Research Article

Antiepileptic Drug Management in Acute Ischemic Stroke: Are Vascular Neurologists Utilizing Electroencephalograms? An Observational Cohort Study

Table 1

Descriptive statistics of the overall sample by unique subject and bivariable analysis by EEG result ().

CovariateSampleEEG ever positive value
No: (95.28%)Yes: (4.72%)

Demographics
 Age, mean (SD)65.18 (14.87)65.15 (14.85)65.79 (15.55)0.837
 Female, no. (%)241 (47.72)230 (47.82)11 (45.83)0.849
 African American, no. (%)350 (69.03)331 (68.53)19 (79.17)0.271
Past medical history, no. (%)
 Seizure48 (9.43)39 (8.04)9 (37.50)<0.001
 Stroke217 (43.31)206 (43.19)11 (45.83)0.798
 Diabetes191 (39.30)182 (39.39)9 (37.50)0.853
 Hypertension418 (83.77)400 (84.03)18 (78.26)0.463
 Carotid stenosis14 (3.50)14 (3.62)0 (0.00)1.000
 Coronary artery disease114 (23.03)110 (23.31)4 (17.39)0.620
 Atrial fibrillation63 (12.70)61 (12.90)2 (8.70)0.754
 Congestive heart failure70 (16.75)67 (16.63)3 (20.00)0.725
 Daily alcohol30 (7.41)28 (7.14)2 (15.38)0.249
 Alcoholism35 (8.64)32 (8.16)3 (23.08)0.093
 Substance abuse14 (15.56)13 (16.05)1 (11.11)1.000
Admission, mean (SD)
 Modified Rankin score1.31 (2.05)1.28 (2.01)2.14 (3.01)0.121
 Temperature36.69 (0.59)36.69 (0.59)36.73 (0.77)0.811
 NIHSS10.93 (9.23)10.84 (9.20)12.91 (9.73)0.292
 Glucose, median (range)122 (101-166)122 (101-168)113 (102-148)0.401
 Magnesium1.83 (0.33)1.83 (0.33)1.79 (0.38)0.582
 White blood cells, median (range)8.2 (6.5-10.6)8.1 (6.5-10.6)9.3 (7.1-12.5)0.177
EEG, mean (SD)0.06 (0.35)0 (0.0)1.3 (1.0)<0.001
Medications, no. (%)
 Antiseizure148 (29.08)130 (26.80)18 (75.00)<0.001
  Home43 (8.72)37 (7.84)6 (28.57)0.001
  Ordered
   Before EEG result136 (26.72)120 (24.74)16 (66.67)<0.001
    Discontinued24 (4.72)23 (4.74)1 (4.17)1.000
   After EEG result (<36 hr)
    Meds started/changed27 (5.30)18 (3.71)9 (37.50)<0.001
    Meds discontinued19 (3.73)17 (3.51)2 (8.33)0.224
  Discharged with meds77 (16.92)63 (14.52)14 (66.67)<0.001
   36 hr changes3 (0.59)2 (0.41)1 (4.17)0.135
 Benzodiazepine
  Short-acting344 (67.58)325 (67.01)19 (79.17)0.214
  Long-acting58 (11.39)52 (10.72)6 (25.00)0.032
Stroke, no. (%)
 Cortical15 (62.50)0 (0.00)15 (62.50)<0.05

Abbreviations: EEG: electroencephalogram. no.: number; SD: standard deviation; NIHSS: National Institutes of Health Stroke Scale; hr: hour.