Evidence map›Paper›PMID 40071370›Full record

ArticleActas espanolas de psiquiatria2025

Analysis of the Correlation between Frailty Index, Clinical Characteristics, Use of Anti-Epileptic Drug, and Prognosis in Elderly Patients with Epilepsy.

Jianzhong Wang, Hengzhang Ma, Xiaodan Lin, Lixian Li, Zhixiong Zheng, Xiaohua Huang

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Article in Actas espanolas de psiquiatria, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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6 authors.

Jianzhong WangDepartment of Neurology, Affiliated Mindong Hospital, Fujian Medical University, 355000 Fu'an, Fujian, China.
Hengzhang MaDepartment of Neurology, Affiliated Mindong Hospital, Fujian Medical University, 355000 Fu'an, Fujian, China.
Xiaodan LinDepartment of Neurology, Affiliated Mindong Hospital, Fujian Medical University, 355000 Fu'an, Fujian, China.
Lixian LiDepartment of Neurology, Affiliated Mindong Hospital, Fujian Medical University, 355000 Fu'an, Fujian, China.
Zhixiong ZhengDepartment of Neurology, Affiliated Mindong Hospital, Fujian Medical University, 355000 Fu'an, Fujian, China.
Xiaohua HuangDepartment of Geriatrics, Affiliated Mindong Hospital, Fujian Medical University, 355000 Fu'an, Fujian, China.

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6 · The paper itself

Abstract

backgroundEpilepsy is a common neurological disorder among the elderly, often leading to significant morbidity. Therefore, it is necessary to study the correlation between the frailty index, clinical characteristics of epilepsy, use of anti-epileptic drug, and the prognosis of elderly patients with epilepsy.

methodsThis retrospective study included 106 elderly patients with epilepsy who were treated at the Affiliated Mindong Hospital, Fujian Medical University, China, between January 2018 and December 2022. Based on the severity of the prognosis, the seizures were classified into the major seizure group (tonic-clonic), minor seizure group (absence, myoclonus, clonus, tonic, atonic and partial seizures), and no seizure group. Furthermore, the relationship between the frailty index, clinical characteristics, use of epilepsy drugs, and the degree of epileptic seizures was assessed using the Logistic regression analysis.

resultsUnivariate analysis indicated that older age (p < 0.001), longer disease duration (p = 0.009), and the presence of comorbid conditions such as diabetes (p = 0.002) and coronary heart disease (p < 0.001) were all associated with seizure severity. Additionally, frailty was significantly related to seizure severity, with the non-frailty group having fewer major seizures compared to the pre-frailty and frailty groups (p < 0.001). Similarly, regular medication use (p < 0.001) and the number of drugs taken (p < 0.001) were significant factors, with irregular medication use and single-drug regimens being more common in patients with more severe seizures. Multivariate Logistic regression analysis indicated that a higher frailty index (p = 0.033), age over 70 years (p = 0.015), longer disease duration (p = 0.003), the presence of coronary heart disease (p < 0.001), and regular medication use (p = 0.022) were all significantly associated with more severe seizures.

conclusionFrailty index, age, disease duration, coronary heart disease, and regular medication are related to the prognosis of elderly patients with epilepsy. These findings highlight the significance of comprehensive management strategies to improve clinical outcomes in this group of patients.

Indexed as

AnticonvulsantsEpilepsyFrailtyAgedAged, 80 and overFemaleHumansMalePrognosisRetrospective StudiesSeverity of Illness IndexAnticonvulsants

Identifiers

PMID40071370
PMCPMC11898259

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