Table 3.
Levetiracetam (n=152) | Phenytoin (n=134) | Relative risk (95% CI) | p value | ||
---|---|---|---|---|---|
Secondary outcomes | |||||
Need for further anticonvulsants* | 57 (37·5%) | 50 (37·3%) | 1·01 (0·74–1·36) | 0·97 | |
Need for further anticonvulsants for the presenting convulsive status epilepticus† | 24 (15·8%) | 20 (14·9%) | 1·06 (0·61–1·83) | 0·84 | |
Need for further anticonvulsants for a subsequent seizure (within 24 h)†‡ | 14 (9·2%) | 17 (12·7%) | 0·72 (0·37–1·40) | 0·33 | |
RSI to terminate an ongoing seizure | 44 (30·0%) | 47 (35·1%) | 0·83 (0·59–1·16) | 0·27 | |
Admission to critical care | 97 (63·8%) | 72 (53·7%) | 1·19 (0·97–1·45) | 0·08 | |
Serious adverse reaction | 0 | 2 (1%)§ | .. | .. | |
14-day follow-up | |||||
Discharged from hospital | 145 (95%) | 130 (97%) | .. | .. | |
Readmitted to hospital | 12 (8%) | 10 (7%) | .. | .. | |
Patient died | 1 (<1%) | 1 (<1%) | .. | .. | |
Organ failure | 1 (<1%) | 0 | .. | .. |
Data are n (%) or relative risk (95% CI). RSI=rapid sequence induction.
Includes all instances of further anticonvulsant being given in following 24 h, including for the presenting seizure, subsequent seizures, or for prophylaxis.
Post-hoc analysis; assessment conducted without knowledge of the allocated intervention.
Excludes nine participants with unavailable data.
Two events in one participant, one of which was a suspected unexpected serious adverse reaction.