Status epilepticus in pediatric patients severity score (STEPPS) as an outcome predictor in children
Background Status epilepticus (SE) is a neurological emergency, with short-term mortality ranging from 0.9 to 3.6% in children. The disease burden of SE includes morbidity, treatment costs, and mortality. Various scoring tools for predicting outcomes in adult SE cases have been widely studied, but t...
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| Format: | Article |
| Language: | English |
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Indonesian Pediatric Society Publishing House
2022-12-01
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| Series: | Paediatrica Indonesiana |
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| Online Access: | https://paediatricaindonesiana.org/index.php/paediatrica-indonesiana/article/view/2723 |
| _version_ | 1828076127453708288 |
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| author | Niken Iswarajati Intan Fatah Kumara Agung Triono |
| author_facet | Niken Iswarajati Intan Fatah Kumara Agung Triono |
| author_sort | Niken Iswarajati |
| collection | DOAJ |
| description | Background Status epilepticus (SE) is a neurological emergency, with short-term mortality ranging from 0.9 to 3.6% in children. The disease burden of SE includes morbidity, treatment costs, and mortality. Various scoring tools for predicting outcomes in adult SE cases have been widely studied, but there are few tools for predicting outcomes in children with SE.
Objective To evaluate the usefulness of status epilepticus in pediatric patients severity score (STEPSS), a clinical score for predicting functional outcome and mortality in pediatric patients with status epilepticus, as well as to identify characteristics of SE patients.
Methods This retrospective cohort study included 88 pediatric patients with status epilepticus aged >1 month to ?18 years by consecutive sampling, who were treated at Dr. Sardjito Hospital, Yogyakarta. All subjects underwent assessment by STEPPS score, which were compared to functional outcome assessed by Pediatric Overall Performance Capacity (POPC) score and mortality.
Results STEPPS > 3 was significantly correlated with poor functional outcome (OR 2.85; 95%CI 1.04 to 7.87; P=0.043), but was not significantly correlated with mortality outcome in children with SE (P=0.411).
Conclusion STEPPS score with cut-off >3 can be used as a predictor of poor functional outcome in pediatric patients with SE aged >1 month to ?18 years, but cannot be used as a predictor of mortality. |
| first_indexed | 2024-04-11T02:10:06Z |
| format | Article |
| id | doaj.art-ea352a38c7214bce82c1365043e96f89 |
| institution | Directory Open Access Journal |
| issn | 0030-9311 2338-476X |
| language | English |
| last_indexed | 2024-04-11T02:10:06Z |
| publishDate | 2022-12-01 |
| publisher | Indonesian Pediatric Society Publishing House |
| record_format | Article |
| series | Paediatrica Indonesiana |
| spelling | doaj.art-ea352a38c7214bce82c1365043e96f892023-01-03T02:28:49ZengIndonesian Pediatric Society Publishing HousePaediatrica Indonesiana0030-93112338-476X2022-12-0162639640310.14238/pi62.6.2022.396-4032723Status epilepticus in pediatric patients severity score (STEPPS) as an outcome predictor in childrenNiken Iswarajati0Intan Fatah Kumara1Agung Triono2residentDepartment of Child Health, Faculty of Medicine, Public Health, and Nursing, Universitas Gadjah Mada, Yogyakarta, Central JavaDepartment of Child Health, Faculty of Medicine, Public Health, and Nursing, Universitas Gadjah Mada, Yogyakarta, Central JavaBackground Status epilepticus (SE) is a neurological emergency, with short-term mortality ranging from 0.9 to 3.6% in children. The disease burden of SE includes morbidity, treatment costs, and mortality. Various scoring tools for predicting outcomes in adult SE cases have been widely studied, but there are few tools for predicting outcomes in children with SE. Objective To evaluate the usefulness of status epilepticus in pediatric patients severity score (STEPSS), a clinical score for predicting functional outcome and mortality in pediatric patients with status epilepticus, as well as to identify characteristics of SE patients. Methods This retrospective cohort study included 88 pediatric patients with status epilepticus aged >1 month to ?18 years by consecutive sampling, who were treated at Dr. Sardjito Hospital, Yogyakarta. All subjects underwent assessment by STEPPS score, which were compared to functional outcome assessed by Pediatric Overall Performance Capacity (POPC) score and mortality. Results STEPPS > 3 was significantly correlated with poor functional outcome (OR 2.85; 95%CI 1.04 to 7.87; P=0.043), but was not significantly correlated with mortality outcome in children with SE (P=0.411). Conclusion STEPPS score with cut-off >3 can be used as a predictor of poor functional outcome in pediatric patients with SE aged >1 month to ?18 years, but cannot be used as a predictor of mortality.https://paediatricaindonesiana.org/index.php/paediatrica-indonesiana/article/view/2723stepss; status epilepticus; outcome; mortality |
| spellingShingle | Niken Iswarajati Intan Fatah Kumara Agung Triono Status epilepticus in pediatric patients severity score (STEPPS) as an outcome predictor in children Paediatrica Indonesiana stepss; status epilepticus; outcome; mortality |
| title | Status epilepticus in pediatric patients severity score (STEPPS) as an outcome predictor in children |
| title_full | Status epilepticus in pediatric patients severity score (STEPPS) as an outcome predictor in children |
| title_fullStr | Status epilepticus in pediatric patients severity score (STEPPS) as an outcome predictor in children |
| title_full_unstemmed | Status epilepticus in pediatric patients severity score (STEPPS) as an outcome predictor in children |
| title_short | Status epilepticus in pediatric patients severity score (STEPPS) as an outcome predictor in children |
| title_sort | status epilepticus in pediatric patients severity score stepps as an outcome predictor in children |
| topic | stepss; status epilepticus; outcome; mortality |
| url | https://paediatricaindonesiana.org/index.php/paediatrica-indonesiana/article/view/2723 |
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