Evidence map›Paper›PMID 34840867›Full record

ArticleNeurology. Clinical practice2021

The Efficacy and Use of a Pocket Card Algorithm in Status Epilepticus Treatment.

Jessica R Fesler, Anne E Belcher, Ahsan N Moosa, MaryAnn Mays, Lara E Jehi, Elia M Pestana Knight, Deepak K Lachhwani, Andreas V Alexopoulos, Dileep R Nair, Vineet Punia

Open access · greenAbstract read
In one paragraph

Article in Neurology. Clinical practice, 2021. 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
0.8field-weighted citation impact, top 29% 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, 13 citations in OpenAlex.

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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

10 authors at 1 institution in 1 country.

Jessica R FeslerEpilepsy Center (JRF, ANM, LEJ, EMPK, DKL, AVA, DRN, VP), Neurological Institute, Cleveland Clinic, OH; Johns Hopkins University School of Education (AEB), Baltimore, MD; and Neurological Institute (MAM), Cleveland Clinic, OH.ORCID 0000-0003-4969-5600
Anne E BelcherEpilepsy Center (JRF, ANM, LEJ, EMPK, DKL, AVA, DRN, VP), Neurological Institute, Cleveland Clinic, OH; Johns Hopkins University School of Education (AEB), Baltimore, MD; and Neurological Institute (MAM), Cleveland Clinic, OH.
Ahsan N MoosaEpilepsy Center (JRF, ANM, LEJ, EMPK, DKL, AVA, DRN, VP), Neurological Institute, Cleveland Clinic, OH; Johns Hopkins University School of Education (AEB), Baltimore, MD; and Neurological Institute (MAM), Cleveland Clinic, OH.
MaryAnn MaysEpilepsy Center (JRF, ANM, LEJ, EMPK, DKL, AVA, DRN, VP), Neurological Institute, Cleveland Clinic, OH; Johns Hopkins University School of Education (AEB), Baltimore, MD; and Neurological Institute (MAM), Cleveland Clinic, OH.
Lara E JehiEpilepsy Center (JRF, ANM, LEJ, EMPK, DKL, AVA, DRN, VP), Neurological Institute, Cleveland Clinic, OH; Johns Hopkins University School of Education (AEB), Baltimore, MD; and Neurological Institute (MAM), Cleveland Clinic, OH.
Elia M Pestana KnightEpilepsy Center (JRF, ANM, LEJ, EMPK, DKL, AVA, DRN, VP), Neurological Institute, Cleveland Clinic, OH; Johns Hopkins University School of Education (AEB), Baltimore, MD; and Neurological Institute (MAM), Cleveland Clinic, OH.
Deepak K LachhwaniEpilepsy Center (JRF, ANM, LEJ, EMPK, DKL, AVA, DRN, VP), Neurological Institute, Cleveland Clinic, OH; Johns Hopkins University School of Education (AEB), Baltimore, MD; and Neurological Institute (MAM), Cleveland Clinic, OH.
Andreas V AlexopoulosEpilepsy Center (JRF, ANM, LEJ, EMPK, DKL, AVA, DRN, VP), Neurological Institute, Cleveland Clinic, OH; Johns Hopkins University School of Education (AEB), Baltimore, MD; and Neurological Institute (MAM), Cleveland Clinic, OH.ORCID 0000-0003-0214-3286
Dileep R NairEpilepsy Center (JRF, ANM, LEJ, EMPK, DKL, AVA, DRN, VP), Neurological Institute, Cleveland Clinic, OH; Johns Hopkins University School of Education (AEB), Baltimore, MD; and Neurological Institute (MAM), Cleveland Clinic, OH.
Vineet PuniaEpilepsy Center (JRF, ANM, LEJ, EMPK, DKL, AVA, DRN, VP), Neurological Institute, Cleveland Clinic, OH; Johns Hopkins University School of Education (AEB), Baltimore, MD; and Neurological Institute (MAM), Cleveland Clinic, OH.
Johns Hopkins University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo determine whether a pocket card treatment algorithm improves the early treatment of status epilepticus and to assess its utilization and retention in clinical practice.

methodsMultidisciplinary care teams participated in video-recorded status epilepticus simulation sessions from 2015 to 2019. In this longitudinal cohort study, we examined the sessions recorded before and after introducing an internally developed, guideline-derived pocket card to determine differences in the adequacy or timeliness of rescue benzodiazepine. Simulation participants were queried 9 months later for submission of a differentiating identification number on each card to assess ongoing availability and utilization.

resultsForty-four teams were included (22 before and 22 after the introduction of the pocket card). The time to rescue therapy was shorter for teams with the pocket card available (84 seconds [64-132]) compared with teams before introduction (144 seconds [100-162]) (U = 94; median difference = -46.9, 95% confidence interval [CI]: -75.9 to -21.9). The adequate dosing did not differ with card availability (odds ratio 1.48, 95% CI: 0.43-5.1). At the 9-month follow-up, 32 participants (65%) completed the survey, with 26 (81%) self-reporting having the pocket card available and 11 (34%) confirming ready access with the identification number. All identification numbers submitted corresponded to the hard copy laminated pocket card, and none to the electronic version.

conclusionsA pocket card is a feasible, effective, and worthwhile educational tool to improve the implementation of updated guidelines for the treatment of status epilepticus.

Identifiers

PMID34840867
PMCPMC8610498
OpenAlexW3081629909

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.