Portal de Periódicos da CAPES

Atención de pacientes adultos con crisis epilépticas en servicios de urgencias (Registro ACESUR). Diferencias en función de la edad ≥ 75 años

2019; Elsevier BV; Volume: 54; Issue: 4 Linguagem: Inglês

10.1016/j.regg.2019.02.003

1578-1747

Cesáreo Fernández Alonso, Raúl Alonso Avilés, Manuel Liñán López, Félix González Martínez, Manuel Fuentes, Gregorio Jimenez Díaz, Esther Najera, Juan Esteban García Loaiza, Laila Belén Zuabi García, Lorena Castro Arias, Miguel Benito Lozano, Otilia Rodríguez Maroto, Ramón Rodriguez Borrego, Susana Martínez Álvarez, Belén Gros Bañeres, Juan Mariano Aguilar Mulet, Rodolfo Romero Pareja, Pascual Piñera, Ariel Ruben Lindo Noriego, Navid Behzadi Koochani, María Sánchez Pérez, M. Navarro, Keila Llano Hernández, Carlos del Pozo Vega, Sonia del Amo Diego, Susana de Francisco Andrés, Andres Pineda Martinez, Araceli Molina Medina, Luis Miguel Prieto Gañan, Beatriz Martínez Villena, Catuxa Vaamonde Paniagua, M. Isabel Carrasco Rodriguez, Roberto Ibáñez, Carlos Alonso Blas, Aitor Dávila Martiarena, Félix Domingo Serrano, M. Mercedes Fernández Escribano, Pilar Lozano García, Joana Ribas Estarellas, N. Herrera, Margarita Juan Juan, Alicia Paloma García Marín, Eva Muro Fernández de Pinedo, M. Agustina Jurado Sánchez, Natalia Viera Rodriguez, Marta García-Talavera, Mercedes Casanueva Gutierrez, M. Sánchez, Blanca Gonzalez Garcia, Isabel Corbacho Cambero, Agustín Gómez Prieto, Javier Naranjo Armenteros, Julio Cobo Mora, Eva Muriel Patiño, Ana Herrer Castejón, Cristina Santiago Poveda, Elvira Contreras Murillo, F. J. Santos, Virginia Álvarez Rodríguez, Marta Merlo Loranca, Victoria Olalla Martín, Blanca Villa Zamora, Esther Arjona Jiménez, G.G. Fuentes, Laura Gabriela Chaves Ramírez, Juan Luis Sánchez Rocamora, Belén Muñoz Isabel, Manuel José González León, Antonio Sánchez Ortega,

Emergency and Acute Care Studies

To determine whether there are differences in the profile and in the care of adult patients with epileptic seizures in emergency department according to age ≥75 years, and if this is independently associated with results in the emergency department and 30 days after discharge.ACESUR is a multicentre, prospective, observational cohort multipurpose register that was carried out in 2017. The distribution of the variables corresponding to the clinical presentation and care according to age ≥75 years were compared. Subsequently, logistic regression models were performed with the objective of evaluating the effect of age ≥75 years on the outcome variables.A total of 541 (81.5%) cases younger than 75 years were analysed compared to 123 adult patients (18.5%) of ≥75 years or more. In the group of long-lived it was observed significantly greater probability of dependence, co-morbidity, polypharmacy, a previous visit to the hospital emergency department, arrived by ambulance, first seizures and a symptomatic aetiopathogenic classification. In the multivariate analysis, after adjusting for the above variables, it is observed that age >75 years is associated independently with a higher incidence of specific supplementary tests (OR: 2.31; 95% CI: 1.21-4.44), but not pharmacological intervention (OR: 1.63; 95% CI: 0.96-2.80), or hospitalisation or extended stay in emergency departments (OR: 1.56; 95% CI: 0.94-2.59). On adjusting for all previous variables, age >75 years is associated with lower incidence of adverse events at 30 days (OR: 0.43; 95% CI: 0.25-0.77).In the ACESUR Registry, differences in clinical presentation and in the care of patients with seizures in emergency departments were identified when comparing those patients >75 years with those <75 years. Age ≥75 years is not independently associated with a higher incidence of intervention in emergency departments, or with more adverse outcomes at 30 days after discharge.