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Determinants of medication withdrawal strategy in the epilepsy monitoring unit Cover

Determinants of medication withdrawal strategy in the epilepsy monitoring unit

Open Access
|Dec 2018

Figures & Tables

Figure 1.

Remaining on medications was significantly associated with higher frequency of seizures per month compared to other groups (p = 0.00036).

Figure 2.

Time to first seizure by weaning technique: Cox regression used to calculate p-values comparing the seizure free proportion for weaning method to the others with adjustment for years of seizures and frequency of seizures per month.

Demographics

GenderMale 47 (49.5%)Female 48 (50.5%)
Type of epilepsyTemporal 49 (51.6%)Extra-temporal 46 (48.4%)
Length of stayMean 3.57 daysRange 3–16 days
AgeMean 43.3 yearsRange 21–85 years
Weaning strategyRemain on medicationsn = 6
Cutting dosesn = 12
Stop one by onen = 57
Abrupt cessationn = 20

Factors associated with time to first seizure: abrupt cessation of medications was used as a reference, this was compared to other withdrawal methods

Time to first seizureHazard ratio (95%CI)p-value
Years of seizures0.99 (0.98–1.01)0.42
Seizure frequency1.00 (0.99–1.00)0.38
Abrupt cessation1.0 (reference)
Cut doses1.67 (0.74–3.77)0.22
Stop one-by-one2.79 (1.53–5.09)0.00084
Remain on medications7.01 (2.46–20)0.00027
DOI: https://doi.org/10.21307/joepi-2018-006 | Journal eISSN: 2299-9728 | Journal ISSN: 2300-0147
Language: English
Page range: 15 - 19
Submitted on: Nov 5, 2018
Accepted on: Dec 14, 2018
Published on: Dec 18, 2018
In partnership with: Paradigm Publishing Services
Publication frequency: 2 issues per year

© 2018 Alendia Hartshorn, Yasser Shahrour, Angeline S. Andrew, Krzysztof Bujarski, published by The Foundation of Epileptology
This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 License.