Long-term outcomes of status epilepticus: A critical assessment

Epilepsia. 2018 Oct;59 Suppl 2(Suppl Suppl 2):155-169. doi: 10.1111/epi.14515. Epub 2018 Aug 26.

Abstract

We reviewed 37 studies reporting long-term outcomes after a status epilepticus (SE) episode in pediatric and adult populations. Study design, length of follow-up, outcome measures, domains investigated (mortality, SE recurrence, subsequent epilepsy, cognitive outcome, functional outcome, or quality of life), and predictors of long-term outcomes are summarized. Despite heterogeneity in the design of prior studies, overall risk of poor long-term outcome after SE is high in both children and adults. Etiology is the main determinant of outcome, and the effect of age or SE duration is often difficult to distinguish from the underlying cause. The effect of the treatment on long-term outcome after SE is still unknown.

Keywords: cognitive outcome; epilepsy; functional impairment; mortality; neurological sequelae; quality of life.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Age Factors
  • Child
  • Child, Preschool
  • Cognition Disorders / etiology
  • Databases, Factual / statistics & numerical data
  • Female
  • Humans
  • Intensive Care Units / statistics & numerical data
  • Longitudinal Studies
  • Male
  • Patient Acceptance of Health Care / statistics & numerical data
  • Quality of Life
  • Status Epilepticus / complications*
  • Status Epilepticus / etiology*
  • Status Epilepticus / psychology
  • Status Epilepticus / therapy*
  • Treatment Outcome*

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