Role of EMSE and STESS scores in the outcome evaluation of status epilepticus

Refractory status epilepticus: Impact of baseline comorbidity and usefulness of STESS and EMSE scoring systems in predicting mortality and functional outcome

“…Like other authors [22,23,43], for STESS, we found that the optimal cutoff, with a sensitivity of 0.76 and a specificity of 0.64, to predict in-hospital mortality was !4 contrasting with the score of !3 proposed by the initial study [21]. It should be noted that the above-cited studies included all forms of SE, with no distinction between degrees of treatment refractoriness.…”

“…It should be noted that the above-cited studies included all forms of SE, with no distinction between degrees of treatment refractoriness. One, retrospective, study concluded that STESS 3 or 4 can help to predict mortality [43]. The STESS scoring system has also been described as a useful scale for predicting functional outcome [23].…”

Comparison of scoring tools for the prediction of in-hospital mortality in status epilepticus

“…This category may therefore require expansion. The optimal cutoff we found was somewhat higher than in a study from Argentina [14], possibly reflecting higher chance of surviving hospital stay in our cohort (88.2 vs 72%). Further studies are needed to identify the best EMSE-EAL cutoff value for SE cohorts from Europe.…”

“…Regarding EMSE, Leitinger et al assessed models including six variables for their prognostic value in SE and found highest performance in a score including four domains: etiology (E; grouped into 15 categories), age (A; stratified in 10-year intervals), comorbidities (C), and EEG data (E) (=EMSE-EACE), while level of consciousness (L) and duration of SE (D) did not increase the diagnostic value of the models [8]. Recently, Pacha et al evaluated an alternative version of EMSE including age, etiology, and level of consciousness (=EMSE-EAL) [14]. Because of partly incomplete data on comorbidities and/or EEG in our patients, we chose to apply EMSE-EAL in the present study.…”

Prognostic scores in status epilepticus—a critical appraisal

“…Among 468 retrieved studies, ten studies on the development or validation of prognostic scales in SE were included after screening titles and abstracts (Figure 1). [6][7][8][9][10][11][12][13][14][15] A total of 4 prognostic scores have been proposed to date: the Status Epilepticus Severity Score (STESS), 6,7 the Epidemiology-based Mortality score in Status Epilepticus (EMSE), 8 the modified STESS (mSTESS), 9 and the Encephalitis Nonconvulsive Status Epilepticus Diazepam Resistence Imaging Tracheal Intubation (END-IT) score, 10 the latter of which was developed by our group.…”