The Risk Factors Associated with Adverse Outcome in Pediatric Convulsive Status Epilepticus in a Tertiary Care Hospital Kashmir India

Objective: The study aimed to ascertain various risk factors associated with adverse outcomes of convulsive status epilepticus in children. Methods: Hospital based prospective observational study performed in department of Pediatrics in Children Hospital Government Medical College Srinagar Kashmir India from October 2020 to September 2022. Data were recorded with the help of a pre-formed proforma. Results: In this study 148 cases (85.1.0%) recovered, 26 (14.9%) died, and 10 (5.5%) left against medical advice. Among recovered, 10 cases (5.5%) developed new neurological sequelae. The various risk factors associated with significant mortality in this study were longer duration of status, acute symptomatic etiology, the requirement of early ventilatory support, impairment in hemodynamics, and alteration in metabolic environment of the patients. Our results were consistent with various other studies. Conclusion: Early termination of seizure activity at the earliest, and prudent management of associated co-morbidities like respiratory or circulatory impairment in these children would result in an improved outcome.