Cochrane · systematic review · CD013847

Prognosis of adults and children following a first unprovoked seizure

Neligan, A, Adan, G, Nevitt, SJ, et al. · Cochrane Database of Systematic Reviews · 2023 · Cochrane Library

EpilepsyAMSTAR 2: not assessed
SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.
Questions
9
current version
GRADE rated
9
No studies
0
Included studies
NR
No studies 0 · 0%Ungraded 0 · 0%Very low 0 · 0%Low 0 · 0%Moderate 9 · 100%High 0 · 0%

Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.

Questions and results

Seizure recurrence and mortality at 6 months

3 questions
OutcomeEffectEvidenceStatus / GRADE
Mixed (adults and children)
no estimate extracted27 studies · 7111 participantsModerate
Downgraded: risk of bias, inconsistency
Adults
no estimate extracted7 studies · 1914 participantsModerate
Downgraded: risk of bias, inconsistency
Children
no estimate extracted14 studies · 2232 participantsModerate
Downgraded: risk of bias, inconsistency

Seizure recurrence and mortality at 12 months

3 questions
OutcomeEffectEvidenceStatus / GRADE
Mixed (adults and children)
no estimate extracted34 studies · 6843 participantsModerate
Downgraded: risk of bias, inconsistency
Adults
no estimate extracted9 studies · 2468 participantsModerate
Downgraded: risk of bias, inconsistency
Children
no estimate extracted16 studies · 2313 participantsModerate
Downgraded: risk of bias, inconsistency

Seizure recurrence and mortality at 24 months

3 questions
OutcomeEffectEvidenceStatus / GRADE
Mixed (adults and children)
no estimate extracted27 studies · 6908 participantsModerate
Downgraded: risk of bias, inconsistency
Adults
no estimate extracted9 studies · 2043 participantsModerate
Downgraded: risk of bias, inconsistency
Children
no estimate extracted12 studies · 2172 participantsModerate
Downgraded: risk of bias, inconsistency