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Table 2 Primary and secondary outcomes

From: Valproic acid as adjuvant treatment for convulsive status epilepticus: a randomised clinical trial

 

Placebo (n = 118)

Valproic acid (n = 126)

Risk difference* (95% CI)

Relative risk* (95% CI)

P

Primary outcome

Intention to treat

72/118 (61%)

77/126 (61%)

 + 2.5% (− 6.3 to 11.2)

1.04 (0.90 to 1.20)

0.58

Worst-case scenario

73/118 (62%)

77/126 (61%)

 + 1.8% (− 7.5 to 11.1)

1.03 (0.88 to 1.20)

0.70

Available data

72/117 (62%)

77/125 (62%)

 + 2.6% (− 7.3 to 12.5)

1.04 (0.89 to 1.23)

0.60

Secondary outcomes

Refractory status epilepticus

6/118 (5%)

5/126 (4%)

− 0.9% (− 5.6 to 3.8)

0.82 (0.32 to 2.08)

0.68

Super-refractory status epilepticus

4/118 (3%)

3/126 (2%)

− 1.0% (− 5.7 to 3.7)

0.71 (0.17 to 2.96)

0.64

Recurrence of seizure during ICU stay‡

14/118 (12%)

7/125 (6%)

− 6.1% (− 15.2 to 3.0)

0.48 (0.23 to 1.00)

0.049

Time to awakening (hours)

18 (9–72) [n = 117]

24 (12–72)

   

[n = 121]

0.84 (0.64 to 1.10)§

0.21

  

Length of ICU stay (days)

4 (3–7)

5 (3–8)

0.91 (0.70 to 1.18)§

0.46

Length of hospital stay (days)

11 (7–23)

12 (7–24)

0.97 (0.75 to 1.27)§

0.84

Highest SOFA score¶

4 (2–7) [n = 76]

4 (2–6) [n = 74]

 + 0.2 (− 0.9 to 1.4)

0.68

Death in ICU

2/118 (2%)

4/126 (3%)

 + 1.6% (− 2.5 to 5.8)

1.99 (0.48 to 8.27)

0.35

Death in hospital

2/118 (2%)

7/126 (6%)

 + 4.0% (− 0.7 to 8.7)

2.94 (0.61 to 14.3)§

0.18

Death from randomisation to day 90

3/118 (3%)

8/126 (6%)

 + 4.7% (− 1.9 to 11.3)

2.32 (0.61 to 8.84)**

0.22

MMSE score at day 90

26 (21–29) [n = 21]

26 (23–28) [n = 18]

− 0.2 (− 4.7 to 4.2)

0.92

FAB score at day 90

14 (12–17) [n = 26]

15 (12–18) [n = 23]

 + 0.2 (− 2.1 to 2.5)

0.16

Glasgow Outcome Score at day 90

5 (4–5) [n = 44]

4 (3–5) [n = 55]

0.71 (0.33 to 1.58)††

  1. Data are n/N (%) or median (first–third quartile) unless otherwise stated
  2. * Adjusted for randomisation strata (age ≤ 65 or > 65 years, and presence or absence of acute brain injury), and centre
  3. Defined by the proportion of patients discharged alive from hospital to their home or to a long-term care facility on day 15
  4. Defined by the recurrence of seizure or status epilepticus in patients for whom GCSE has been controlled
  5. § Adjusted sub-distribution hazard ratio
  6. Worst score day 2 to day 15
  7. Adjusted mean difference
  8. ** Adjusted hazard ratio
  9. †† Adjusted odds ratio estimated in a Bayesian proportional odds model; no P-value is computed
  10. CI Confidence interval; FAB Frontal Assessment Battery [38]; ICU Intensive care unit; MMSE Mini-Mental State Examination [39]; SOFA Sepsis-related Organ Failure Assessment