Evidence map›Paper›PMID 26280805›Full record

ArticleEpilepsy research2015

Intravenous anesthesia in treatment of nonconvulsive status epilepticus: Characteristics and outcomes.

Utku Uysal, Mark Quigg, Brennen Bittel, Nancy Hammond, Theresa I Shireman

Abstract read
In one paragraph

Article in Epilepsy research, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
1.3field-weighted citation impact, top 20% 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

3 citing papers in PubMed, 10 citations in OpenAlex.

  1. Review
  2. Antiepileptic Drug Therapy for Status Epilepticus.Journal of clinical neurology (Seoul, Korea) · 2021
    Review
  3. Article
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 at 3 institutions in 1 country.

Utku UysalDepartment of Neurology, Comprehensive Epilepsy Center, University of Kansas Medical Center, 3901 Rainbow Blvd Mailstop 1065, Kansas City, KS 66160, USA. Electronic address: uuysal@kumc.edu.
Mark QuiggUniversity of Virginia Department of Neurology, FE Dreifuss Comprehensive Epilepsy Program, PO Box 800394, Charlottesville, VA 22908, USA. Electronic address: quigg@virginia.edu.
Brennen BittelDepartment of Neurology, University of Kansas Medical Center, 3599 Rainbow Blvd. Mailstop 2012, Kansas City, KS 66160, USA. Electronic address: bbittel@kumc.edu.
Nancy HammondDepartment of Neurology, Comprehensive Epilepsy Center, University of Kansas Medical Center, 3901 Rainbow Blvd Mailstop 1065, Kansas City, KS 66160, USA. Electronic address: nhammond@kumc.edu.
Theresa I ShiremanUniversity of Kansas School of Medicine, Department of Preventive Medicine and Public Health, 3901 Rainbow Blvd. Mail Stop 1008, Kansas City, KS 66160, USA. Electronic address: tshireman@kumc.edu.
University of Kansas Medical Center · USUniversity of Kansas · USUniversity of Virginia · US

Funding

Heartland Institute for Clinical and Translational ResearchUL1TR000001 · NCATS · UNIVERSITY OF KANSAS MEDICAL CENTER · PI BAROHN, RICHARD J. · 2012 to 2015
$13.0M
HEARTLAND INSTITUTE FOR CLINICAL AND TRANSLATIONAL RESEARCHUL1RR033179 · NCRR · UNIVERSITY OF KANSAS MEDICAL CENTER · PI BAROHN, RICHARD J. · 2011 to 2011
$3.2M
NCATS NIH HHS UL1 TR000001NCATS NIH HHS UL1TR000001NCRR NIH HHS UL1 RR033179
6 · The paper itself

Abstract

objectiveTo determine factors associated with continuous anesthetic drug (IVAD) use in nonconvulsive status epilepticus (NCSE).

methodsRetrospective cohort study of patients who met clinical and EEG criteria of NCSE from 2009 to 2014 at a tertiary academic medical center. Patients were categorized according to IVAD use. Outcome variables were response to treatment and in-hospital death. We used descriptive analyses for baseline characteristics and outcome variable differences among patients who did and did not receive IVAD.

resultsForty-three patients had a total of 45 NCSE episodes. IVAD was used in 69% of the episodes. Patients treated with IVAD were younger (53.1 ± 14.1 vs 64.1 ± 13.3, p = 0.019). The episodes treated with IVAD occurred more frequently in patients with an acute neurologic pathology (58% vs 21%, p = 0.024) and those presenting in a coma (39% vs 7%, p = 0.030). NCSE resolved in 74% of the patients who received IVAD. Duration of NCSE did not differ significantly by treatment group. There were total 13 in-hospital deaths: ten in IVAD users vs three in the no-IVAD group (p > 0.05). Only one in-hospital death appeared to be a direct consequence of IVAD use. Mortality was more common among episodes that were not treated according to the published status epilepticus treatment guidelines compared to the episodes where guidelines were followed.

conclusionOur findings showed that factors such as younger age, acute neurologic pathology and coma at presentation were associated with IVAD use in patients with NCSE. These factors should be controlled in the future outcome and effectiveness studies to determine the effect of IVAD use on outcome of NCSE.

Indexed as

Treatment OutcomeAdultAgedAnesthesia, IntravenousAnticonvulsantsCohort StudiesElectroencephalographyEpilepsy, GeneralizedFemaleHumansMaleMiddle AgedStatistics, NonparametricTime FactorsAnticonvulsantsAnesthetic drugsAntiepileptic drugsBenzodiazepinesNonconvulsive status epilepticusRefractory status epilepticus

Identifiers

PMID26280805
PMCPMC4593398
OpenAlexW2171480341

What OpenQuestion holds

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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.