Evidence map›Paper›PMID 32516983›Full record

ArticleInternational journal of environmental research and public health2020

Electroconvulsive Therapy in Super Refractory Status Epilepticus: Case Series with a Defined Protocol.

Beatriz García-López, Ana Isabel Gómez-Menéndez, Fernando Vázquez-Sánchez, Eva Pérez-Cabo, Francisco Isidro-Mesas, Arturo Zabalegui-Pérez, Ignacio Muñoz-Siscart, María Carmen Lloria-Gil, Raúl Soto-Cámara, Jerónimo J González-Bernal and 5 more

Open access · goldAbstract readCase Reports
In one paragraph

Article in International journal of environmental research and public health, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
1.7field-weighted citation impact, top 16% 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

8 citing papers in PubMed, 1 synthesis or guideline pooled it, 23 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Review
  6. Review
  7. Review
  8. 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

15 authors at 2 institutions in 1 country.

Beatriz García-LópezNeurophysiology Department, Burgos University Hospital, 09006 Burgos, Spain.ORCID 0000-0003-1364-2603
Ana Isabel Gómez-MenéndezNeurophysiology Department, Burgos University Hospital, 09006 Burgos, Spain.ORCID 0000-0003-3869-9569
Fernando Vázquez-SánchezNeurology Department, Burgos University Hospital, 09006 Burgos, Spain.ORCID 0000-0003-1197-0195
Eva Pérez-CaboIntensive Care Unit, Burgos University Hospital, 09006 Burgos, Spain.
Francisco Isidro-MesasNeurophysiology Department, Burgos University Hospital, 09006 Burgos, Spain.
Arturo Zabalegui-PérezIntensive Care Unit, Burgos University Hospital, 09006 Burgos, Spain.
Ignacio Muñoz-SiscartPsychiatry Department, Burgos University Hospital, 09006 Burgos, Spain.
María Carmen Lloria-GilNeurophysiology Department, Burgos University Hospital, 09006 Burgos, Spain.
Raúl Soto-CámaraDepartment of Health Sciences, University of Burgos, 09001 Burgos, Spain.ORCID 0000-0002-9072-0364
Jerónimo J González-BernalDepartment of Health Sciences, University of Burgos, 09001 Burgos, Spain.ORCID 0000-0002-7298-9060
Josefa González-SantosDepartment of Health Sciences, University of Burgos, 09001 Burgos, Spain.
José M Aguilar-ParraDepartment of Psychology, Health Research Centre, University of Almeria, 04120 Almeria, Spain.ORCID 0000-0002-6703-0680
Rubén TriguerosDepartment of Psychology, Health Research Centre, University of Almeria, 04120 Almeria, Spain.
Remedios López-LiriaDepartment of Nursing, Physiotherapy and Medicine, Health Research Centre, University of Almería, 04120 Almeria, Spain.ORCID 0000-0002-3416-2791
Troels Wesenberg KjærSjællandsUniversitets Hospital, 4000 Roskilde, Denmark.ORCID 0000-0002-2105-6199
Universidad de Burgos · ESUniversity of Almería · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Super-refractory status epilepticus (SRSE) represents a neurological emergency that is characterized by a lack of response to the third line of antiepileptic treatment, including intravenous general anesthetics. It is a medical challenge with high morbidity and mortality. Electroconvulsive therapy (ECT) has been recommended as a nonpharmacologic option of treatment after other alternatives are unsuccessful. Its effect on the cessation of SRSE has been minimally investigated. The objective of this article is to analyze the effect of ECT on SRSE. For this purpose, a multidisciplinary team created a protocol based on clinical guidelines similar to those described previously by Ray et al. (2017). ECT was applied to six patients with SRSE after the failure of antiepileptic treatment and pharmacologic coma.The objective of each ECT session was to elicit a motor seizure for at least 20 s. SRSE was resolved in all patients after several days of treatment, including ECT as a therapy, without relevant adverse effects. Thus, ECT is an effective and feasible option in the treatment of SRSE, and its place in the algorithm in treatment should be studied due to the uncommon adverse effects and the noninvasive character of the therapy.

Indexed as

Electroconvulsive TherapyStatus EpilepticusAnticonvulsantsChildHumansProspective StudiesAnticonvulsantsantiepileptic treatmentECTelectroconvulsive therapysuper refractory status epilepticus

Identifiers

PMID32516983
PMCPMC7312395
OpenAlexW3033928915

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.