ArticleEpilepsia open2026
"Epileptic seizure code in the region of Madrid": A process-based healthcare network for the acute management of epileptic seizures.
Article in Epilepsia open, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
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.
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.
Who cites it
2 citing papers in PubMed.
- Implementation Science Symposium: Moving the Needle in Epilepsy Care.Epilepsy currents · 2026Article
- "Epileptic seizure code in the region of Madrid": A process-based healthcare network for the acute management of epileptic seizures.Epilepsia open · 2026Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
8 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
The principle "time is brain" applies to epileptic seizures as well as stroke. Despite existing guidelines, delays in treatment initiation remain common. In 2020, we developed a consensus statement aiming to improve the acute management of emergency seizures and implement a "Seizure Code" (SC) in Madrid, Spain. A multidisciplinary group of 105 professionals from 27 hospitals across the Madrid regional health service collaborated to design a structured healthcare process for emergency seizure care. This included seven key subprocesses: pre-hospital care, SC activation, emergency department management, hospital ward care, referral to specialized centers, intensive care units (ICUs) treatment, and discharge planning with follow-up. Three additional cross-cutting areas-training, research, and quality control-were included to ensure continuous improvement. Ten coordinators oversaw protocol development and standardization. The plan emphasized education for families and caregivers, standardized transfer pathways, and unified pre- and in-hospital treatment across all ages. Implementation began in November 2021, with official approval in August 2022. The SC protocol was formally launched on November 15, 2023. Over 200 patients meeting SC criteria have since been registered and monitored. The coordinated effort has led to the region-wide implementation of the SC. The next step is to evaluate its impact on emergency seizure management and patient outcomes. PLAIN LANGUAGE SUMMARY: Although time is crucial in epilepsy management, there are still gaps in care that lead to delays in treating these patients. To improve this, we have developed a Process-Based Healthcare Network for the acute management of epileptic seizures, which includes the implementation of a SC. Our goal is to better organize care across different levels of the healthcare system, facilitate therapeutic decision-making, and improve response times and patient outcomes. Here, we present the development and implementation of this care pathway designed to enhance coordination and efficiency in the management of urgent epileptic seizures.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
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.