title: Predictors of Outcome of Convulsive Status Epilepticus Among an Egyptian Pediatric Tertiary Hospital.
abstract: Convulsive status epilepticus is a common neurologic emergency in pediatrics. We aimed to study the etiology, clinical features, and prognostic factors among pediatric patients with convulsive status epilepticus. Seventy patients were included in this cohort study from pediatric emergency department of the specialized Children Hospital of Cairo University. The outcome was evaluated using the Glasgow Outcome Score. Acute symptomatic etiology was the most common cause of convulsive status epilepticus. Refractory convulsive status epilepticus was observed more significantly in cases caused by acute symptomatic etiologies. The outcome was mortality in 26 (37.1%) patients, severe disability in 15 (21.4%), moderate disability in 17 (24.3%), and good recovery in 12 (17.1%) patients. The significant predictor of mortality was lower modified Glasgow Coma Scale score on admission, whereas lower modified Glasgow Coma Scale score on admission and refractory convulsive status epilepticus were the significant predictors for disability and mortality.
authors.affiliation: Faculty of Medicine, Cairo University, Cairo, Egypt emanhalawa3@yahoo.com.
authors.forename: Eman F
authors.initials: EF
authors.lastname: Halawa
authors.affiliation: Faculty of Medicine, Cairo University, Cairo, Egypt.
authors.forename: Iman
authors.initials: I
authors.lastname: Draz
authors.affiliation: Faculty of Medicine, Cairo University, Cairo, Egypt.
authors.forename: Dalia
authors.initials: D
authors.lastname: Ahmed
authors.affiliation: Fayoum University, Giza, Egypt.
authors.forename: Hala A
authors.initials: HA
authors.lastname: Shaheen
mesh_terms: D002648:Child; D002675:Child, Preschool; D015331:Cohort Studies; D004185:Disability Evaluation; D004534:Egypt; D005260:Female; D015600:Glasgow Coma Scale; D023261:Glasgow Outcome Scale; D006785:Hospitals, University; D006801:Humans; D007223:Infant; D008297:Male; D011379:Prognosis; D013226:Status Epilepticus / Q000175:diagnosis* / Q000209:etiology / Q000401:mortality / Q000628:therapy*; D062606:Tertiary Care Centers; D016896:Treatment Outcome
keywords: convulsive status epilepticus; outcome; predictors