naa a22 4500 51079937X CHVBK 20180411083348.0 cr unu---uuuuu 180411e20130801xx s 000 0 eng 10.1007/s12028-013-9840-3 doi (NATIONALLICENCE)springer-10.1007/s12028-013-9840-3 Management of Status Epilepticus in Neurological Versus Medical Intensive Care Unit: Does it Matter? [Elektronische Daten] [Panayiotis Varelas, Jesse Corry, Mohammed Rehman, Tamer Abdelhak, Lonni Schultz, Marianna Spanaki, James Bartscher] Background: Admission of patients with status epilepticus (SE) to the neurosciences intensive care unit (NICU) may improve management and outcomes compared to general ICUs. Methods: We reviewed all patients with SE admitted to the NICU versus the Medical ICU in our institution between 2005 and 2008. We included only patients with definite or probable SE based on pre-defined criteria. We collected demographic and clinical data, including severity of admission scores and adjusted short-term outcomes for admission and management in the two ICUs. Results: There were 168 visits in 151 patients for definite or probable SE, 46 (27%) of which were in the NICU and 122 (73%) in the MICU. APACHE II scores were significant higher in the MICU group (17.5 vs 13.4, p=0.003) and age in the NICU (58.3 vs 51.5years, p=0.041). More continuous EEGs were ordered in the NICU (85 vs 30%, p<0.001), where fewer patients were intubated, but more eventually tracheostomized. The NICU had a higher rate of complex partial SE and more alert or somnolent patients, whereas the MICU had a higher rate of generalized SE and more stuporous or comatose patients. Admission diagnoses also differed, with the NICU having higher rate of strokes and the MICU higher rate of toxometabolic etiologies (39 vs 12% and 11 vs 21%, p=0.002). After adjustment, no difference was found in mortality, the ICU or hospital length of stay and modified Rankin score at discharge. Conclusion: SE treatment revealed increased use of continuous EEG in NICU-admitted patients, but without concomitant reduction in LOS or discharge outcomes compared to the MICU. Springer Science+Business Media New York, 2013 Status epilepticus nationallicence Neurological intensive care unit nationallicence Medical intensive care unit nationallicence Outcomes nationallicence Continuous electroencephalogram nationallicence Varelas Panayiotis Departments of Neurology, Henry Ford Hospital & Henry Ford West Bloomfield Hospital, Henry Ford Hospital, K-11, 2799 West Grand Blvd, 48202, Detroit, MI, USA aut Corry Jesse Departments of Neurology, Henry Ford Hospital & Henry Ford West Bloomfield Hospital, Henry Ford Hospital, K-11, 2799 West Grand Blvd, 48202, Detroit, MI, USA aut Rehman Mohammed Departments of Neurology, Henry Ford Hospital & Henry Ford West Bloomfield Hospital, Henry Ford Hospital, K-11, 2799 West Grand Blvd, 48202, Detroit, MI, USA aut Abdelhak Tamer Departments of Neurology, Henry Ford Hospital & Henry Ford West Bloomfield Hospital, Henry Ford Hospital, K-11, 2799 West Grand Blvd, 48202, Detroit, MI, USA aut Schultz Lonni Departments of Public Health Sciences, Henry Ford Hospital, Detroit, MI, USA aut Spanaki Marianna Departments of Neurology, Henry Ford Hospital & Henry Ford West Bloomfield Hospital, Henry Ford Hospital, K-11, 2799 West Grand Blvd, 48202, Detroit, MI, USA aut Bartscher James Departments of Neurology, Henry Ford Hospital & Henry Ford West Bloomfield Hospital, Henry Ford Hospital, K-11, 2799 West Grand Blvd, 48202, Detroit, MI, USA aut Neurocritical Care Springer US; http://www.springer-ny.com 19/1(2013-08-01), 4-9 1541-6933 19:1<4 2013 19 12028 https://doi.org/10.1007/s12028-013-9840-3 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s12028-013-9840-3 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Varelas Panayiotis Departments of Neurology, Henry Ford Hospital & Henry Ford West Bloomfield Hospital, Henry Ford Hospital, K-11, 2799 West Grand Blvd, 48202, Detroit, MI, USA aut NATIONALLICENCE 700 1- Corry Jesse Departments of Neurology, Henry Ford Hospital & Henry Ford West Bloomfield Hospital, Henry Ford Hospital, K-11, 2799 West Grand Blvd, 48202, Detroit, MI, USA aut NATIONALLICENCE 700 1- Rehman Mohammed Departments of Neurology, Henry Ford Hospital & Henry Ford West Bloomfield Hospital, Henry Ford Hospital, K-11, 2799 West Grand Blvd, 48202, Detroit, MI, USA aut NATIONALLICENCE 700 1- Abdelhak Tamer Departments of Neurology, Henry Ford Hospital & Henry Ford West Bloomfield Hospital, Henry Ford Hospital, K-11, 2799 West Grand Blvd, 48202, Detroit, MI, USA aut NATIONALLICENCE 700 1- Schultz Lonni Departments of Public Health Sciences, Henry Ford Hospital, Detroit, MI, USA aut NATIONALLICENCE 700 1- Spanaki Marianna Departments of Neurology, Henry Ford Hospital & Henry Ford West Bloomfield Hospital, Henry Ford Hospital, K-11, 2799 West Grand Blvd, 48202, Detroit, MI, USA aut NATIONALLICENCE 700 1- Bartscher James Departments of Neurology, Henry Ford Hospital & Henry Ford West Bloomfield Hospital, Henry Ford Hospital, K-11, 2799 West Grand Blvd, 48202, Detroit, MI, USA aut NATIONALLICENCE 773 0- Neurocritical Care Springer US; http://www.springer-ny.com 19/1(2013-08-01), 4-9 1541-6933 19:1<4 2013 19 12028 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer