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.
P < .05.