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Status epilepticus alert reduces time to administration of second-line antiseizure medications.

Publication ,  Journal Article
Villamar, MF; Cook, AM; Ke, C; Xu, Y; Clay, JL; Dolbec, KS; Ward-Mitchell, R; Goldstein, LB; Bensalem-Owen, M
Published in: Neurol Clin Pract
December 2018

BACKGROUND: Status epilepticus (SE) is a neurologic emergency with high morbidity and mortality. Delays in SE treatment are common in clinical practice and can be associated with poorer outcomes. Our goal was to determine whether the implementation of an SE alert protocol improves time to administration of a second-line antiseizure medication (ASM) in hospitalized adults. METHODS: We developed and implemented an inpatient SE alert system. A quasiexperimental cohort study was performed. We analyzed all patients aged 18-85 years who were managed at the University of Kentucky Medical Center using the SE alert protocol between March 2015 and June 2017 (n = 19). Controls were the first 20 consecutive patients treated for SE over the same time period, but who were managed with usual care (i.e., without SE alert protocol). RESULTS: Time to administration of a second-line ASM was shorter with the use of the SE alert system (22.21 ± 3.44 minutes) compared to usual care (58.30 ± 6.72 minutes; p < 0.0001). CONCLUSION: Implementation of an SE alert system led to a marked improvement in time to administration of a second-line ASM. CLASSIFICATION OF EVIDENCE: This study provides Class III evidence that for adult inpatients treated for SE, implementation of an SE alert protocol reduces time to administration of second-line ASM.

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Published In

Neurol Clin Pract

DOI

ISSN

2163-0402

Publication Date

December 2018

Volume

8

Issue

6

Start / End Page

486 / 491

Location

United States

Related Subject Headings

  • 3209 Neurosciences
 

Citation

APA
Chicago
ICMJE
MLA
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Villamar, M. F., Cook, A. M., Ke, C., Xu, Y., Clay, J. L., Dolbec, K. S., … Bensalem-Owen, M. (2018). Status epilepticus alert reduces time to administration of second-line antiseizure medications. Neurol Clin Pract, 8(6), 486–491. https://doi.org/10.1212/CPJ.0000000000000544
Villamar, Mauricio F., Aaron M. Cook, Chenlu Ke, Yan Xu, Jordan L. Clay, Katelyn S. Dolbec, Rachel Ward-Mitchell, Larry B. Goldstein, and Meriem Bensalem-Owen. “Status epilepticus alert reduces time to administration of second-line antiseizure medications.Neurol Clin Pract 8, no. 6 (December 2018): 486–91. https://doi.org/10.1212/CPJ.0000000000000544.
Villamar MF, Cook AM, Ke C, Xu Y, Clay JL, Dolbec KS, et al. Status epilepticus alert reduces time to administration of second-line antiseizure medications. Neurol Clin Pract. 2018 Dec;8(6):486–91.
Villamar, Mauricio F., et al. “Status epilepticus alert reduces time to administration of second-line antiseizure medications.Neurol Clin Pract, vol. 8, no. 6, Dec. 2018, pp. 486–91. Pubmed, doi:10.1212/CPJ.0000000000000544.
Villamar MF, Cook AM, Ke C, Xu Y, Clay JL, Dolbec KS, Ward-Mitchell R, Goldstein LB, Bensalem-Owen M. Status epilepticus alert reduces time to administration of second-line antiseizure medications. Neurol Clin Pract. 2018 Dec;8(6):486–491.

Published In

Neurol Clin Pract

DOI

ISSN

2163-0402

Publication Date

December 2018

Volume

8

Issue

6

Start / End Page

486 / 491

Location

United States

Related Subject Headings

  • 3209 Neurosciences