TABLE 3.
Seizure Management for 611 Neonates
| Seizure Management | Preterm N = 92 |
Extremely Preterm (<28 weeks) N = 18 |
Very Preterm (28 to <32 weeks) N = 18 |
Moderate/Late Preterm (32 to <37 weeks) N = 56 |
P Value (Comparing Preterm Categories) |
Term N = 519 |
P Value (Preterm Versus Term) |
|---|---|---|---|---|---|---|---|
| Initial loading antiseizure medication* | 0.01 | 0.1 | |||||
| Phenobarbital | 74 (88%) | 12 (71%) | 18 (100%) | 44 (90%) | 466 (94%) | ||
| Levetiracetam | 9 (11%) | 4 (24%) | 0 | 5 (10%) | 24 (5%) | ||
| Fosphenytoin | 1 (1%) | 1 (6%) | 0 | 0 | 3 (< 1%) | ||
| Number of medications used | 1 (1, 2) | 1.5 (1, 3) | 1 (1, 3) | 1 (1, 2) | 0.4 | 2 (1, 3) | 0.003 |
| Seizures refractory to initial load | 54 (63%) | 13 (76%) | 11 (61%) | 30 (60%) | 0.6 | 319 (63%) | 0.6 |
| Discharged home on antiseizure medications† | 31/46 (67%) | 4/6 (67%) | 6/10 (60%) | 21/30 (70%) | 0.8 | 294/382 (77%) | 0.15 |
Among 580 neonates who received a loading dose of anti-seizure medication.
Among 428 neonates discharged to home.