Novak et al reported a revised SUDEP-7 Inventory for evaluating a patient with epilepsy for the risk of sudden death. The authors are from the University of California Los Angeles and Olive View-UCLA Medical Center.
Patient selection: epilepsy
Parameters:
(1) number of tonic-clonic seizures in past year
(2) number seizures of any type per month during the past year
(3) duration of epilepsy in years
(4) number of anti-epileptic drugs (AEDs)
(5) developmental disability
Parameters
Findings
Points
number of tonic-clonic seizures
> 3
2
1 to 3
1
0
0
number of seizures of any type
> 50
2
1 to 50
1
0
0
duration of epilepsy
> 30 years
3
<= 30 years
0
number of AEDs
0 to 2
0
3 or more
1
developmental disability (IQ < 70)
no
0
yes
2
total score =
= SUM(points for all of the parameters)
Interpretation:
• minimum score: 0
• maximum score: 10
• The median score was 3.4
• A score >= 5 is considered high risk.
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