Table 2.
Outcome and Population | Levetiracetam (N = 145) | Fosphenytoin (N = 118) | Valproate (N = 121) |
---|---|---|---|
Primary efficacy outcome: cessation of seizures and improvement in consciousness at 60 min without other anticonvulsant medications | |||
Intention-to-treat population | |||
No. with outcome | 68 | 53 | 56 |
Percent of patients with outcome (95% credible interval) | 47 (39–55) | 45 (36–54) | 46 (38–55) |
Probability that treatment is the most effective | 0.41 | 0.24 | 0.35 |
Probability that treatment is the least effective | 0.24 | 0.45 | 0.31 |
Per-protocol population | |||
No. with outcome/total no. | 51/109 | 37/79 | 43/91 |
Percent of patients with outcome (95% credible interval) | 47 (38–56) | 47 (36–58) | 47 (37–57) |
Probability that treatment is the most effective | 0.31 | 0.34 | 0.36 |
Probability that treatment is the least effective | 0.34 | 0.35 | 0.31 |
Adjudicated-outcomes population | |||
No. with outcome | 67 | 57 | 60 |
Percent with outcome (95% credible interval) | 46 (38–54) | 48 (39–57) | 50 (41–58) |
Probability that treatment is the most effective | 0.17 | 0.35 | 0.48 |
Probability that treatment is the least effective | 0.51 | 0.29 | 0.20 |
Secondary efficacy outcomes | |||
Admission to ICU — no. (%) | 87 (60.0) | 70 (59.3) | 71 (58.7) |
Median length of ICU stay (IQR) — days | 1 (0–3) | 1 (0–3) | 1 (0–3) |
Median length of hospital stay (IQR) — days | 3 (1–7) | 3 (1–6) | 3 (2–6) |
Median time from start of trial-drug infusion to termination of seizures for patients with treatment success (IQR) — min† | 10.5 (5.7–15.5) | 11.7 (7.5–20.9) | 7.0 (4.6–14.9) |
ICU denotes intensive care unit.
Data were available for 14 patients in the levetiracetam group, 15 patients in the fosphenytoin group, and 10 patients in the valproate group.