Evidence map›Paper›PMID 26337159›Full record

SynthesisEpilepsia2015

Treatment of electrical status epilepticus in sleep: A pooled analysis of 575 cases.

Bart van den Munckhof, Violet van Dee, Liora Sagi, Roberto H Caraballo, Pierangelo Veggiotti, Elina Liukkonen, Tobias Loddenkemper, Iván Sánchez Fernández, Marga Buzatu, Christine Bulteau and 2 more

Open access · bronzeAbstract readCase ReportsMeta-AnalysisSystematic Review
PubMed Publisher
In one paragraph

Synthesis in Epilepsia, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 52 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
52citing papers in PubMed, 1 pooled it
6.3field-weighted citation impact, top 3% 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

52 citing papers in PubMed, 1 synthesis or guideline pooled it, 180 citations in OpenAlex.

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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

12 authors at 9 institutions in 8 countries.

Bart van den MunckhofDepartment of Pediatric Neurology, Brain Center Rudolf Magnus, University Medical Center Utrecht, Utrecht, The Netherlands.
Violet van DeeDepartment of Pediatric Neurology, Brain Center Rudolf Magnus, University Medical Center Utrecht, Utrecht, The Netherlands.
Liora SagiPediatric Neurology Unit, Dana Children's Hospital, Tel Aviv Medical Center, Tel Aviv, Israel.
Roberto H CaraballoNeurology Service, Pediatric Hospital "Prof. Dr. Juan P. Garrahan", Buenos Aires, Argentina.
Pierangelo VeggiottiDepartment of Brain and Behavioral Sciences, Child Neuropsychiatry Unit, Casimiro Mondino National Neurological Institute, University of Pavia, Pavia, Italy.
Elina LiukkonenEpilepsy Unit, Department of Pediatric Neurology, Helsinki University Central Hospital, Helsinki, Finland.
Tobias LoddenkemperEpilepsy Center, Cleveland Clinic, Cleveland, Ohio, U.S.A.
Iván Sánchez FernándezDivision of Epilepsy and Clinical Neurophysiology, Department of Neurology, Boston Children's Hospital and Harvard Medical School, Boston, Massachusetts, U.S.A.
Marga BuzatuDepartment of Pediatric Neurology, Erasme Hospital, Université libre de Bruxelles, Brussels, Belgium.
Christine BulteauDepartment of Pediatric Neurosurgery, Ophthalmological Foundation A. Rothschild, Paris, France.
Kees P J BraunDepartment of Pediatric Neurology, Brain Center Rudolf Magnus, University Medical Center Utrecht, Utrecht, The Netherlands.
Floor E JansenDepartment of Pediatric Neurology, Brain Center Rudolf Magnus, University Medical Center Utrecht, Utrecht, The Netherlands.
University Medical Center Utrecht · NLBoston Children's Hospital · USFondation de Rothschild · FRGarrahan Hospital · ARHarvard University · USHelsinki University Hospital · FITel Aviv Sourasky Medical Center · ILUniversité Libre de Bruxelles · BEUniversity of Pavia · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveEpileptic encephalopathy with electrical status epilepticus in sleep (ESES) is a pediatric epilepsy syndrome with sleep-induced epileptic discharges and acquired impairment of cognition or behavior. Treatment of ESES is assumed to improve cognitive outcome. The aim of this study is to create an overview of the current evidence for different treatment regimens in children with ESES syndrome.

methodsA literature search using PubMed and Embase was performed. Articles were selected that contain original treatment data of patients with ESES syndrome. Authors were contacted for additional information. Individual patient data were collected, coded, and analyzed using logistic regression analysis. The three predefined main outcome measures were improvement in cognitive function, electroencephalography (EEG) pattern, and any improvement (cognition or EEG).

resultsThe literature search yielded 1,766 articles. After applying inclusion and exclusion criteria, 112 articles and 950 treatments in 575 patients could be analyzed. Antiepileptic drugs (AEDs, n = 495) were associated with improvement (i.e., cognition or EEG) in 49% of patients, benzodiazepines (n = 171) in 68%, and steroids (n = 166) in 81%. Surgery (n = 62) resulted in improvement in 90% of patients. In a subgroup analysis of patients who were consecutively reported (585 treatments in 282 patients), we found improvement in a smaller proportion treated with AEDs (34%), benzodiazepines (59%), and steroids (75%), whereas the improvement percentage after surgery was preserved (93%). Possible predictors of improved outcome were treatment category, normal development before ESES onset, and the absence of structural abnormalities. SIGNIFICANCE: Although most included studies were small and retrospective and their heterogeneity allowed analysis of only qualitative outcome data, this pooled analysis suggests superior efficacy of steroids and surgery in encephalopathy with ESES.

Indexed as

AnticonvulsantsFemaleHumansMaleRetrospective StudiesSleepSleep Wake DisordersStatus EpilepticusTreatment OutcomeAnticonvulsantsContinuous spikes and waves during sleepEpilepsyLandau-Kleffner syndromeMeta-analysisSystematic review

Identifiers

PMID26337159
OpenAlexW1940349342

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.