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. Author manuscript; available in PMC: 2019 Mar 1.
Published in final edited form as: Acad Emerg Med. 2017 Nov 28;25(3):275–282. doi: 10.1111/acem.13341

Table 3.

Risk factors associated with 14-day seizure recurrence on bivariable analysis (N=366)*

Risk factor Risk of 14-day seizure recurrence if risk factor present Risk of 14-day recurrence if risk factor absent Relative Risk (95% CIs)

Age, n/N (%)
<12 months 21/74 (28.4%) 37/292 (12.7%) 2.2 (1.4, 3.6)**
<36 months 32/147 (21.8%) 26/219 (11.9%) 1.8 (1.1, 2.9)**

Male, n/N (%) 36/191 (18.8%) 22/175 (12.6%) 1.5 (0.9, 2.4)

Prior medical history, n/N (%)
Any CNS insult / abnormality predisposing to seizure*** 1/22 (4.5%) 57/344 (16.6%) 0.3 (0.04, 1.9)
Motor or language delay, cerebral palsy/mental retardation 1/15 (6.7%) 57/351 (16.2%) 0.4 (0.06, 2.8)
Prior febrile seizures 1/17 (5.9%) 50/298 (16.8%) 0.4 (0.05, 2.4)

Seizure specific history, n/N (%)
More than 1 seizure in prior 24 hours 17/69 (24.6%) 40/289 (13.8%) (1.1, 2.9)**
Longest seizure in prior 24 hours
 ≥5 min 10/73 (13.7%) 42/248 (16.9%) 0.8 (0.4, 1.5)
 ≥15 min 1/18 (5.6%) 51/303 (16.8%) 0.3 (0.05, 2.3)
Any focal aspect to seizure**** 23/126 (18.3%) 32/207 (15.5%) 1.2 (0.7, 1.9)
Asleep (fully) at seizure onset 7/45 (15.6%) 40/238 (16.8%) 0.9 (0.4, 1.9)

Neurologic examination, n/N (%)
 Abnormal mental status 9/62 (14.5%) 45/293 (15.4%) 0.9 (0.5, 1.8)
 Abnormal overall neurologic exam other than mental status 5/29 (17.2%) 48/320 (15.0%) 1.1 (0.5, 2.7)
 Any focal neurologic findings on exam 4/13 (30.8%) 53/349 (15.2%) 2.0 (0.9, 4.8)
*

Analysis based on high estimate for the 14-day seizure recurrence time point

**

p < 0.05 on bivariable analysis; no other variables in table with p < 0.1 on bivariable analysis

***

Defined as having a history of any of the following: birth injury, brain malformation, meningitis or encephalitis, post-natal head trauma requiring hospitalization, motor or language delay, cerebral palsy, mental retardation, or stroke.

****

Defined as motor aspect 1-sided or head or eyes turned to 1 side at any point

CNS – central nervous system