Validation of the Status epilepticus severity score (STESS) at high-complexity hospitals in Medellín, Colombia [documento electrónico] / Lady Diana Ladino Malagón,  . - 2020.
Obra : Seizure

Idioma : Inglés (eng)

Palabras clave :	Complication  Epilepsy  Death  Outcome  Prognosis  Score
Resumen :	Purpose: The Status Epilepticus Severity Score (STESS) is one of the most well-known clinical scoring systems to predict mortality in status epilepticus (SE). The objective of this study was to validate STESS in a Colombian population. Method: We evaluated historical data of adult patients (age ≥16 years) with a clinical or electroencephalographic diagnosis of SE admitted between 2014 and 2017. Prospectively, we included patients admitted from January to June of 2018. The primary outcome was in-hospital mortality. Receiver operating characteristic (ROC)-analysis, determination of best cutoff values, sensitivity, specificity, and positive and negative likelihood ratios were performed. Results: The sample was 395 patients, with in-hospital mortality of 16.8 %. The area under the ROC curve for STESS was 0.84. A cutoff point of ≥3 produced the highest sensitivity of 84.9 % (95 % CI 73.9 %-92.5 %) and a specificity of 65.7 % (95 % CI 60.2 %–70.8 %), with a positive likelihood ratio of 2.5 and a negative likelihood ratio of 0.2. Conclusions: STESS is a useful tool to predict mortality in patients with SE. In Medellin, Colombia, a STESS
Mención de responsabilidad :	Juan Pablo Millán Sandoval, Luisa María Escobar del Rio, Edison Augusto Gómez, Lady Diana Ladino, Lina María López Ospina, Diana Marcela Díaz, José Fernando Zapata, Olga Helena Hernández
Referencia :	Seizure. 2020 Oct;81:287-291.
DOI (Digital Object Identifier) :	10.1016/j.seizure.2020.08.020
PMID :	32927243
En línea :	https://linkinghub.elsevier.com/retrieve/pii/S1059131120302570
Enlace permanente :	https://hospitalpablotobon.cloudbiteca.com/pmb/opac_css/index.php?lvl=notice_display&id=5139