Characteristics | Total cohort | Group, diabetes | Group, no diabetes | p-value |
---|---|---|---|---|
Patients | N = 408 | N = 133 | N = 275 |  |
Demographics | ||||
Age | 73 (62–81) | 75 (70–81) | 71 (58–81) | 0.001 |
Sex: m (male) f (female) | m 188 (46%), f 220 (54%) | m 51 (38%), f 82 (62%) | m 137 (50%), f 138 (50%) | 0.034 |
Comorbidities | ||||
Charlson Comorbidity Index | 3 (1–4) | 4 (3–6) | 2 (1–3) |  < 0.001 |
Insulin-dependent diabetes mellitus | 55 (14%) | 55 (42%) | 0 |  < 0.001 |
Active abuse of alcohol* | 41 (10%) | 10 (8%) | 31 (11%) | 0.293 |
Status epilepticus | ||||
STESS ≥ 3 | 272 (67%) | 106 (80%) | 166 (60%) |  < 0.001 |
Worst seizure type: GCSE | 171 (42%) | 47 (35%) | 124 (45%) | 0.061 |
Worst seizure type: NCSE with coma* | 12 (3%) | 3 (2%) | 9 (3%) | 0.758 |
Consciousness: Stuporous or comatose | 306 (75%) | 99 (74%) | 207 (75%) | 0.855 |
History of seizures | 202 (50%) | 48 (36%) | 154 (55%) |  < 0.001 |
Etiology of SE | ||||
Potentially fatal etiology | 126 (31%) | 47 (35%) | 79 (29%) | 0.175 |
Treatment with VPA | ||||
VPA single infusion* | 42 (10%) | 10 (8%) | 32 (12%) | 0.227 |
VPA repeated or continuous infusion | 366 (90%) | 123 (93%) | 243 (88%) | 0.200 |
Stop treatment with VPA | 147 (36%) | 52 (39%) | 95 (35%) | 0.369 |
Reason: adverse events | 53 (13%) | 22 (17%) | 31 (11%) | 0.138 |
Reason: interaction of medication* | 24 (6%) | 7 (5%) | 17 (6%) | 0.825 |
Other reasons, no adverse events | 70 (17%) | 23 (17%) | 47 (17%) | 0.886 |
Adverse events | ||||
Disturbance of consciousness* | 27 (7%) | 11 (8%) | 16 (6%) | 0.397 |
Thrombocytopenia* | 8 (2%) | 6 (5%) | 2 (1%) | 0.017 |
Parkinsonism* | 1 (0.2%) | 1 (1%) | 0 | 0.326 |
Elevation of liver enzymes* | 7 (2%) | 2 (2%) | 5 (2%) | 1.0 |
Bleeding* | 2 (0.5%) | 0 | 2 (1%) | 0.559 |
Others* | 8 (2%) | 2 (2%) | 6 (2%) | 1.0 |
In-hospital complications | ||||
Need for mechanical ventilation | 180 (44%) | 52 (39%) | 128 (47%) | 0.156 |
Episodes of hypoglycemia* | 11 (3%) | 8 (6%) | 3 (1%) | 0.009 |
Bleeding with intervention* | 20 (5%) | 7 (5%) | 13 (5%) | 0.810 |
Pancreatic damage* | 3 (1%) | 1 (1%) | 2 (1%) | 0.546 |
Outcome | ||||
In-hospital mortality | 65 (16%) | 26 (20%) | 39 (14%) | 0.165 |
In-hospital mortality after recurrent SE* | 6/74 (8%) | 0/27 | 6/47 (13%) | 0.080 |
mRS at discharge | 4 (3–5) | 5 (4–5) | 4 (3–5) | 0.004 |