A Randomized Controlled Trial of Levetiracetam Compared with Phenobarbital in the Treatment of Neonatal Seizures

Author(s):  
Cynthia Sharpe ◽  
Gail E. Reiner ◽  
Suzanne L. Davis ◽  
Mark Nespeca ◽  
Jeffrey J. Gold ◽  
...  
2021 ◽  
Vol 117 ◽  
pp. 107875
Author(s):  
Ankush Jindal ◽  
Suresh Kumar Angurana ◽  
Renu Suthar ◽  
Praveen Kumar ◽  
Venkataseshan Sundaram

2013 ◽  
Vol 50 (8) ◽  
pp. 753-757 ◽  
Author(s):  
Garima Pathak ◽  
Amit Upadhyay ◽  
Umesh Pathak ◽  
Deepak Chawla ◽  
Sneh P. Goel

PEDIATRICS ◽  
2020 ◽  
Vol 145 (6) ◽  
pp. e20193182 ◽  
Author(s):  
Cynthia Sharpe ◽  
Gail E. Reiner ◽  
Suzanne L. Davis ◽  
Mark Nespeca ◽  
Jeffrey J. Gold ◽  
...  

2019 ◽  
Vol 56 (8) ◽  
pp. 643-646 ◽  
Author(s):  
Vykuntaraju K. Gowda ◽  
Ayesha Romana ◽  
Niranjan H. Shivanna ◽  
Naveen Benakappa ◽  
Asha Benakappa

PEDIATRICS ◽  
2010 ◽  
Vol 125 (2) ◽  
pp. e358-e366 ◽  
Author(s):  
L. G. M. van Rooij ◽  
M. C. Toet ◽  
A. C. van Huffelen ◽  
F. Groenendaal ◽  
W. Laan ◽  
...  

2020 ◽  
Vol 7 (8) ◽  
pp. 1701
Author(s):  
Ravindra Kumar Jain ◽  
Hemant Kumar

Background: There is increasing evidence that neonatal seizures have an adverse effect on neurodevelopmental progression and it may predispose to cognitive, behavioral or epileptic complications later in life. The objective of this study was to compare the efficacy of phenobarbitone and levetiracetam for the treatment of neonatal seizures in term and late preterm neonates. The study was aimed to know the efficacy of phenobarbitone (PB) in comparison with levetiracetam (LEV) in controlling neonatal seizures.Methods: This was a randomized controlled trial where data of the babies with seizures weighing more than 2 kg who were admitted in NICU of Muzaffarnagar Medical College was collected and analysed for intervention to either phenobarbitone or levetiracetam.Results: Clinically apparent seizures were controlled in only 65.38% neonates assigned to receive levetiracetam as compared to 76.92% neonates assigned to receive phenobarbitone.Conclusions: LEV although lesser effective than PB with very fewer side effects is found to be a good alternative in controlling neonatal seizures.


2020 ◽  
Vol 29 (1S) ◽  
pp. 412-424
Author(s):  
Elissa L. Conlon ◽  
Emily J. Braun ◽  
Edna M. Babbitt ◽  
Leora R. Cherney

Purpose This study reports on the treatment fidelity procedures implemented during a 5-year randomized controlled trial comparing intensive and distributed comprehensive aphasia therapy. Specifically, the results of 1 treatment, verb network strengthening treatment (VNeST), are examined. Method Eight participants were recruited for each of 7 consecutive cohorts for a total of 56 participants. Participants completed 60 hr of aphasia therapy, including 15 hr of VNeST. Two experienced speech-language pathologists delivered the treatment. To promote treatment fidelity, the study team developed a detailed manual of procedures and fidelity checklists, completed role plays to standardize treatment administration, and video-recorded all treatment sessions for review. To assess protocol adherence during treatment delivery, trained research assistants not involved in the treatment reviewed video recordings of a subset of randomly selected VNeST treatment sessions and completed the fidelity checklists. This process was completed for 32 participants representing 2 early cohorts and 2 later cohorts, which allowed for measurement of protocol adherence over time. Percent accuracy of protocol adherence was calculated across clinicians, cohorts, and study condition (intensive vs. distributed therapy). Results The fidelity procedures were sufficient to promote and verify a high level of adherence to the treatment protocol across clinicians, cohorts, and study condition. Conclusion Treatment fidelity strategies and monitoring are feasible when incorporated into the study design. Treatment fidelity monitoring should be completed at regular intervals during the course of a study to ensure that high levels of protocol adherence are maintained over time and across conditions.


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