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Lorazepam vs Diazepam for Pediatric Status Epilepticus

Authors :
Pamela J. Okada
Richard Lichenstein
Traci E Clemons
Victor Gonzalez
Kathleen M. Brown
David C. Brousseau
David W. Johnson
Maija Holsti
Prashant Mahajan
Rachel M. Stanley
James M. Chamberlain
Roger Zemek
Cheryl Vance
Jill M. Baren
Joseph A. Grubenhoff
Source :
JAMA. 311:1652
Publication Year :
2014
Publisher :
American Medical Association (AMA), 2014.

Abstract

RESULTS Cessation of status epilepticus for 10 minutes without recurrence within 30 minutes occurred in 101 of 140 (72.1%) in the diazepam group and 97 of 133 (72.9%) in the lorazepam group, with an absolute efficacy difference of 0.8% (95% CI, −11.4% to 9.8%). Twenty-six patients in each group required assisted ventilation (16.0% given diazepam and 17.6% given lorazepam; absolute risk difference, 1.6%; 95% CI, −9.9% to 6.8%). There were no statistically significant differences in secondary outcomes except that lorazepam patients were more likely to be sedated (66.9% vs 50%, respectively; absolute risk difference, 16.9%; 95% CI, 6.1% to 27.7%).

Details

ISSN :
00987484
Volume :
311
Database :
OpenAIRE
Journal :
JAMA
Accession number :
edsair.doi...........b4c82f015b678de3875a44e2b57b7430
Full Text :
https://doi.org/10.1001/jama.2014.2625