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. 2023 Sep 18;80(11):1155–1165. doi: 10.1001/jamaneurol.2023.3240

Table 1. Association of Mortality With Poststroke Seizures.

Serial No. Outcome measures PSS (event/total) No PSS (event/total) No. of studies OR (95% CI) I2, %
Main analysis
1 Primary analysis
PSS vs no PSS 7556/17 252 181 227/1 130 356 57 2.07 (1.76-2.44)a 86
Limit analysis by adjusting for small study effect
PSS vs no PSS 7556/17 252 181 227/1 130 356 57 2.19 (1.71-2.82)a 86
Outlier analysis (by removing eight outlier studies)
PSS vs no PSS 6560/13 789 70 779/295 019 49 2.11 (1.87-2.39)a 59
Subgroup analyses
2 Seizure types
Early seizure 474/1524 7862/42 910 30 2.35 (1.88-2.92)a 53
Late seizure 4461/8136 41 275/99 884 9 1.24 (0.76-2.00) 58
3 Risk of bias
Low 1541/3101 12 402/48 238 26 2.18 (1.72-2.77)a 63
Moderate 5969/13 951 168 753/1 080 126 26 1.89 (1.47-2.43)a 91
High 46/200 122/1992 5 2.70 (0.97-7.57) 64
4 ICD-10 codes
No ICD-10 codes 1320/4319 26 499/183 021 49 2.09 (1.74-2.52)a 60
ICD-10 codes 6236/12 933 154 778/947 335 8 1.97 (1.28-3.03)a 97
5 Stroke subtypes
Ischemic stroke 1138/4227 93 426/879 801 23 2.23 (1.82-2.74)a 76
Hemorrhagic stroke 817/2548 40 659/123 464 15 1.35 (1.01-1.82)a 85
Early and late seizures after ischemic stroke
Early PISS vs no PISS 172/564 4090/22 828 12 2.41 (1.81-3.20)a 34
Late PISS vs no PISS 32/49 404/528 2 0.66 (0.27-1.61) 0
Early and late seizures after hemorrhagic stroke
Early PHSS vs no PHSS 95/251 938/3328 4 1.55 (0.71-3.40) 86
Late PHSS vs no PHSS 143/278 908/1827 3 1.23 (0.88-1.73) 34
6 Status epilepticus
PSSE vs no PSSE 589/1879 106 786/821 302 7 2.54 (1.67-3.84)a 34

Abbreviations: ICD-10, International Statistical Classification of Diseases and Related Health Problems, Tenth Edition; OR, odds ratio; PHSS, posthemorrhagic stroke seizure; PISS, postischemic stroke seizure; PSS, poststroke seizure; PSSE, poststroke status epilepticus.

a

P < .05.