The Effect of Pre-existing Seizure Disorders on Mortality and Hospital Length of Stay Following Burn Injury

被引:8
作者
Atwell, Kenisha [1 ]
Bartley, Colleen [1 ]
Cairns, Bruce [1 ]
Charles, Anthony [1 ]
机构
[1] Univ N Carolina, Dept Surg, Chapel Hill, NC 27515 USA
关键词
UNITED-STATES; ANTIEPILEPTIC DRUGS; EPILEPSY; COST; NONADHERENCE; ASSOCIATION; PREVALENCE; PEOPLE; CARE; RISK;
D O I
10.1093/jbcr/irz141
中图分类号
R4 [临床医学];
学科分类号
1002 ; 100602 ;
摘要
Patients with a seizure disorder have a higher incidence of burn injury; however, there are limited studies that examine the association between pre-existing seizure disorders (PSD) and burn outcomes. This is a retrospective study of admitted burn patients. Variables analyzed include patient demographics, clinical characteristics, associated PSD, hospital length of stay (LOS), and mortality. Multivariate logistic regression was performed to analyze the impact of PSD on burn mortality and LOS. Seven thousand six hundred and forty patients met the inclusion criteria and 1.31% (n = 100) patients had a PSD. There was no difference in mortality rate between patients with or without PSD (odds ratio [OR] = 2.28, 95% confidence interval [CI] = 0.87 to 5.93). Multivariate logistic regression showed that patients with PSD had significantly increased odds of longer hospital LOS (OR = 2.85, 95% CI = 1.73 to 4.67). Seizure disorder management is mandatory in reducing burn injury and decreasing the costs associated with increased hospital LOS.
引用
收藏
页码:979 / 982
页数:4
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