Evidence map›Paper›PMID 42479996›Full record

ArticleNeurology2026

A Predictive Model for Short-Term Mortality After Status Epilepticus: The ACARD Score.

Simona Lattanzi, Eugen Trinka, Pilar Bosque-Varela, Giada Giovannini, Giorgi Kuchukhidze, Niccolò Orlandi, Chiara Silvestri, Tiago Lerda-Casaccia, Hari Prasad, Francesco Brigo and 1 more

Abstract readMulticenter Study
In one paragraph

Article in Neurology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Perampanel as a candidate for polytherapy in Stage 1 Plus status epilepticus: biological rationale and translational limits.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2026
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors.

Simona LattanziNeurological Clinic, Department of Experimental and Clinical Medicine, Marche Polytechnic University, Ancona, Italy.ORCID 0000-0001-8748-0083
Eugen TrinkaDepartment of Neurology, Neurocritical Care and Neurorehabilitation, Christian Doppler University Hospital, Centre of Cognitive Neuroscience, Paracelsus Medical University, Member of the European Reference Network EpiCARE, Salzburg, Austria.ORCID 0000-0002-5950-2692
Pilar Bosque-VarelaDepartment of Neurology, Neurocritical Care and Neurorehabilitation, Christian Doppler University Hospital, Centre of Cognitive Neuroscience, Paracelsus Medical University, Member of the European Reference Network EpiCARE, Salzburg, Austria.ORCID 0000-0002-0488-7863
Giada GiovanniniNeurology Unit, OCB Hospital, AOU Modena, Italy.ORCID 0000-0002-3585-5872
Giorgi KuchukhidzeDepartment of Neurology, Neurocritical Care and Neurorehabilitation, Christian Doppler University Hospital, Centre of Cognitive Neuroscience, Paracelsus Medical University, Member of the European Reference Network EpiCARE, Salzburg, Austria.ORCID 0000-0001-6899-8506
Niccolò OrlandiNeurology Unit, OCB Hospital, AOU Modena, Italy.ORCID 0000-0002-5717-7363
Chiara SilvestriDepartment of Biomedical, Metabolic and Neural Science, Center for Neuroscience and Neurotechnology, University of Modena and Reggio Emilia, Italy.ORCID 0009-0008-8763-5047
Tiago Lerda-CasacciaDepartment of Neurology, Neurocritical Care and Neurorehabilitation, Christian Doppler University Hospital, Centre of Cognitive Neuroscience, Paracelsus Medical University, Member of the European Reference Network EpiCARE, Salzburg, Austria.ORCID 0009-0008-8482-5785
Hari PrasadDepartment of Neurology, Neurocritical Care and Neurorehabilitation, Christian Doppler University Hospital, Centre of Cognitive Neuroscience, Paracelsus Medical University, Member of the European Reference Network EpiCARE, Salzburg, Austria.ORCID 0009-0009-4981-2660
Francesco BrigoInnovation, Research and Teaching Service, Teaching Hospital of the Paracelsus Medical University, Azienda Sanitaria dell'Alto Adige, Bolzano-Bozen, Italy; and.ORCID 0000-0003-0928-1577
Stefano MelettiNeurology Unit, OCB Hospital, AOU Modena, Italy.ORCID 0000-0003-0334-539X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND AND

objectivesReliable prediction of short-term mortality in status epilepticus (SE) can contribute to guide clinical decisions. Current prognostic systems achieve only acceptable predictive power and show lack of generalizability or poor calibration. We aimed to identify clinical predictors of short-term mortality in patients with nonhypoxic SE and develop a predictive score.

methodsThis was a multicenter, multinational cohort study based on registry data. Participants were consecutive episodes of SE in participants aged 14 years or older from Modena (Italy) (derivation cohort) and in participants aged 18 years or older from Salzburg (Austria) (validation cohort). The predefined outcome was 30-day mortality after the onset of SE. Age, sex, level of consciousness before treatment, semiology of SE, level of disability at baseline before SE, etiology, and treatment refractoriness were assessed. Adjusted regression coefficients of each independent predictor were transformed to produce a points-based risk scoring system.

resultsThe Italian cohort included 689 episodes, and the Austrian cohort comprised 569 episodes of SE. In the derivation cohort, the 30-day mortality rate was 27.3%. The independent risk factors were aged 75 years or older (odds ratio [OR] 5.52, 95% CI 3.45-8.83; DISCUSSION: The ACARD score is a user-friendly tool developed to predict 30-day mortality after nonhypoxic SE. It has the potential to identify participants at high risk of short-term mortality and outperform the performance of other available scoring systems.

Indexed as

Status EpilepticusAdultAgedAged, 80 and overAustriaCohort StudiesFemaleHumansItalyMaleMiddle AgedPredictive Value of TestsPrognosisRegistriesRisk Factors

Identifiers

PMID42479996
PMCPMC13445498

What Socratic holds

Textmetadata
LicenceCC BY-NC-ND
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.