Newer antiepileptic drugs in the treatment of status epilepticus: Impact on prognosis.

Details

Serval ID
serval:BIB_E1C2A1E8E893
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Newer antiepileptic drugs in the treatment of status epilepticus: Impact on prognosis.
Journal
Epilepsy and Behavior
Author(s)
Jaques L., Rossetti A.O.
ISSN
1525-5069 (Electronic)
ISSN-L
1525-5050
Publication state
Published
Issued date
2012
Peer-reviewed
Oui
Volume
24
Number
1
Pages
70-73
Language
english
Notes
Publication types: Journal ArticlePublication Status: ppublish
Abstract
Newer antiepileptic drugs (AEDs) are increasingly prescribed and seem to have a comparable efficacy as the classical AEDs; however, their impact on status epilepticus (SE) prognosis has received little attention. In our prospective SE database (2006-2010), we assessed the use of older versus newer AEDs (levetiracetam, pregabalin, topiramate, lacosamide) over time and its relationship to outcome (return to clinical baseline conditions, new handicap, or death). Newer AEDs were used more often toward the end of the study period (42% of episodes versus 30%). After adjustment for SE etiology, SE severity score, and number of compounds needed to terminate SE, newer AEDs were independently related to a reduced likelihood of return to baseline (p<0.001) but not to increased mortality. These findings seem in line with recent findings on refractory epilepsy. Also, in view of the higher price of the newer AEDs, well-designed, prospective assessments analyzing the impact of newer AEDs on efficacy and tolerability in patients with SE appear mandatory.
Pubmed
Web of science
Open Access
Yes
Create date
25/05/2012 15:37
Last modification date
20/08/2019 17:05
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