Evidence map›Paper›PMID 40720710›Full record

ArticleNeurology2025

Features, Outcome, and Treatment of Postanoxic Status Epilepticus: Pooled Analysis of 3 Cohorts.

Pia De Stefano, Jeannette Hofmeijer, Hervé Quintard, Charlotte Damien, Francesco Misirocchi, Sarah Caroyer, Janneke Horn, Selma Tromp, Bert Kornips, Danny Hilkman and 8 more

Erratum issuedAbstract readMulticenter Study
In one paragraph

Article in Neurology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
–field-weighted citation impact
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

6 citing papers in PubMed.

  1. Observational
  2. Rhythmic and Periodic Patterns and Seizures in Hypoxic-Ischemic Encephalopathy.Journal of clinical neurophysiology : official publication of the American Electroencephalographic Society · 2026
    Review
  3. Role of Neurophysiologic Testing in Prognostication of Hypoxic-Ischemic Encephalopathy.Journal of clinical neurophysiology : official publication of the American Electroencephalographic Society · 2026
    Review
  4. Article
  5. Article
  6. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

18 authors.

Pia De StefanoNeuro-Intensive Care Unit, Department of Intensive Care, University Hospital of Geneva, Switzerland.ORCID 0000-0002-7979-0994
Jeannette HofmeijerDepartment of Neurology, Rijnstate Hospital, Arnhem, the Netherlands.ORCID 0000-0002-7593-5674
Hervé QuintardNeuro-Intensive Care Unit, Department of Intensive Care, University Hospital of Geneva, Switzerland.
Charlotte DamienDepartment of Neurology, HUB-Hôpital Erasme, Université Libre de Bruxelles, Belgium.ORCID 0000-0002-8008-3947
Francesco MisirocchiUnit of Neurology, Department of Medicine and Surgery, University of Parma, Italy.ORCID 0000-0001-8730-4397
Sarah CaroyerDepartment of Neurology, HUB-Hôpital Erasme, Université Libre de Bruxelles, Belgium.
Janneke HornAmsterdam Coma Group, Amsterdam University Medical Center location Academic Medical Center, the Netherlands.ORCID 0000-0002-3788-7675
Selma TrompDepartment of Neurology and Clinical Neurophysiology, St. Antonius Hospital, Nieuwegein, the Netherlands.ORCID 0000-0001-9799-7481
Bert KornipsDepartment of Neurology, VieCuri Medical Center, Venlo, the Netherlands.
Danny HilkmanDepartment of Clinical Neurophysiology, Maastricht University Medical Center, the Netherlands.
Walther van MookDepartment of Intensive Care Medicine, Maastricht University Medical Center & School of Health Professions Education, Maastricht University, the Netherlands.
Cornelia HoedemaekersDepartment of Intensive Care, Radboud University Medical Center, Nijmegen, the Netherlands.
Filippo AnnoniDepartment of Intensive Care, Erasme Hospital, Brussels, Belgium.
Benjamin LegrosDepartment of Neurology, HUB-Hôpital Erasme, Université Libre de Bruxelles, Belgium.
Margitta SeeckEEG & Epilepsy Unit, Department of Clinical Neurosciences, University Hospital of Geneva, Switzerland.ORCID 0000-0002-6702-0167
Michel J A M Van PuttenDepartment of Clinical Neurophysiology, Technical Medical Centre, University of Twente, Enschede, the Netherlands.
Nicolas GaspardDepartment of Neurology, HUB-Hôpital Erasme, Université Libre de Bruxelles, Belgium.ORCID 0000-0003-1148-6723
TELSTAR investigators

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND AND

objectivesThe prognostic significance and the benefits of antiseizure treatment for definite and possible status epilepticus (SE) after cardiac arrest (CA) remain debated. The study aims to identify clinical and EEG predictors of outcome in definite and possible SE after CA and to determine patient categories in which antiseizure medication is useful.

methodsWe conducted a multicenter pooled analysis of individual patient data from the Treatment of ELectroencephalographic STatus epilepticus After cardiopulmonary Resuscitation trial and 2 local registries (Brussels and Geneva). Patients with EEG patterns fulfilling the American Clinical Neurophysiology Society criteria for definite or possible SE within 72 hours after CA were included. Primary outcome was the cerebral performance category (CPC) at 3 months, dichotomized as good (CPC 1-2) or poor (CPC 3-5). Patients, clinical, EEG, and treatment characteristics were related to outcome using univariate and multivariate analyses in the whole cohort and separate for patients without ≥2 poor outcome European Resuscitation Council (ERC)/European Society of Intensive Care Medicine (ESICM) criteria. This latter group of patients was further divided into 2 subgroups: those with definite SE and those with possible SE.

resultsOf 274 patients (median age 66 [interquartile range (IQR) 55-75], 31% female) with definite or possible SE, 24 (8.8%) had good recovery. In multivariate analysis, nonmotor semiology and SE cessation were associated with good recovery. After exclusion of patients with ≥2 poor outcome ERC/ESICM criteria (180 patients), we included 94 patients (52 definite SE and 42 possible SE), 25% having good outcome. In definite SE, SE cessation (12 [100%] vs 20 [50%], DISCUSSION: Patients with postanoxic definite or possible SE have a 25% chance of good outcome in the absence of ≥2 poor outcome ERC/ESICM factors. EEG background continuity before SE onset and higher discharge frequency contribute to the identification of patients who may benefit from protracted treatment.

Indexed as

AnticonvulsantsHeart ArrestStatus EpilepticusAgedCardiopulmonary ResuscitationCohort StudiesElectroencephalographyFemaleHumansMaleMiddle AgedRegistriesTreatment OutcomeAnticonvulsants

Identifiers

PMID40720710
PMCPMC12296630

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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.