Table 2.
After pediatric arterial ischemic stroke (N=114), unadjusted odds ratios and 95% confidence intervals for clinical factors associated with acute seizures (≤7 days post-stroke) and epilepsy at one-year (N=109 with one year follow-up).
Acute Seizures (N=58) | Epilepsy (N=11) | |||
---|---|---|---|---|
OR | P-value | OR | P-value | |
Demographics | ||||
Male | 0.8 (0.4–1.7) | 0.5 | 1.4 (0.4–5.2) | 0.6 |
North American | 0.6 (0.3–1.4) | 0.3 | 1.1 (0.3–4.5) | 0.9 |
Hispanic parent | 0.9 (0.3–2.2) | 0.7 | 1.0 (0.2–5.0) | 1 |
Neonatal stroke | 22 (4.9–99) | <0.001* | 1.2 (0.3–4.7) | 0.8 |
Years of age at stroke, median (IQR)† | 0.8 (0.7–0.9) | <0.001* | 0.7 (0.5–1.0) | 0.03* |
Stroke Risk Factors | ||||
Cardiac disease | 1.6 (0.7–3.7) | 0.3 | 0.6 (0.1–3.2) | 0.6 |
Arteriopathy | 0.2 (0.1–0.6) | 0.001* | 0.9 (0.2–3.6) | 0.9 |
Acute illness | 1.1 (0.5–2.3) | 0.9 | 2.8 (0.8–10) | 0.1 |
Underlying chronic disease | 0.7 (0.3–1.6) | 0.3 | 0.7 (0.1–3.5) | 0.7 |
Head trauma | 0.4 (0.1–2.0) | 0.2 | n/a | 1 |
Infarct Description | ||||
MCA territory | 2.8 (1.2–6.3) | 0.01* | 1.4 (0.3–5.4) | 0.7 |
ACA territory | 0.7 (0.2–2.1) | 0.5 | 1.6 (0.3–8.3) | 0.6 |
PCA territory | 0.7 (0.3–1.8) | 0.4 | 0.9 (0.2–4.6) | 0.9 |
Cortical location | 1.3 (0.5–3.2) | 0.6 | 2.3 (0.6–9.0) | 0.2 |
Multifocal | 1.2 (0.6–2.6) | 0.6 | 2.1 (0.6–7.4) | 0.3 |
Hemorrhage | 1.3 (0.3–6.1) | 0.7 | 1.9 (0.2–18) | 0.6 |
History of seizure before stroke | 4.1 (0.4–38) | 0.2 | n/a | 0.4 |
Acute seizure (any) | 11 (1.4–92) | 0.02* | ||
No acute seizure | Ref | 0.005‡ | ||
Single acute seizure | 6 (0.3–101) | 0.2 | ||
2–10 acute seizures | 7.7 (0.8–72) | 0.07 | ||
> 10 acute seizures | 31 (2.9–305) | 0.004* |
P ≤ 0.05.
Non-neonates.
P-value, test for trend across ordinal catgories. Abbreviations: OR = Odds ratio, CI= 95% confidence interval, IQR = interquartile range, MCA = middle cerebral artery, ACA = anterior cerebral artery, PCA = posterior cerebral artery