Value of initial C-reactive protein levels in status epilepticus outcome prediction

Research output: Contribution to journalResearch articleContributedpeer-review

Contributors

  • Dominik Madžar - , University Hospital at the Friedrich-Alexander University Erlangen-Nürnberg (Author)
  • Caroline Reindl - , University Hospital at the Friedrich-Alexander University Erlangen-Nürnberg (Author)
  • Anne Mrochen - , University Hospital at the Friedrich-Alexander University Erlangen-Nürnberg (Author)
  • Hajo M Hamer - , University Hospital at the Friedrich-Alexander University Erlangen-Nürnberg (Author)
  • Hagen B Huttner - , University Hospital at the Friedrich-Alexander University Erlangen-Nürnberg (Author)

Abstract

The role of neuroinflammation in the pathophysiology of seizures is increasingly recognized, and the evaluation of potential biochemical markers of inflammatory processes in seizures and status epilepticus (SE), such as C-reactive protein (CRP), has gained attention. The present study assessed the first CRP level obtained in an SE episode regarding its value for SE outcome prediction. Among 362 admissions for SE during the study period, 231 episodes satisfied the inclusion criteria. Higher initial CRP concentrations were independently associated with in-hospital mortality and poor functional outcome at discharge in logistic regression models adjusting for SE severity, severity of SE etiology, and development of treatment refractoriness. Therefore, initial CRP levels may add to the prediction of SE prognosis. The pathomechanisms through which CRP is linked with the prognosis of SE, however, remain to be established.

Details

Original languageEnglish
Pages (from-to)e48-e52
JournalEpilepsia
Volume62
Issue number4
Publication statusPublished - 20 Feb 2021
Peer-reviewedYes
Externally publishedYes

External IDs

Scopus 85101117849

Keywords

Keywords

  • Aged, Aged, 80 and over, C-Reactive Protein/metabolism, Cohort Studies, Female, Humans, Male, Prognosis, Retrospective Studies, Status Epilepticus/blood, Treatment Outcome