Levetiracetam versus phenytoin for seizure prophylaxis in brain injured patients: a systematic review and meta-analysis

被引：15

作者：

Chaari, Anis ^{[1
]}

Mohamed, Alaa Sayed ^{[1
]}

Abdelhakim, Karim ^{[1
]}

Kauts, Vipin ^{[1
]}

Casey, William Francis ^{[1
]}

机构：

[1] King Hamad Univ Hosp, Muharraq, Bahrain

来源：

INTERNATIONAL JOURNAL OF CLINICAL PHARMACY | 2017年 / 39卷 / 05期

关键词：

Efficacy; Levetiracetam; Phenytoin; Prophylaxis; Side effects; Seizure; ISCHEMIC-STROKE; CRANIOTOMY; OUTCOMES; QUALITY; TRIALS; SAFETY; ADULTS; CARE;

D O I：

10.1007/s11096-017-0507-6

中图分类号：

R9 [药学];

学科分类号：

1007 ;

摘要：

Background The onset of early and/or late seizures in brain injured patients is associated with worse outcome. So far, phenytoin is the most commonly used antiepileptic drug to prevent seizures in this group of patients. Objective In the current metaanalysis, we aimed to compare the efficacy and safety of phenytoin versus levetiracetam for seizure prophylaxis in brain injured patients. Methods A systematic search was conducted in PubMed and Cochrane Library Database by 2 investigators. Four randomized controlled trials (RCTs) were included (295 patients). Data were extracted and the quality of each RCT was assessed. Results Levetiracetam was found to be more effective than phenytoin in seizure prophylaxis (OR = 0.23; CI 95% [0.09-0.56]; Q test p value = 0.18 and I-2 = 38%). A trend toward less serious side effects was also found in patients treated with levetiracetam (OR = 0.27; CI 95% [0.07-1.07]; Q test p value = 0.72 and I-2 = 0%). Conclusion Levetiracetam is more effective and safer than phenytoin for seizure prophylaxis in brain injured patients.

引用

页码：998 / 1003

页数：6

共 37 条

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