Evidence map›Paper›PMID 21784709›Full record

ReviewEpilepsy & behavior : E&B2011

Nonconvulsive seizures in patients presenting with altered mental status: an evidence-based review.

Shahriar Zehtabchi, Samah G Abdel Baki, Shweta Malhotra, Arthur C Grant

Open access · greenAbstract readReview
In one paragraph

Review in Epilepsy & behavior : E&B, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 pooled it
2.4field-weighted citation impact, top 13% of its field
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

10 citing papers in PubMed, 1 synthesis or guideline pooled it, 37 citations in OpenAlex.

  1. Pooled it
  2. Effect of microEEG on clinical management and outcomes of emergency department patients with altered mental status: a randomized controlled trial.Academic emergency medicine : official journal of the Society for Academic Emergency Medicine · 2014
    Trial
  3. Article
  4. Article
  5. Article
  6. Nonconvulsive seizure control in the intensive care unit.Current treatment options in neurology · 2015
    Article
  7. Article
  8. Article
  9. Electroencephalographic findings in consecutive emergency department patients with altered mental status: a preliminary report.European journal of emergency medicine : official journal of the European Society for Emergency Medicine · 2013
    Article
  10. 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

4 authors at 2 institutions in 1 country.

Shahriar ZehtabchiDepartment of Emergency Medicine, State University of New York, Downstate Medical Center, Brooklyn, NY 11203, USA.
Samah G Abdel Baki
Shweta Malhotra
Arthur C Grant
SUNY Downstate Health Sciences University · USState University of New York · US

Funding

Putting EEG in the Emergency DepartmentRC3NS070658 · NINDS · BIO-SIGNAL GROUP CORPORATION · PI FENTON, ANDRE ANTONIO, OMURTAG, AHMET · 2010 to 2010
$2.9M
NINDS NIH HHS 1RC3NS070658NINDS NIH HHS RC3 NS070658
6 · The paper itself

Abstract

Definitive diagnosis of nonconvulsive seizures (NCS) can be made only by electroencephalography, and delay in diagnosis can increase morbidity, resource utilization, and length of hospitalization. We performed an evidence-based literature review to estimate the prevalence of NCS in patients with altered mental status (AMS) of unknown cause. PUBMED, EMBASE, the Cochrane Library, and other resources were searched for studies that included AMS and seizure as topics. The resulting 276 articles were screened for predetermined inclusion and exclusion criteria, leaving 5 studies enrolling 478 patients for review. The prevalence of NCS in patients with AMS ranged from 8 to 30% (overall prevalence of 21.5%, 95% CI: 18-25%), suggesting that the prevalence of NCS is sufficiently high to consider routine use of urgent electroencephalography in such patients. However, methodological weaknesses limit the generalizability of the results. A large, prospective study enrolling and screening for NCS in all patients who present with acute AMS is needed.

Indexed as

Evidence-Based MedicineDatabases, FactualHumansMental DisordersSeizures

Identifiers

PMID21784709
PMCPMC3185184
OpenAlexW2025312697

What OpenQuestion holds

Textmetadata
LicenceTDM
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.