Perrson et al reported risk factors for extremity fractures in an adult outpatient with epilepsy. These can help identify a patient who may benefit from interventions to reduce the risk of seizures. The authors are from Karolinska Institute and the Stockholm Center of Public Health in Stockholm.
Patient selection: adult outpatient (age range 17 to 83)
Risk factors for an extremity fracture:
(1) male gender
(2) age >= 45 years of age
(3) duration of epilepsy < 3 years ("recently diagnosed")
(4) polytherapy with antiepileptic drugs
(5) generalized tonic-clonic seizures
where:
• In the conclusion poor control of generalized tonic-clonic seizures is given as a risk factors and polytherapy a possible risk factor.
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