An epilepsy admission was independently associated with subsequent hospital readmission for psychotic episodes, even after adjustment for confounding variables, a recent study found. There were 58,278 index admissions for epilepsy, and researchers compared this group against admissions for stroke (n=215,821) and common medical causes (pneumonia, urinary tract infection [UTI], congestive heart failure [CHF], and chronic obstructive pulmonary disease [COPD], n=973,078). Readmission rates for psychotic episodes within 90 days from discharge for index hospitalizations were calculated. They found:
- Up to 90 days from index admission, there were 683/100,000 readmissions for psychotic episodes in the epilepsy group, 92/100,000 in the stroke group, and 58‐206/100,000 in the medical group.
- The relative rate of readmission in the epilepsy group was highest in the first 30 days following index admission (311/100,000).
- Unadjusted hazard ratio (HR) for readmission for psychotic episodes within 1 year in the epilepsy group compared to the stroke group was 6.58 and 4.41, compared to the medical group.
- Confounding factors most strongly associated with psychosis readmission were documented psychosis history at the time of index admission, younger age, and lower income quartile.
Rossi KC, Kim AM, Jetté N, Yoo JY, Hung K, Dhamoon MS. Increased risk of hospital admission for ICD‐9‐CM psychotic episodes following admission for epilepsy. [Published online ahead of print July 4, 2018]. Epilepsia. doi:10.1111/epi.14508.
This Week's Must Reads
Anxiety/Cognition Association in Multiple Sclerosis, Int J MS Care; ePub 2018 Sep 27; Vissicchio, et al
Persons with MS and Anonymity on Social Media, Mult Scler Relat Disord; ePub 2018 Sep 19; Eijkholt
Pregnancy Rates for Women with MS Increasing, Neurology; ePub 2018 Sep 28; Houtchens, et al
Nature of Instability in Persons with MS Examined, Arch Phys Med Rehab; 2018 Oct; Peebles, et al
Stressful Life Events and Multiple Sclerosis, Mult Scler Relat Disord; ePub 2018 Sep 22; Abdollahpour, et al
Must Reads in Epilepsy & Seizures
Circadian, Circaseptan Rhythms in Epilepsy Examined, Lancet Neurol; ePub 2018 Sep 12; Karoly, et al
Epilepsy Transition Care Gap in Young Adults, Epilepsy Behav; ePub 2018 Aug 25; Baca, et al
FDA Approves Diacomit for Treatment of Seizures, Biocodex news release; 2018 Aug 23
Depression, Suicidality Among People with Epilepsy, Epilepsy Behav; ePub 2018 Aug 13; Friedman, et al
Midlife Risk Factors Linked to Late-Onset Epilepsy, JAMA Neurology; ePub 2018 Jul 23; Johnson, et al