Evidence map›Paper›PMID 21249530›Full record

ArticleNeurocritical care2011

The use of lacosamide in refractory status epilepticus.

Haley Goodwin, Holly E Hinson, Kenneth M Shermock, Navaz Karanjia, John J Lewin

Abstract read
PubMed Publisher
In one paragraph

Article in Neurocritical care, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

18 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Guideline
  3. Observational
  4. Review
  5. Review
  6. Article
  7. Article
  8. Review
  9. Article
  10. Review
  11. Observational
  12. Observational
  13. Refractory status epilepticus.Annals of Indian Academy of Neurology · 2014
    Article
  14. Article
  15. Article
  16. Use of lacosamide in children with refractory epilepsy.The journal of pediatric pharmacology and therapeutics : JPPT : the official journal of PPAG · 2012
    Article
  17. Article
  18. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Haley GoodwinJohns Hopkins Hospital, Baltimore, MD, USA. hgoodwi3@jhmi.edu
Holly E Hinson
Kenneth M Shermock
Navaz Karanjia
John J Lewin

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCase reports suggest lacosamide may have a role in status epilepticus (SE). The purpose of this case series is to describe the use of lacosamide in refractory SE (RSE) at our institution.

methodsObservational study of all patients admitted to the neurosciences intensive care unit with RSE who received at least one dose of lacosamide from October 2009 to September 2010.

resultsNine patients received lacosamide after failure of at least two other agents. Lacosamide was started a median of 2 days (range: 0-14 days) after the onset of SE. The most frequently used dosing regimen was an initial intravenous dose of 200 mg followed by 200 mg every 12 h. Most patients had received 3 (range: 2-5) AEDs prior to lacosamide. Levetiracetam was used prior to lacosamide in all cases. No patients evaluated responded to lacosamide according to our predefined criteria. One patient developed angioedema after receiving two doses; another patient developed angioedema where timing in relation to the lacosamide was unclear. Care was withdrawn in three of the nine patients for reasons unrelated to lacosamide. Lacosamide was continued at discharge on all surviving patients except in one case of angioedema.

conclusionsThis is the largest case series to date describing the use of lacosamide in patients with RSE. Despite the novel mechanism of action, we observed no evidence that lacosamide is effective in RSE; however, our sample size was small. Further study is needed to determine the role of lacosamide in SE, especially early in the treatment course.

Indexed as

AcetamidesAgedAged, 80 and overAngioedemaAnticonvulsantsDrug Administration ScheduleDrug EruptionsDrug Therapy, CombinationFemaleHumansInfusions, IntravenousIntensive Care UnitsLacosamideLevetiracetamMaleMiddle AgedAcetamidesAnticonvulsantsLacosamideLevetiracetamPiracetam

Identifiers

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.