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Manuel Quintana DíazAuthor

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December 11, 2024
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Identifying risk for status epilepticus with the ADAN scale: a prospective multicenter validation study

Publicated to: Emergencias: Revista de la Sociedad Española de Medicina de Urgencias y Emergencias. 36 (3): 197 - 203 - 2024-01-01 36(3), DOI: 10.55633/s3me/020.2024

Authors:

Restrepo Vera, Juan Luis; Sala Padró, Jacint; Parejo Carbonell, Beatriz; Ciurans, Jordi; Becerra, Juan Luis; Veciana de las Heras, Misericordia; Campos, Daniel; García Morales, Irene; Quintana Díaz, Manuel; Santamarina Pérez, Estevo
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Abstract

Objective. Status epilepticus (SE) is a serious event associated with high mortality. This study aims to validate the recently developed ADAN (Abnormal speech, ocular Deviation, Automatisms, and Number of motor epileptic seizures) scale for detecting high risk for SE. Method. Prospective, multicenter, observational study in adults with suspected epileptic seizures. Consecutive recruitment took place over a 27-month period in 4 hospital emergency departments (EDs). The main endpoint was the proportion of patients with criteria for SE based on the collection and analysis of clinical characteristics and the ADAN scale criteria on arrival at the ED. Results. Of the 527 patients recruited, 203 (38.5%) fulfilled the criteria that predicted SE. Multiple regression analysis demonstrated that the 4 ADAN criteria were the only variables independently associated with a final diagnosis of SE (P < .001). The predictive power of the scale was 90.9% (95% CI, 88.4%-93.4%) for a final SE diagnosis. We established 3 risk groups based on ADAN scores: low (score, 0-1: 8.7%), moderate (2, 46.6%), and high (> 2, 92.6%). A cut point of more than 1 had a sensitivity of 88.2% for predicting SE, specificity of 77.8%, positive predictive value of 71.3%, and negative predictive value of 91.3%. Conclusions. The ADAN scale is a prospectively validated, simple clinical tool for identifying patients in the ED who are at high risk for SE.
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Quality index

Bibliometric impact. Analysis of the contribution and dissemination channel

The work has been published in the journal Emergencias: Revista de la Sociedad Española de Medicina de Urgencias y Emergencias due to its progression and the good impact it has achieved in recent years, according to the agency WoS (JCR), it has become a reference in its field. In the year of publication of the work, 2024 there are still no calculated indicators, but in 2023, it was in position 2/56, thus managing to position itself as a Q1 (Primer Cuartil), in the category Emergency Medicine. Notably, the journal is positioned above the 90th percentile.

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Impact and social visibility

From the perspective of influence or social adoption, and based on metrics associated with mentions and interactions provided by agencies specializing in calculating the so-called "Alternative or Social Metrics," we can highlight as of 2026-04-04:

  • The use, from an academic perspective evidenced by the Altmetric agency indicator referring to aggregations made by the personal bibliographic manager Mendeley, gives us a total of: 18.
  • The use of this contribution in bookmarks, code forks, additions to favorite lists for recurrent reading, as well as general views, indicates that someone is using the publication as a basis for their current work. This may be a notable indicator of future more formal and academic citations. This claim is supported by the result of the "Capture" indicator, which yields a total of: 18 (PlumX).

With a more dissemination-oriented intent and targeting more general audiences, we can observe other more global scores such as:

  • The Total Score from Altmetric: 1.
  • The number of mentions on the social network X (formerly Twitter): 1 (Altmetric).
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