Status epilepticus in Auckland, New Zealand: Incidence, etiology, and outcomes

Objective To determine the incidence, etiology, and outcome of status epilepticus (SE) in Auckland, New Zealand, using the latest International League Against Epilepsy (ILAE) SE semiological classification. Methods We prospectively identified patients presenting to the public or major private hospit...

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Veröffentlicht in:Epilepsia (Copenhagen) 2019-08, Vol.60 (8), p.1552-1564
Hauptverfasser: Bergin, Peter S., Brockington, Alice, Jayabal, Jayaganth, Scott, Shona, Litchfield, Rhonda, Roberts, Lynair, Timog, Jerelyn, Beilharz, Erica, Dalziel, Stuart R., Jones, Peter, Yates, Kim, Thornton, Vanessa, Walker, Elizabeth B., Davis, Suzanne, Te Ao, Braden, Parmar, Priya, Beghi, Ettore, Rossetti, Andrea O., Feigin, Valery
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container_issue 8
container_start_page 1552
container_title Epilepsia (Copenhagen)
container_volume 60
creator Bergin, Peter S.
Brockington, Alice
Jayabal, Jayaganth
Scott, Shona
Litchfield, Rhonda
Roberts, Lynair
Timog, Jerelyn
Beilharz, Erica
Dalziel, Stuart R.
Jones, Peter
Yates, Kim
Thornton, Vanessa
Walker, Elizabeth B.
Davis, Suzanne
Te Ao, Braden
Parmar, Priya
Beghi, Ettore
Rossetti, Andrea O.
Feigin, Valery
description Objective To determine the incidence, etiology, and outcome of status epilepticus (SE) in Auckland, New Zealand, using the latest International League Against Epilepsy (ILAE) SE semiological classification. Methods We prospectively identified patients presenting to the public or major private hospitals in Auckland (population = 1.61 million) between April 6, 2015 and April 5, 2016 with a seizure lasting 10 minutes or longer, with retrospective review to confirm completeness of data capture. Information was recorded in the EpiNet database. Results A total of 477 episodes of SE occurred in 367 patients. Fifty‐one percent of patients were aged
doi_str_mv 10.1111/epi.16277
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Methods We prospectively identified patients presenting to the public or major private hospitals in Auckland (population = 1.61 million) between April 6, 2015 and April 5, 2016 with a seizure lasting 10 minutes or longer, with retrospective review to confirm completeness of data capture. Information was recorded in the EpiNet database. Results A total of 477 episodes of SE occurred in 367 patients. Fifty‐one percent of patients were aged &lt;15 years. SE with prominent motor symptoms comprised 81% of episodes (387/477). Eighty‐four episodes (18%) were nonconvulsive SE. Four hundred fifty episodes occurred in 345 patients who were resident in Auckland. The age‐adjusted incidence of 10‐minute SE episodes and patients was 29.25 (95% confidence interval [CI] = 27.34‐31.27) and 22.22 (95% CI = 20.57‐23.99)/100 000/year, respectively. SE lasted 30 minutes or longer in 250 (56%) episodes; age‐adjusted incidence was 15.95 (95% CI = 14.56‐17.45) SE episodes/100 000/year and 12.92 (95% CI = 11.67‐14.27) patients/100 000/year. Age‐adjusted incidence (10‐minute SE) was 25.54 (95% CI = 23.06‐28.24) patients/100 000/year for males and 19.07 (95% CI = 16.91‐21.46) patients/100 000/year for females. The age‐adjusted incidence of 10‐minute SE was higher in Māori (29.31 [95% CI = 23.52‐37.14]/100 000/year) and Pacific Islanders (26.55 [95% CI = 22.05‐31.99]/100 000/year) than in patients of European (19.13 [95% CI = 17.09‐21.37]/100 000/year) or Asian/other descent (17.76 [95% CI = 14.73‐21.38]/100 000/year). Seventeen of 367 patients in the study died within 30 days of the episode of SE; 30‐day mortality was 4.6%. Significance In this population‐based study, incidence and mortality of SE in Auckland lie in the lower range when compared to North America and Europe. For pragmatic reasons, we only included convulsive SE if episodes lasted 10 minutes or longer, although the 2015 ILAE SE classification was otherwise practical and easy to use.</description><identifier>ISSN: 0013-9580</identifier><identifier>ISSN: 1528-1167</identifier><identifier>EISSN: 1528-1167</identifier><identifier>DOI: 10.1111/epi.16277</identifier><identifier>PMID: 31260104</identifier><language>eng</language><publisher>United States: Wiley Subscription Services, Inc</publisher><subject>Adolescent ; Adult ; Age ; Age Factors ; Aged ; Aged, 80 and over ; Asian People - statistics &amp; numerical data ; Child ; Child, Preschool ; Classification ; epidemiology ; Epilepsy ; EpiNet ; Etiology ; Female ; Humans ; Incidence ; Infant ; Male ; Middle Aged ; Mortality ; New Zealand - epidemiology ; Population studies ; Prospective Studies ; Risk Factors ; Seizures ; status epilepticus ; Status Epilepticus - epidemiology ; Status Epilepticus - etiology ; Status Epilepticus - mortality ; White People - statistics &amp; numerical data ; Young Adult</subject><ispartof>Epilepsia (Copenhagen), 2019-08, Vol.60 (8), p.1552-1564</ispartof><rights>Wiley Periodicals, Inc. © 2019 International League Against Epilepsy</rights><rights>Wiley Periodicals, Inc. © 2019 International League Against Epilepsy.</rights><rights>Copyright © 2019 International League Against Epilepsy</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3537-7f3114e763105b8e03d0363a6eab7028f18e140f909d43d22b444bbe6afe9eda3</citedby><cites>FETCH-LOGICAL-c3537-7f3114e763105b8e03d0363a6eab7028f18e140f909d43d22b444bbe6afe9eda3</cites><orcidid>0000-0003-0181-1959</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fepi.16277$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fepi.16277$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,776,780,1411,1427,27903,27904,45553,45554,46388,46812</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/31260104$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Bergin, Peter S.</creatorcontrib><creatorcontrib>Brockington, Alice</creatorcontrib><creatorcontrib>Jayabal, Jayaganth</creatorcontrib><creatorcontrib>Scott, Shona</creatorcontrib><creatorcontrib>Litchfield, Rhonda</creatorcontrib><creatorcontrib>Roberts, Lynair</creatorcontrib><creatorcontrib>Timog, Jerelyn</creatorcontrib><creatorcontrib>Beilharz, Erica</creatorcontrib><creatorcontrib>Dalziel, Stuart R.</creatorcontrib><creatorcontrib>Jones, Peter</creatorcontrib><creatorcontrib>Yates, Kim</creatorcontrib><creatorcontrib>Thornton, Vanessa</creatorcontrib><creatorcontrib>Walker, Elizabeth B.</creatorcontrib><creatorcontrib>Davis, Suzanne</creatorcontrib><creatorcontrib>Te Ao, Braden</creatorcontrib><creatorcontrib>Parmar, Priya</creatorcontrib><creatorcontrib>Beghi, Ettore</creatorcontrib><creatorcontrib>Rossetti, Andrea O.</creatorcontrib><creatorcontrib>Feigin, Valery</creatorcontrib><title>Status epilepticus in Auckland, New Zealand: Incidence, etiology, and outcomes</title><title>Epilepsia (Copenhagen)</title><addtitle>Epilepsia</addtitle><description>Objective To determine the incidence, etiology, and outcome of status epilepticus (SE) in Auckland, New Zealand, using the latest International League Against Epilepsy (ILAE) SE semiological classification. Methods We prospectively identified patients presenting to the public or major private hospitals in Auckland (population = 1.61 million) between April 6, 2015 and April 5, 2016 with a seizure lasting 10 minutes or longer, with retrospective review to confirm completeness of data capture. Information was recorded in the EpiNet database. Results A total of 477 episodes of SE occurred in 367 patients. Fifty‐one percent of patients were aged &lt;15 years. SE with prominent motor symptoms comprised 81% of episodes (387/477). Eighty‐four episodes (18%) were nonconvulsive SE. Four hundred fifty episodes occurred in 345 patients who were resident in Auckland. The age‐adjusted incidence of 10‐minute SE episodes and patients was 29.25 (95% confidence interval [CI] = 27.34‐31.27) and 22.22 (95% CI = 20.57‐23.99)/100 000/year, respectively. SE lasted 30 minutes or longer in 250 (56%) episodes; age‐adjusted incidence was 15.95 (95% CI = 14.56‐17.45) SE episodes/100 000/year and 12.92 (95% CI = 11.67‐14.27) patients/100 000/year. Age‐adjusted incidence (10‐minute SE) was 25.54 (95% CI = 23.06‐28.24) patients/100 000/year for males and 19.07 (95% CI = 16.91‐21.46) patients/100 000/year for females. The age‐adjusted incidence of 10‐minute SE was higher in Māori (29.31 [95% CI = 23.52‐37.14]/100 000/year) and Pacific Islanders (26.55 [95% CI = 22.05‐31.99]/100 000/year) than in patients of European (19.13 [95% CI = 17.09‐21.37]/100 000/year) or Asian/other descent (17.76 [95% CI = 14.73‐21.38]/100 000/year). Seventeen of 367 patients in the study died within 30 days of the episode of SE; 30‐day mortality was 4.6%. Significance In this population‐based study, incidence and mortality of SE in Auckland lie in the lower range when compared to North America and Europe. For pragmatic reasons, we only included convulsive SE if episodes lasted 10 minutes or longer, although the 2015 ILAE SE classification was otherwise practical and easy to use.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Age</subject><subject>Age Factors</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Asian People - statistics &amp; numerical data</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>Classification</subject><subject>epidemiology</subject><subject>Epilepsy</subject><subject>EpiNet</subject><subject>Etiology</subject><subject>Female</subject><subject>Humans</subject><subject>Incidence</subject><subject>Infant</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Mortality</subject><subject>New Zealand - epidemiology</subject><subject>Population studies</subject><subject>Prospective Studies</subject><subject>Risk Factors</subject><subject>Seizures</subject><subject>status epilepticus</subject><subject>Status Epilepticus - epidemiology</subject><subject>Status Epilepticus - etiology</subject><subject>Status Epilepticus - mortality</subject><subject>White People - statistics &amp; numerical data</subject><subject>Young Adult</subject><issn>0013-9580</issn><issn>1528-1167</issn><issn>1528-1167</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2019</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kEFLwzAUgIMobk4P_gEpeFFYt_eSNmm9jTF1IFNQL15K2r5KZ9fOpmXs35vZ6UEwl-SRj4_Hx9g5wgjtGdM6H6HkSh2wPvo8cBGlOmR9ABRu6AfQYyfGLAFASSWOWU8gl4Dg9dniudFNaxyrKGjd5Il956UzaZOPQpfp0FnQxnkjvRtunHmZ5CmVCQ0davKqqN63Q8f-OFXbJNWKzCk7ynRh6Gx_D9jr7exleu8-PN7Np5MHNxG-UK7KBKJHSgoEPw4IRApCCi1Jxwp4kGFA6EEWQph6IuU89jwvjknqjEJKtRiwq867rqvPlkwTrXKTUGHXpKo1Eec-SAwCARa9_IMuq7Yu7XaWkiHIkKO01HVHJXVlTE1ZtK7zla63EUK0ixzZQtF3ZMte7I1tvKL0l_ypaoFxB2xs1O3_pmj2NO-UX-2Lg-E</recordid><startdate>201908</startdate><enddate>201908</enddate><creator>Bergin, Peter S.</creator><creator>Brockington, Alice</creator><creator>Jayabal, Jayaganth</creator><creator>Scott, Shona</creator><creator>Litchfield, Rhonda</creator><creator>Roberts, Lynair</creator><creator>Timog, Jerelyn</creator><creator>Beilharz, Erica</creator><creator>Dalziel, Stuart R.</creator><creator>Jones, Peter</creator><creator>Yates, Kim</creator><creator>Thornton, Vanessa</creator><creator>Walker, Elizabeth B.</creator><creator>Davis, Suzanne</creator><creator>Te Ao, Braden</creator><creator>Parmar, Priya</creator><creator>Beghi, Ettore</creator><creator>Rossetti, Andrea O.</creator><creator>Feigin, Valery</creator><general>Wiley Subscription Services, Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7TK</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0003-0181-1959</orcidid></search><sort><creationdate>201908</creationdate><title>Status epilepticus in Auckland, New Zealand: Incidence, etiology, and outcomes</title><author>Bergin, Peter S. ; Brockington, Alice ; Jayabal, Jayaganth ; Scott, Shona ; Litchfield, Rhonda ; Roberts, Lynair ; Timog, Jerelyn ; Beilharz, Erica ; Dalziel, Stuart R. ; Jones, Peter ; Yates, Kim ; Thornton, Vanessa ; Walker, Elizabeth B. ; Davis, Suzanne ; Te Ao, Braden ; Parmar, Priya ; Beghi, Ettore ; Rossetti, Andrea O. ; Feigin, Valery</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3537-7f3114e763105b8e03d0363a6eab7028f18e140f909d43d22b444bbe6afe9eda3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2019</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Age</topic><topic>Age Factors</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Asian People - statistics &amp; numerical data</topic><topic>Child</topic><topic>Child, Preschool</topic><topic>Classification</topic><topic>epidemiology</topic><topic>Epilepsy</topic><topic>EpiNet</topic><topic>Etiology</topic><topic>Female</topic><topic>Humans</topic><topic>Incidence</topic><topic>Infant</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Mortality</topic><topic>New Zealand - epidemiology</topic><topic>Population studies</topic><topic>Prospective Studies</topic><topic>Risk Factors</topic><topic>Seizures</topic><topic>status epilepticus</topic><topic>Status Epilepticus - epidemiology</topic><topic>Status Epilepticus - etiology</topic><topic>Status Epilepticus - mortality</topic><topic>White People - statistics &amp; numerical data</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Bergin, Peter S.</creatorcontrib><creatorcontrib>Brockington, Alice</creatorcontrib><creatorcontrib>Jayabal, Jayaganth</creatorcontrib><creatorcontrib>Scott, Shona</creatorcontrib><creatorcontrib>Litchfield, Rhonda</creatorcontrib><creatorcontrib>Roberts, Lynair</creatorcontrib><creatorcontrib>Timog, Jerelyn</creatorcontrib><creatorcontrib>Beilharz, Erica</creatorcontrib><creatorcontrib>Dalziel, Stuart R.</creatorcontrib><creatorcontrib>Jones, Peter</creatorcontrib><creatorcontrib>Yates, Kim</creatorcontrib><creatorcontrib>Thornton, Vanessa</creatorcontrib><creatorcontrib>Walker, Elizabeth B.</creatorcontrib><creatorcontrib>Davis, Suzanne</creatorcontrib><creatorcontrib>Te Ao, Braden</creatorcontrib><creatorcontrib>Parmar, Priya</creatorcontrib><creatorcontrib>Beghi, Ettore</creatorcontrib><creatorcontrib>Rossetti, Andrea O.</creatorcontrib><creatorcontrib>Feigin, Valery</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Neurosciences Abstracts</collection><collection>MEDLINE - Academic</collection><jtitle>Epilepsia (Copenhagen)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Bergin, Peter S.</au><au>Brockington, Alice</au><au>Jayabal, Jayaganth</au><au>Scott, Shona</au><au>Litchfield, Rhonda</au><au>Roberts, Lynair</au><au>Timog, Jerelyn</au><au>Beilharz, Erica</au><au>Dalziel, Stuart R.</au><au>Jones, Peter</au><au>Yates, Kim</au><au>Thornton, Vanessa</au><au>Walker, Elizabeth B.</au><au>Davis, Suzanne</au><au>Te Ao, Braden</au><au>Parmar, Priya</au><au>Beghi, Ettore</au><au>Rossetti, Andrea O.</au><au>Feigin, Valery</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Status epilepticus in Auckland, New Zealand: Incidence, etiology, and outcomes</atitle><jtitle>Epilepsia (Copenhagen)</jtitle><addtitle>Epilepsia</addtitle><date>2019-08</date><risdate>2019</risdate><volume>60</volume><issue>8</issue><spage>1552</spage><epage>1564</epage><pages>1552-1564</pages><issn>0013-9580</issn><issn>1528-1167</issn><eissn>1528-1167</eissn><abstract>Objective To determine the incidence, etiology, and outcome of status epilepticus (SE) in Auckland, New Zealand, using the latest International League Against Epilepsy (ILAE) SE semiological classification. Methods We prospectively identified patients presenting to the public or major private hospitals in Auckland (population = 1.61 million) between April 6, 2015 and April 5, 2016 with a seizure lasting 10 minutes or longer, with retrospective review to confirm completeness of data capture. Information was recorded in the EpiNet database. Results A total of 477 episodes of SE occurred in 367 patients. Fifty‐one percent of patients were aged &lt;15 years. SE with prominent motor symptoms comprised 81% of episodes (387/477). Eighty‐four episodes (18%) were nonconvulsive SE. Four hundred fifty episodes occurred in 345 patients who were resident in Auckland. The age‐adjusted incidence of 10‐minute SE episodes and patients was 29.25 (95% confidence interval [CI] = 27.34‐31.27) and 22.22 (95% CI = 20.57‐23.99)/100 000/year, respectively. SE lasted 30 minutes or longer in 250 (56%) episodes; age‐adjusted incidence was 15.95 (95% CI = 14.56‐17.45) SE episodes/100 000/year and 12.92 (95% CI = 11.67‐14.27) patients/100 000/year. Age‐adjusted incidence (10‐minute SE) was 25.54 (95% CI = 23.06‐28.24) patients/100 000/year for males and 19.07 (95% CI = 16.91‐21.46) patients/100 000/year for females. The age‐adjusted incidence of 10‐minute SE was higher in Māori (29.31 [95% CI = 23.52‐37.14]/100 000/year) and Pacific Islanders (26.55 [95% CI = 22.05‐31.99]/100 000/year) than in patients of European (19.13 [95% CI = 17.09‐21.37]/100 000/year) or Asian/other descent (17.76 [95% CI = 14.73‐21.38]/100 000/year). Seventeen of 367 patients in the study died within 30 days of the episode of SE; 30‐day mortality was 4.6%. Significance In this population‐based study, incidence and mortality of SE in Auckland lie in the lower range when compared to North America and Europe. For pragmatic reasons, we only included convulsive SE if episodes lasted 10 minutes or longer, although the 2015 ILAE SE classification was otherwise practical and easy to use.</abstract><cop>United States</cop><pub>Wiley Subscription Services, Inc</pub><pmid>31260104</pmid><doi>10.1111/epi.16277</doi><tpages>13</tpages><orcidid>https://orcid.org/0000-0003-0181-1959</orcidid></addata></record>
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source MEDLINE; Wiley Online Library Journals Frontfile Complete; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; Wiley Free Content; Alma/SFX Local Collection
subjects Adolescent
Adult
Age
Age Factors
Aged
Aged, 80 and over
Asian People - statistics & numerical data
Child
Child, Preschool
Classification
epidemiology
Epilepsy
EpiNet
Etiology
Female
Humans
Incidence
Infant
Male
Middle Aged
Mortality
New Zealand - epidemiology
Population studies
Prospective Studies
Risk Factors
Seizures
status epilepticus
Status Epilepticus - epidemiology
Status Epilepticus - etiology
Status Epilepticus - mortality
White People - statistics & numerical data
Young Adult
title Status epilepticus in Auckland, New Zealand: Incidence, etiology, and outcomes
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