Comparison of scoring tools EMSE and STESS for the prediction of in-hospital mortality in convulsive status epilepticus in adults and the elderly

Authors

  • Archana Verma Professor and Head Department of Neurology, All India Institute of Medical Sciences, Munshiganj, Dalmau Road, Raibareli (U.P.) 229405, India
  • Alok Kumar Professor & Head, Forensic Medicine & Toxicology, UP university of Medical Sciences, Saifai, Etawah. -206130 (U.P.) India
  • Manoj Kumar Verma , Junior resident, Department of community Medicine UP university of Medical Sciences, Saifai, Etawah. -206130 (U.P.) India

DOI:

https://doi.org/10.3126/njn.v19i1.41968

Keywords:

STESS, EMSE, in-hospital mortality, Convulsive status epilepticus

Abstract

Aim: The aim of this study was to compare the predictive accuracy of the Status Epilepticus Severity Score (STESS) and the Epidemiology-based Mortality Score in Status Epilepticus—etiology, age, and levels of consciousness (EMSE-EAL) score for in-hospital mortality in adults and the elderly with CSE.

Methods: We conducted a hospital-based cross-sectional study. A total of 193 participants with a diagnosis of CSE were enrolled in the study. The means area under the receiver operating characteristic curve (AUC) was compared to distinguish between the score performances.

Results: The average age of the respondents was 46.15 ± 20.25 years; 138 (69.8%) of them were adults, and 55 (30.2%) were elderly. In our study, in-hospital mortality was 30 (15.5%). In adults, on comparison STESS with the cutoff value of ≥3 has an AUC of 0.712 (95 percent CI =0.60–0.83), whereas ESME-EAL with the cutoff value of ≥40 has an AUC of 0.912 (95 percent CI =0.86–0.97), and in the elderly, STESS has an AUC of 0.613 (95 percent CI =0.43–0.80), and ESME-EAL has AUC of 0.848 (95% CI =0.74–0.80).

Conclusions: The EMSE-EAL-40 score is superior to the STESS-3 for predicting in-hospital mortality in both adults and the elderly with CSE. EMSE-EAL can be easily applied in resource-poor sectors with constrained diagnostic facilities.

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Published

2022-03-15

How to Cite

Verma, A., Kumar, A. ., & Kumar Verma, M. . (2022). Comparison of scoring tools EMSE and STESS for the prediction of in-hospital mortality in convulsive status epilepticus in adults and the elderly . Nepal Journal of Neuroscience, 19(1), 11–15. https://doi.org/10.3126/njn.v19i1.41968

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Original Articles