Seizure Risk in Patients Undergoing 30-Day Readmission After Continuous EEG Monitoring

Purpose: The use of continuous electroencephalographic (cEEG) monitoring has improved the understanding of the seizure risk during acute hospitalization. However, the immediate posthospitalization seizure risk in these patients remains unknown. Patients undergoing 30-day readmission after initial cEEG monitoring were analyzed to fill this knowledge gap. Methods: A prospectively maintained cEEG database (January 1, 2015–December 31, 2015) was used to identify adults who underwent a repeat cEEG during their 30-day readmission after cEEG during their index hospitalization (index cEEG). Various demographical, clinical, and cEEG variables were extracted including indication for cEEG: altered mental status and clinical seizure-like events. Results: A total of 57 of the 2,485 (2.3%) adults undergoing index cEEG during the study period had concerns for seizures and underwent repeat cEEG during a 30-day readmission. These patients were almost three times more likely to have suffered electrographic seizure on the index admission (odds ratio, 2.82; 95% confidence interval, 1.54–5.15; P
Source: Journal of Clinical Neurophysiology - Category: Neurology Tags: Original Research Source Type: research