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NEUROLOGY 2006;66:1736-1738
© 2006 American Academy of Neurology
Brief Communications

A clinical score for prognosis of status epilepticus in adults

Andrea O. Rossetti, MD, Giancarlo Logroscino, MD, PhD and Edward B. Bromfield, MD

From the Department of Neurology (A.O.R., E.B.B.), Brigham and Women's Hospital, and Harvard School of Public Health (G.L.), Harvard Medical School, Boston, MA.

Address correspondence and reprint requests to Dr. Edward B. Bromfield, Division of Epilepsy and EEG, Department of Neurology, Brigham and Women's Hospital, 75 Francis Street, Boston, MA 02115; e-mail: ebromfield{at}partners.org

The authors derived a clinical score to predict mortality in status epilepticus (SE) from analysis of a retrospective SE cohort, using four variables available at presentation: history of seizures, age, seizure type, and consciousness impairment. Validation on a small prospective SE series (34 patients) resulted in sensitivity, 1.000; specificity, 0.643; negative predictive value, 1.000; and unweighted accuracy, 0.822. This simple clinical score may reliably identify patients surviving after SE.

Disclosure: The authors report no conflicts of interest.

Received September 21, 2005. Accepted in final form December 8, 2005.






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