Standardized Treatment of Neonatal Status Epilepticus Improves Outcome.

Abstract:

:We aimed to decrease practice variation in treatment of neonatal status epilepticus by implementing a standardized protocol. Our primary goal was to achieve 80% adherence to the algorithm within 12 months. Secondary outcome measures included serum phenobarbital concentrations, number of patients progressing from seizures to status epilepticus, and length of hospital stay. Data collection occurred for 6 months prior and 12 months following protocol implementation. Adherence of 80% within 12 months was partially achieved in patients diagnosed in our hospital; in pretreated patients, adherence was not achieved. Maximum phenobarbital concentrations were decreased (56.8 vs 41.0 µg/mL), fewer patients progressed from seizures to status epilepticus (46% vs 36%), and hospital length of stay decreased by 9.7 days in survivors. In conclusion, standardized, protocol-driven treatment of neonatal status epilepticus improves consistency and short-term outcome.

journal_name

J Child Neurol

authors

Harris ML,Malloy KM,Lawson SN,Rose RS,Buss WF,Mietzsch U

doi

10.1177/0883073816664670

subject

Has Abstract

pub_date

2016-12-01 00:00:00

pages

1546-1554

issue

14

eissn

0883-0738

issn

1708-8283

pii

0883073816664670

journal_volume

31

pub_type

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