Evidence map›Paper›PMID 36731437›Full record

ArticleMedical principles and practice : international journal of the Kuwait University, Health Science Centre2023

Experience of Subcutaneous Levetiracetam in Palliative Care.

Mariana Gaviria-Carrillo, Laura Mora-Muñoz, Andres Felipe Diaz-Forero, Juliana Vargas-Osorio, Viviana Torres-Ballesteros, Jhonatan Estrada, Alberto Vélez Van Meerbeke, Jesús Hernán Rodríguez

Open access · diamondAbstract readNews
In one paragraph

Article in Medical principles and practice : international journal of the Kuwait University, Health Science Centre, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.9field-weighted citation impact, top 28% 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

1 citing paper in PubMed, 4 citations in OpenAlex.

  1. 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

8 authors at 4 institutions in 1 country.

Mariana Gaviria-CarrilloNeuroscience research group (NeURos), NeuroVitae Center for Neuroscience, School of Medicine and Health Sciences, Universidad del Rosario, Bogota, Colombia.
Laura Mora-MuñozNeuroscience research group (NeURos), NeuroVitae Center for Neuroscience, School of Medicine and Health Sciences, Universidad del Rosario, Bogota, Colombia.
Andres Felipe Diaz-ForeroNeuroscience research group (NeURos), NeuroVitae Center for Neuroscience, School of Medicine and Health Sciences, Universidad del Rosario, Bogota, Colombia.
Juliana Vargas-OsorioHospital Militar Central, Bogota, Colombia.
Viviana Torres-BallesterosHospital Militar Central, Bogota, Colombia.
Jhonatan EstradaHospital Naval de Cartagena, Bogota, Colombia.
Alberto Vélez Van MeerbekeNeuroscience research group (NeURos), NeuroVitae Center for Neuroscience, School of Medicine and Health Sciences, Universidad del Rosario, Bogota, Colombia.
Jesús Hernán RodríguezNeuroscience research group (NeURos), NeuroVitae Center for Neuroscience, School of Medicine and Health Sciences, Universidad del Rosario, Bogota, Colombia.
Universidad del Rosario · COHospital Militar Central · COInstitute of Cardiology · COScience and Technology Corporation for Naval, Maritime and Riverine Industry Development · CO

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSeizures are common in palliative care patients and its control is essential in the management of these patients as it helps to reduce suffering at the end of life. Subcutaneous levetiracetam has been used off-license for seizure control in palliative care.

objectiveThe objective of the study was to describe our experience with subcutaneous levetiracetam in two hospitals in Bogota, Colombia.

methodsWe conducted a retrospective review of patients treated with subcutaneous levetiracetam in two hospitals in Colombia during 2019-2021. Data were extracted from medical records, and participants were followed up as outpatients.

resultsTwenty-one patients were included into the study. No severe adverse effects or rise in ictal frequency were documented. Twelve patients died during hospitalization and nine continued treatments as outpatients. The principal diagnosis was structural focal epilepsy. The daily dose of levetiracetam ranged from 1,000 mg to 3,000 mg, and the duration of treatment varied among subjects between 1 and 360 days.

conclusionSubcutaneous levetiracetam was well tolerated and effective in controlling seizures in palliative care when oral administration or intravenous access was not an option. Randomized controlled trials are needed to elucidate the efficacy and tolerability of subcutaneous levetiracetam in clinical practice.

Indexed as

AnticonvulsantsPiracetamHumansLevetiracetamPalliative CareSeizuresTreatment OutcomeAnticonvulsantsLevetiracetamPiracetamEpilepsyLevetiracetamPalliative careSubcutaneous levetiracetam

Identifiers

PMID36731437
PMCPMC10267486
OpenAlexW4318949987

What OpenQuestion holds

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Registered trials

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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.