Table 3.
Overall seizure risk by clinical characteristic
Univariate | Adjusteda | |||
---|---|---|---|---|
Characteristic | OR; 95%CIb | p value | OR; 95%CIb | p value |
Baseline | ||||
Agec | 1.02;0.99–1.05 | 0.09 | 1.02;0.98–1.05 | 0.27 |
Female | 1.29;0.62–2.66 | 0.48 | 1.35;0.63–2.89 | 0.44 |
Aneurysmal SAH etiology | 1.92;0.57–6.52 | 0.30 | 1.79;0.51–6.04 | 0.36 |
Aneurysm location, anterior vs. posterior circ. | 1.15;0.93–1.42 | 0.19 | 1.16;0.93–1.44 | 0.18 |
Severe Hunt-Hess scored | 2.24;1.54–3.24 | 0.01 | 2.78;1.27–6.09 | 0.01 |
Severe SAH burdene | 4.41;1.03–18.9 | 0.04 | 2.79;0.63–12.4 | 0.18 |
Intraparenchymal hemorrhage | 1.62;0.74–3.57 | 0.22 | 0.81;0.33–2.01 | 0.64 |
Intraventricular hemorrhage | 2.40;1.15–5.03 | 0.02 | 3.27;1.40–7.67 | 0.01 |
Acute Hydrocephalus | 1.67;0.79–3.49 | 0.17 | 1.33;0.61–2.94 | 0.48 |
Treatment period, no prophylactic AEDsf | 0.86;0.43–1.75 | 0.68 | 0.95; 0.42–2.11 | 0.89 |
Aneurysm treatment | ||||
Aneursym clipping | 1.15;0.52–2.57 | 0.73 | 1.20;0.51–2.81 | 0.68 |
Seizure prophylaxis | ||||
AED administration | 0.70;0.33–1.46 | 0.34 | 0.58;0.25–1.32 | 0.25 |
AED duration | 1.01;0.93–1.10 | 0.85 | 1.02;0.93–1.13 | 0.56 |
Adjustment for neurologic grade on admission, cisternal SAH burden, and intraventricular hemorrhage;
Significant predictors (p≤0.05) are reported as odds ratio & 95% confidence intervals;
Wilcoxon-Mann-Whitney test;
Admission Hunt-Hess score >3;
>1mm hemorrhage in all basal cisterns on contiguous CT slices;
Treatment period before versus after protocol change to no prophylactic AEDs.