Abstracts

Rationale: There is no predictive mortality scale or predictive factors that contribute to the prognosis of patients with Non-Convulsive Status Epilepticus (NCSE). The aim of the study was to evaluate the usefulness of prognostic scales used in the convulsive status epilepticus in patients diagnosed with NCSE. Methods: A retrospective study was carried out that included patients older than 18 years with a diagnosis of NCSE according to the Salzburg criteria, from January 2015 to October 2018. Demographic data, history of epilepsy and studies performed (EEG, MRI, CT) were analyzed. The Epileptic Status Severity Score (STESS), the modified RANKIN scale (mRSTESS) and the epileptic status mortality score based on epidemiology (EMSE-EACEG) in patients with SENC were applied. Results: 57 patients were included, with an average age of 60 years (SD 18.2). In relation to mortality, 29.4% (n = 10) of the patients who died had a STESS> 2 (p = 0.2), 30.8% (n = 8) an mRSTESS> 4 (p = 0.3) and 22.2 % (n = 4) an EMSE-EACEG> / = 60 (p = 1). Regarding the prognosis, 79.2% (n = 19) of the patients with a modified RANKIN> / = 3 presented an mRSTESS> 4 (p = 0.007). Conclusions: Since the scores used to predict prognosis in patients with convulsive status epilepticus have not shown the same diagnostic accuracy in NCSE, we believe it would be useful to validate a predictive scale of morbidity and mortality for these patients, allowing optimize treatment at diagnosis. Funding: No funding