title: Role of EMSE and STESS scores in the outcome evaluation of status epilepticus.
abstract: Status epilepticus (SE) is a severe neurological condition with significant morbidity and mortality. A reliable tool for prognosis is needed to take decision regarding treatment strategies. We compared 2 available prognostic scores of outcome: the Status Epilepticus Severity Score (STESS) and the Epidemiology-based Mortality score in SE (EMSE). We included 46 patients with SE evaluated out the last 5years in our hospital. We excluded patients with postanoxic encephalopathy or incomplete data. Among the 46 patients with SE, in-hospital mortality was 28%. The receiver operating characteristic (ROC) curve for predicting of death by STESS had an area under the curve (AUC) of 0.80 with cutoff point ≥4. The best EMSE variable combination to predict mortality was EMSE-AEL using an optimized cutoff point of 34 (age/etiology/loss of consciousness) with an area under the ROC of 0.79. The STESS and EMSE would be useful tools to predict in-hospital mortality in SE.
authors.affiliation: Department of Neurology, Hospital Británico, Buenos Aires, Argentina. Electronic address: solpacha@hotmail.com.
authors.forename: María Sol
authors.initials: MS
authors.lastname: Pacha
authors.affiliation: Epilepsy Area, Department of Neurology, Hospital de Clínicas "José de San Martín", Buenos Aires, Argentina.
authors.forename: Lucas
authors.initials: L
authors.lastname: Orellana
authors.affiliation: Department of Neurology, Hospital Británico, Buenos Aires, Argentina.
authors.forename: Emanuel
authors.initials: E
authors.lastname: Silva
authors.affiliation: Department of Neurology, Hospital Británico, Buenos Aires, Argentina.
authors.forename: Glenda
authors.initials: G
authors.lastname: Ernst
authors.affiliation: Department of Neurology, Hospital Británico, Buenos Aires, Argentina.
authors.forename: Fatima
authors.initials: F
authors.lastname: Pantiu
authors.affiliation: Department of Neurology, Hospital Británico, Buenos Aires, Argentina.
authors.forename: Julieta
authors.initials: J
authors.lastname: Quiroga Narvaez
authors.affiliation: Department of Neurology, Hospital Británico, Buenos Aires, Argentina.
authors.forename: Ricardo
authors.initials: R
authors.lastname: Reisin
authors.affiliation: Department of Neurology, Hospital Británico, Buenos Aires, Argentina; Epilepsy Area, Department of Neurology, Hospital de Clínicas "José de San Martín", Buenos Aires, Argentina.
authors.forename: Oscar
authors.initials: O
authors.lastname: Martinez
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D017052:Hospital Mortality; D006801:Humans; D008297:Male; D008875:Middle Aged; D011379:Prognosis; D012720:Severity of Illness Index; D013226:Status Epilepticus / Q000175:diagnosis* / Q000401:mortality; D055815:Young Adult
keywords: EMSE; Mortality; Outcome; STESS; Score; Status epilepticus