.012 (95% confidence interval of 1.003 and 1.021). Conclusion: Initial plasma glucose is associated with poor discharge status in patients with SE. Keywords: hyperglycemia, outcomes, prognosis, risk factorsChiewthanakul PNoppaklao PSawanyawisuth KTiamkao SDove Medical PressarticleNeurosciences. Biological psychiatry. NeuropsychiatryRC321-571Neurology. Diseases of the nervous systemRC346-429ENNeuropsychiatric Disease and Treatment, Vol 2015, Iss default, Pp 1097-1101 (2015)
institution DOAJ
collection DOAJ
language EN
topic Neurosciences. Biological psychiatry. Neuropsychiatry
RC321-571
Neurology. Diseases of the nervous system
RC346-429
spellingShingle Neurosciences. Biological psychiatry. Neuropsychiatry
RC321-571
Neurology. Diseases of the nervous system
RC346-429
Chiewthanakul P
Noppaklao P
Sawanyawisuth K
Tiamkao S
Factors associated with poor discharge status in patients with status epilepticus at Khon Kaen hospital
description Piyawan Chiewthanakul,1 Parinya Noppaklao,2 Kittisak Sawanyawisuth,3,4 Somsak Tiamkao3,5 1Department of Medicine, Khon Kaen Hospital, Khon Kaen, Thailand; 2Department of Medicine, Faculty of Medicine, Khon Kaen University, Khon Kaen, Thailand; 3Department of Medicine, Faculty of Medicine, Khon Kaen University, Khon Kaen, Thailand; 4Research Center in Back, Neck, Other Joint Pain and Human Performance (BNOJPH), Khon Kaen University, Khon Kaen, Thailand; 5Integrated Epilepsy Research Group, Khon Kaen University, Khon Kaen, Thailand Background: Status epilepticus (SE) is a serious neurological condition and has high a mortality rate. Data on importance of factors associated with poor outcomes in Asian or Thai populations are limited.Methods: Adult patients diagnosed as SE at Khon Kaen hospital, Thailand from October 1, 2010 to September 30, 2012 were enrolled. Patients were categorized as good or poor outcomes at discharge. Good outcomes were defined by improvement at discharge and absence of neurological deficits, while poor outcomes were defined by: not being improved at discharge; being discharged against advice; death; or presence of a neurological deficit. Clinical factors were compared between both groups.Results: During the study period, there were 211 patients diagnosed as SE. Of those, 130 patients were male (61.61%). The mean age of all patients was 53.28 years. Acute stroke was the most common cause of SE in 33 patients (15.64%). At discharge, there were 91 patients (43.13%) who had poor outcomes. Only initial plasma glucose levels were significantly associated with poor outcomes with an adjusted odds ratio of 1.012 (95% confidence interval of 1.003 and 1.021). Conclusion: Initial plasma glucose is associated with poor discharge status in patients with SE. Keywords: hyperglycemia, outcomes, prognosis, risk factors
format article
author Chiewthanakul P
Noppaklao P
Sawanyawisuth K
Tiamkao S
author_facet Chiewthanakul P
Noppaklao P
Sawanyawisuth K
Tiamkao S
author_sort Chiewthanakul P
title Factors associated with poor discharge status in patients with status epilepticus at Khon Kaen hospital
title_short Factors associated with poor discharge status in patients with status epilepticus at Khon Kaen hospital
title_full Factors associated with poor discharge status in patients with status epilepticus at Khon Kaen hospital
title_fullStr Factors associated with poor discharge status in patients with status epilepticus at Khon Kaen hospital
title_full_unstemmed Factors associated with poor discharge status in patients with status epilepticus at Khon Kaen hospital
title_sort factors associated with poor discharge status in patients with status epilepticus at khon kaen hospital
publisher Dove Medical Press
publishDate 2015
url https://doaj.org/article/9bbe3b2d6e214042b9ce709c348f8be9
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AT sawanyawisuthk factorsassociatedwithpoordischargestatusinpatientswithstatusepilepticusatkhonkaennbsphospital
AT tiamkaos factorsassociatedwithpoordischargestatusinpatientswithstatusepilepticusatkhonkaennbsphospital
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