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Table 4 Response to Seizure Treatment and Other Relevant Outcomes

From: A clinical trial of enteral Levetiracetam for acute seizures in pediatric cerebral malaria

 

Levetiracetam (n = 23)

Usual Care (n = 21) (Phenobarbital)

P-value

Minutes with seizure

  

p = 0.54^

mean (SD) ~

165 (266)

465 (639)

 

IQR; maximum

26–305; 563

42–734; 1473

 

Status epilepticusŦ

2

4

p = 0.58

Periodic EEG patterns∞

LPDs (1)

GPDs (1)

BIRDS (1)

LPDs (4)

LRDA (2)

Seizure free (n, %)

19 (83%)

16 (76%)

p = 0.72

RR 1.08

(95% CI 0.8–1.47)

Required dose escalation

4/23 (17%)

Not applicable

Treatment failure, crossed over

2

3

p = 0.66

Safety failure*

0

5

p = 0.019#

RR 0 (95% CI 0–0.59)

Coma durationϯ

(mean hours, SD)

n = 22

35.4 (29.0)

n = 16

34.6 (27.8)

p = 0.91

Disposition

  

p = 0.091

-Alive, no sequelae

19

14

 

-Sequelae

3

2

 

-Died

1

5

 
  1. ^ Comparison test based upon ranks using a non-parametric test
  2. ~ Among only those with seizures
  3. Ŧ Evident both clinically and electrographically in all cases
  4. ∞ LPD = lateralized periodic discharges; GPD = generalized periodic discharges; BIRDs = brief ictal rhythmic discharges; LRDA = lateralized rhythmic delta activity
  5. * Drug withdrawal due to SADR. 3/5 respiratory events and 2/5 with concerning decline in coma score after dosing
  6. ϯ Among those who survived