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