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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).
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.
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
Published by: The Foundation of Epileptology
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.