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Table 3 Hospital treatment, medication used for SE treatment, and tumor treatments prior to and during SE, stratified by tumor categories and tumor progression signs

From: Status epilepticus in patients with brain tumors and metastases: A multicenter cohort study of 208 patients and literature review

Variable

All Cases

Tumor category

Tumor progression signs

Adult-type diffuse gliomas

Intracranial extradural tumors

Metastatic entities

p-value

Yes

No

p -value

N (%)

N (%)

N (%)

All Cases

208(100)

116 (55.8)

30 (14.4)

53 (25.5)

 

128 (61.5)

80 (38.5)

 

Hospital treatment

Length of hospital stay (days)

 Mean ± SD

14.8 ± 11.5

14.7 ± 11.2

17.3 ± 11.7

12.8 ± 11.1

n.s

14.3 ± 10.8

15.4 ± 12.5

n.s

 Median (Range)

12 (1–57)

12 (1–49)

15 (3–45)

10 (1–37)

 

12 (1–57)

12(1–49)

 

ICU /IMC treatment

171 (82.2)

90 (77.6)

25 (83.3)

48 (90.6)

 

109 (85.2)

62 (77.5)

 

 Mean ± SD

8.9 ± 9.8

8.5 ± 10

12.2 ± 8.8

7.31 ± 8.7

&0.022; #0.005; §n.s

8.4 ± 9.5

9.7 ± 10.3

n.s

 Median (Range)

5.0 (1–46)

4 (1–46)

11 (1–31)

3.5 (1–37)

 

4 (1–46)

5 (1–41)

 

Mechanical ventilation

44 (21.2)

19 (16.4)

11 (36.7)

12 (22.6)

&0.003; #n.s.; §n.s

28 (21.9)

16 (20)

n.s

 For SE treatment

29 (13.9)

12 (10.3)

7 (23.3)

9 (17)

 

17 (13.3)

12 (15)

 

 For airway protection

15 (7.2)

7 (6)

4 (13.3)

3 (5.7)

 

11 (8.6)

4 (5)

 

Limitation of therapy during SE

36 (17.3)

21 (18.1)

2 (6.7)

12 (22.6)

n.s

29 (22.7)

7 (8.8)

0.009

Medication

 ASM use prior SE

126 (60.6)

84 (72.4)

13 (43.3)

24 (45.3)

&0.006; #n.s.; §0.001

72 (56.3)

54 (67.5)

n.s

 Mean number ± SD

1.6 ± 0.8

1.7 ± 0.9

1.5 ± 0.8

1.3 ± 0.5

n.s

1.5 ± 0.8

1.7 ± 0.8

n.s

 Median number (Range)

1 (1–5)

1 (1–5)

1 (1–3)

1 (1–3)

 

1 (1–5)

1 (1–5)

 

Number of ASMs used during SE

 Mean ± SD

3.6 ± 2.2

3.5 ± 2.1

3.6 ± 2.3

3.6 ± 2.5

n.s

3.6 ± 2.1

3.5 ± 2.4

n.s

 Median (Range)

3 (1–10)

3(1–9)

3 (1–9)

3(1–10)

 

3 (1–10)

3(1–10)

 

Number of ASMs at discharge

 Mean ± SD

2.2 ± 1.1

2.4 ± 1.1

2 ± 1

2 ± 1.1

n.s

2.1 ± 1

2.3 ± 1.2

n.s

 Median (Range)

2 (1–5)

2 (1–5)

2 (1–5)

2 (1–4)

 

2 (1–5)

2 (1–5)

 

Dexamethasone use at admission

64 (30.8)

43 (37)

2 (6.7)

18 (34)

& < 0.001; #0.002; §n.s

37 (28.9)

27 (33.8)

n.s

 Mean ± SD dosage (mg)

6.4 ± 5.9

6.5 ± 6.2

5.5 ± 5

5.8 ± 5.4

 

7 ± 6.7

4.6 ± 2.3

 

 Median (Range) dosage (mg)

4 (0–24)

4 (0–24)

5.5 (2–9)

4(0–24)

 

4 (0–24)

4 (1–9)

 

Dexamethasone use at discharge

101 (48.6)

63 (54.3)

3 (10)

30 (56.6)

& < 0.001; # < 0.001; §n.s

71 (55.5)

30 (37.5)

0.012

 Mean ± SD dosage (mg)

7.8 ± 6.5

7.2 ± 6.6

7.7 ± 5.1

9.1 ± 6.7

 

9.2 ± 7.2

4.6 ± 2.3

 

 Median (Range) dosage (mg)

8 (1–48)

6 (1–48)

9 (2–12)

8(2–24)

 

8 (2–48)

4 (1–9)

 

Tumor treatment

 Ongoing tumor spesific therapy at SE admission

61 (29.3)

44 (37.9)

0

15 (28.3)

& < 0.001; #0.001; §n.s

41 (32)

20 (25)

n.s

 Temodal

27 (13.0)

26 (22.4)

0

0

 

20 (15.6)

7 (8.8)

 

 CCNU

7 (3.4)

7 (6)

0

0

 

4 (3.1)

3 (3.8)

 

 Other chemotherapy

15 (7.2)

3 (2.6)

0

11 (20.8)

 

9 (7)

6 (7.5)

 

 Immunotherapy

17 (8.2)

12 (10.3)

0

4 (7.5)

 

12 (9.4)

5 (6.3)

 

Tumor treatment prior SE

    

n.t

  

n.t

 Neurosurgery

87 (41.8)

39 (33.6)

9 (30)

31 (58.5)

 

64 (50)

23 (28.8)

 

 Radiation therapy

117 (56.3)

84 (72.4)

7 (23.3)

23 (43.4)

 

64 (50)

53 (66.3)

 

  Radiation

111 (53.4)

84 (72.4)

7 (23.3)

17 (32.1)

 

62 (48.4)

49 (61.3)

 

  Gamma knife

7 (3.4)

3 (2.6)

1 (3.3)

13 (24.5)

 

9 (7)

8 (10)

 

 Tumor specific therapy

113 (54.3)

67 (57.8)

1 (3.3)

38 (71.7)

 

69 (53.9)

44 (55)

 

Radiation therapy < 6 months prior SE

53 (25.5)

43 (37.1)

0

9 (17)

& < 0.001; #0.01; §0.01

32 (25)

21 (26.3)

ns

  1. p-values as pair-wise comparisons between tumor categories: & Adult-type diffuse gliomas vs. Intracranial extradural tumors; # Intracranial extradural tumors vs. Metastatic entities; § Adult-type diffuse gliomas vs. Metastatic entities, n.s. non significant, n.t. not tested, ICU Intensive care unit, IMC Intermediate Care, SE status epilepticus, ASM antiseizure medication