Table 3. Analysis of practice variability, age, status epilepticus severity, and outcome association regarding first-line treatment dosage adequacy for clonazepam, lorazepam, and midazolam.
CLZ | p-Value (test) | LZP | p-Value (test) | MDZ | ||||||
---|---|---|---|---|---|---|---|---|---|---|
|
|
|
||||||||
Adequate dose | Insufficient dose | Adequate dose | Insufficient dose | Adequate dose | Insufficient dose | p-Value (test) | ||||
N | 52 | 20 | 10 | 72 | 11 | 12 | ||||
Center | n (%) | |||||||||
CHUV | 52 (72.22)a | 20 (27.78)a | 0 (0)a | 0 (0)a | 11 (57.89) a | 8 (42.11)a | ||||
BWH | 0 (0) | 0 (0) | 8 (16) | 42 (84) | 0 (0) | 2 (100) | ||||
MGH | 0 (0) | 0 (0) | 1 (4.17) | 23 (95.83) | 0 (0) | 1 (100) | ||||
BIDMC | 0 (0) | 0 (0) | n/a | 1 (12.5) | 7 (87.5) | 0.34 (Fisher) | 0 (0) | 1 (100) | 0.205 (Fisher) | |
Age | Mean (SD) | 57.6 (21.7) | 64.9 (21.3) | 0.2 (t-test) | 46.1 (11.9) | 57 (16.6) | 0.04 (t-test) | 46.5 (27.7) | 57 (17.1) | 0.28 (t-test) |
STESS | Mean (SD) | 2.86 (1.53) | 2.6 (1.95) | 0.54 (t-test) | 2.2 (0.42) | 2.38 (1.78) | 0.74 (t-test) | 2.36 (1.2) | 3 (1.16) | 0.16 (t-test) |
Refractory SE | n (%) | 25 (48.8)b | 6 (30)b | 0.165 (χ2) | 6 (60)b | 62 (86.1)b | 0.04 (χ2) | 4 (36.36)b | 5 (41.67)b | 0.795 (χ2) |
Number of ASD | n (%) | |||||||||
0–2 | 23 (44.23)b | 13 (65)b | 3 (30)b | 10 (13.9)b | 5 (45.45)b | 6 (50)b | ||||
3–4 | 23 (44.23) | 6 (30) | 5 (50) | 42 (58.33) | 6 (54.44) | 2 (16.67) | ||||
≥5 | 6 (11.54) | 1 (5) | 0.362 (Fisher) | 2 (20) | 20 (27.78) | 0.47 (Fisher) | 0 (0) | 4 (33.33) | 0.07 (Fisher) | |
Mortality | 4 (7.69)b | 4 (20)b | 0.137 (χ2) | 1 (10)b | 10 (13.89)b | 1 (Fisher) | 0 (0)b | 1 (8.33)b | 1 (Fisher) |
ASD, antiseizure drug; BIDMC, Beth Israel Deaconess Medical Center; BWH, Brigham and Women's Hospital; CHUV, Centre Hospitalier Universitaire Vaudois; MGH, Massachusetts General Hospital; SD, standard deviation; STESS, STatus Epilepticus Severity Score.
In Bold: statistically significant.
Raw percentage.
Column percentage.