Diagnostic value of Status Epilepticus Severity Score for survival conditions of patients with status epilepticus: A PRISMA-compliant systematic review and meta-analysis

Wang, Peipei; Guan, Yanhua; Lin, Xiaoyan; Wang, Qiang; Fu, Chun; Wang, Xiaogang; Lv, Shaoping

doi:10.1016/j.yebeh.2018.02.033

Cited by 6 publications

(4 citation statements)

References 24 publications

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“…Recently, Wang et al reported the results of a meta-analysis to evaluate the diagnostic accuracy of STESS for survival [25]. A total of 11 studies including 12 observations with 1356 patients were included.…”

Section: Discussionmentioning

confidence: 99%

Status Epilepticus in Pediatric patients Severity Score (STEPSS): A clinical score to predict the outcome of status epilepticus in children- a prospective cohort study

Sidharth

Sharma

Jain

et al. 2019

Seizure

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In adults, the Status Epilepticus Severity Score (STESS), a clinical score, has been shown to be a good predictor of outcome and treatment response. We devised a pediatric modification of this score: the Status Epilepticus in Pediatric patients Severity Score (STEPSS) and evaluated it in children with status epilepticus. Methods: In this prospective study, children aged 1 month to 18 years presenting with seizure duration ≥ 5 min or actively convulsing to the emergency room were enrolled. STEPSS score was calculated at the time of admission. Outcomes included death, the Pediatric Overall Performance Category (POPC) at discharge and treatment response. The diagnostic utility of the STEPSS score to predict unfavourable outcome was evaluated. Results: One-hundred and forty children (mean age 5.8 years) were enrolled. Seven children died and overall 15 children had an unfavourable outcome. The predictive accuracy of STEPSS at a cut-off of > 3: for unfavourable outcome (POPC score ≥ 3) -sensitivity (0.

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Section: Discussionmentioning

confidence: 99%

Status Epilepticus in Pediatric patients Severity Score (STEPSS): A clinical score to predict the outcome of status epilepticus in children- a prospective cohort study

Sidharth

Sharma

Jain

et al. 2019

Seizure

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“…The Status Epilepticus Severity Score (STESS) (6) was the first widely used prognostic tool for SE. Its performance was recently assessed in a systematic review of Wang et al (7): a pooled area under receiver operating characteristic curve (AUC) of 0.81 was reported for mortality. A sensitivity of 81% and a specificity of 53% were reached with the cutoff point of ≥ 3 (STESS-3).…”

Section: Introduction Backgroundmentioning

confidence: 99%

Outcome of status epilepticus and the predictive value of the EMSE and STESS scores: A prospective study

Sairanen

Kantanen

Hyppölä

et al. 2020

Seizure

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This is a PDF file of an article that has undergone enhancements after acceptance, such as the addition of a cover page and metadata, and formatting for readability, but it is not yet the definitive version of record. This version will undergo additional copyediting, typesetting and review before it is published in its final form, but we are providing this version to give early visibility of the article. Please note that, during the production process, errors may be discovered which could affect the content, and all legal disclaimers that apply to the journal pertain.

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“…Finally, half of the patients obtained a STESS <3, a score validated to predict in-hospital mortality of SE. 32 The majority of them could be regarded as individuals with a low probability of in-hospital death. In addition, AED suspension, the most common etiology in our study, is associated with low mortality.…”

Section: Stess and Mortalitymentioning

confidence: 99%

Convulsive Status Epilepticus in a Cohort of Patients from a Peruvian Academic Hospital

Bedoya-Sommerkamp¹,

Chau-Rodríguez²,

Medina-Ranilla³

et al. 2021

J Epilepsy Res

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Background and Purpose: Status epilepticus is a neurologic emergency whose epidemiology, etiology and management are scarcely known in developing countries. Our objective was to describe the demographic and clinical features as well as the management of generalized convulsive status epilepticus (GCSE) in adult patients admitted to the emergency department of an academic hospital in Peru, between March 2019 and March 2020.Methods: Observational study of a prospective cohort in which patients were assessed by the emergency and neurology department on the first day of hospitalization, at discharge and at 30 days post-discharge in a follow-up visit. Relevant demographics and clinical data were collected. After being encoded and sorted, univariate statistical analysis was carried out.Results: Of the sample of 59 patients, 62.7% were males, 57.6% were unemployed, 89.8% did not finish high school, and 55.9% had intermittent GCSE with no seizure at arrival. The total calculated median times were: 60 minutes from GCSE onset to hospital arrival, 110 minutes from GCSE onset to 1st line therapy, and 7 minutes from hospital arrival to 1st line therapy. The most frequently used antiepileptic drugs were one dose of benzodiazepine (41.7%), phenytoin (76.9%), and additional doses of benzodiazepines (60%) for 1st, 2nd, and 3rd line therapies, respectively. The most frequent etiologies were antiepileptic drug suspension (27.1%), undetermined (25.4%) and acute stroke (11.8%). 62.71% had 0-2 modified Rankin score at discharge.Conclusions: In this cohort of patients, GCSE was mainly intermittent. Management times differed from the guidelines’ recommendations.

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Diagnostic value of Status Epilepticus Severity Score for survival conditions of patients with status epilepticus: A PRISMA-compliant systematic review and meta-analysis

Cited by 6 publications

References 24 publications

Status Epilepticus in Pediatric patients Severity Score (STEPSS): A clinical score to predict the outcome of status epilepticus in children- a prospective cohort study

Status Epilepticus in Pediatric patients Severity Score (STEPSS): A clinical score to predict the outcome of status epilepticus in children- a prospective cohort study

Outcome of status epilepticus and the predictive value of the EMSE and STESS scores: A prospective study

Convulsive Status Epilepticus in a Cohort of Patients from a Peruvian Academic Hospital

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