New score may help predict survival in status epilepticus

Researchers say it complements available scores for estimating in-hospital mortality and orienting early treatment strategies
Reuters Health

A new three-factor scoring system can help predict long-term survival in patients whose status epilepticus did not have brain-damaging causes, a study suggests.

European researchers say the ACD score — representing Age at onset, level of Consciousness and Duration of status epilepticus — is “reliable” and can aid decision-making.

The team, led by Odense University Hospital in Denmark, analysed data from 261 adults (mean age 67) hospitalised with status epilepticus between 2008 and 2017 to test the ability of the ACD score to predict two-year mortality after discharge.

Just over half of the cohort (56%) had status epilepticus causes that were not damaging or were less damaging to the brain.