{"id":1278,"date":"2021-03-15T15:00:00","date_gmt":"2021-03-15T18:00:00","guid":{"rendered":"http:\/\/pressreleases.scielo.org\/en\/?p=1278"},"modified":"2023-03-28T13:09:57","modified_gmt":"2023-03-28T16:09:57","slug":"what-causes-a-longer-stay-in-the-hospital-for-elderly-with-epilepsy","status":"publish","type":"post","link":"https:\/\/pressreleases.scielo.org\/en\/2021\/03\/15\/what-causes-a-longer-stay-in-the-hospital-for-elderly-with-epilepsy\/","title":{"rendered":"What causes a longer stay in the hospital for elderly with epilepsy?"},"content":{"rendered":"

Fernando Spina Tensini, M.D., Ph.D. Universidade Federal do Paran\u00e1, CHC, Curitiba PR, Brasil.<\/strong><\/p>\n

\"\"<\/a> Dr. Aroldo Bacellar et al.<\/em> conducted this prospective study at Hospital San Rafael, in Salvador, Bahia, entitled \u201cPredictors of long length of hospital stay among elders admitted with seizures in a tertiary center: a prospective study<\/a>\u201d, and aimed to answer which are predictive factors for longer hospital stays in elderly patients who have been admitted for epileptic seizures or who have developed them during hospitalization.<\/p>\n

From 2015 to 2019, 159 elderly people admitted to the San Rafael Hospital emergency room and followed up by the neurology team were included in the study. Several parameters were evaluated, such as the presence of other neurological diseases, clinical comorbidities, demographic data and, especially, characteristics related to epileptic seizures and the diagnosis of epilepsy, following the criteria of the ILAE (International League Against Epilepsy) (SCHEFFER, I. E. et al.)<\/em>. With these data, through multivariate analysis, it was possible to establish five important predictors of longer hospital stay: ICU admission, urinary tract infection, presence of movement disorders, early recurrence of epilepsy and sepsis.<\/p>\n

\"\"<\/a>

Imagem: Robin Canfield.<\/p><\/div>\n

The factors \u201cICU stay\u201d, \u201cSepsis\u201d and \u201cUrinary infection\u201d point to the importance of adequate clinical management, adequate use of bladder tubes and the constant surveillance for sepsis that must be maintained if we want to effectively reduce the length of hospital stay in these patients. The items \u201cRecurrence of crisis\u201d and \u201cMovement Disorders\u201d show how necessary it is to have a neurologist trained both for the accurate diagnosis, as well as for the appropriate treatment of the crisis and the maintenance of complex therapies already in use, as in the case of patients with Parkinson’s disease.<\/p>\n

Future studies, in other centers in Brazil and the world, and with more homogeneous populations will be necessary to corroborate these data for the general population.<\/p>\n

References<\/h3>\n

SCHEFFER, I. E. et al.<\/em> ILAE classification of the epilepsies: Position paper of the ILAE Commission for Classification and Terminology. Epilepsia <\/em>[online]. 2017, vol. 58, no. 04 [viewed 26 January 2021]. https:\/\/doi.org\/10.1111\/epi.13709<\/a>. Available from: https:\/\/onlinelibrary.wiley.com\/doi\/full\/10.1111\/epi.13709<\/a><\/p>\n

To read the article, acess<\/h3>\n

BACELLAR, A. et al<\/em>.\u00a0Predictors of long length of hospital stay among elders admitted with seizures in a tertiary centre: a prospective study.\u00a0Arq. Neuro-Psiquiatr.<\/em>\u00a0[online]. 2020, vol.78, n.11 [viewed 26 January 2021]. https:\/\/doi.org\/10.1590\/0004-282×20200062<\/a>. Available from: http:\/\/ref.scielo.org\/yd5hrd<\/a><\/p>\n

External links<\/h3>\n

Arquivos de Neuro-Psiquiatria \u2013 ANP: https:\/\/www.scielo.br\/anp<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"

Epilepsy in the elderly is quite prevalent and can bring serious complications to hospitalized patients. But what factors can predict which of these patients will remain in the hospital for a longer time and thus increase mortality and hospitalization costs? …<\/span> Read More →<\/span><\/a><\/span><\/p>\n","protected":false},"author":498,"featured_media":1281,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_monsterinsights_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0,"footnotes":"","_links_to":"","_links_to_target":""},"categories":[138,12],"tags":[139,191],"class_list":["post-1278","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-anp","category-press-releases","tag-arquivos-de-neuro-psquiatria","tag-medicine"],"aioseo_notices":[],"_links":{"self":[{"href":"https:\/\/pressreleases.scielo.org\/en\/wp-json\/wp\/v2\/posts\/1278","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/pressreleases.scielo.org\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/pressreleases.scielo.org\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/pressreleases.scielo.org\/en\/wp-json\/wp\/v2\/users\/498"}],"replies":[{"embeddable":true,"href":"https:\/\/pressreleases.scielo.org\/en\/wp-json\/wp\/v2\/comments?post=1278"}],"version-history":[{"count":3,"href":"https:\/\/pressreleases.scielo.org\/en\/wp-json\/wp\/v2\/posts\/1278\/revisions"}],"predecessor-version":[{"id":1283,"href":"https:\/\/pressreleases.scielo.org\/en\/wp-json\/wp\/v2\/posts\/1278\/revisions\/1283"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/pressreleases.scielo.org\/en\/wp-json\/wp\/v2\/media\/1281"}],"wp:attachment":[{"href":"https:\/\/pressreleases.scielo.org\/en\/wp-json\/wp\/v2\/media?parent=1278"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/pressreleases.scielo.org\/en\/wp-json\/wp\/v2\/categories?post=1278"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/pressreleases.scielo.org\/en\/wp-json\/wp\/v2\/tags?post=1278"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}