CONVULSIVE STATUS EPILEPTICUS

TO DETERMINE THE IN HOSPITAL MORTALITY

Abstract

Objectives: To determine the in hospital mortality of convulsive status epilepticus
in a tertiary care facility. Study Design: Cross sectional study. Place and Duration of Study:
Neurology ward, Jinnah Postgraduate Medical Centre, Karachi, Medicine Department of
Peoples University Of Medical And Health Sciences Nawabshah from July 2015- Dec 2015.
Material and Methods: All patients of either gender with age >15 years with status epilepticus,
were included in the study. A detailed clinical history and relevant neurological examination
was performed. All the patients who fulfill the inclusion criteria were enrolled in the study after
informed written consent and explanation of the study protocol. All the information including in
hospital mortality was entered on annexed proforma. All the patients were observed three to five
days. Results: A total of 108 patients were included in this study fulfilling the inclusion criteria.
The overall mean age of these patients was 31.3 ± 13.5 years. The age range of these patients
was 16 to 76 years. History of epilepsy was found in 106 (93.5%) of the patients, 88 (81.5%) of
the patients had status epilepticus in past, 56 (51.9%) of the patients had drug withdrawal, 20
(18.5%) of the patients had febrile illness and 2 (1.9%) of the patients had in hospital mortality.
There was no statistical significance proportion difference was observed when compared
gender, history of epilepsy and status of epilepticus in past by in hospital mortality (p-values
>0.05). Statistical significance proportion difference (p-value <0.05) was found in age and in
hospital mortality. Conclusion: We recommend further studies to reach the firm conclusion.