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EEG kod djece sa složenim febrilnim konvulzijama

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Appendices

Appendix 1. Search strategy

EEG for children with complex febrile seizures

1 Epilepsy Specialized Register 6 July 2015

#1 MeSH DESCRIPTOR Seizures, Febrile Explode All

#2 (febrile seizure*) or (febrile convulsion*) or (pyrexial seizure*) or (pyrexial convulsion*) or (fever seizure*) or (fever convulsion*)

#3 #1 OR #2

#4 MeSH DESCRIPTOR Electroencephalography Explode All

#5 electroencephalograph* or EEG

#6 #4 OR #5

#7 #3 AND #6 AND INREGISTER AND >2011:YR

2 CENTRAL, 2015, Issue 6

#1 MeSH descriptor: [Seizures, Febrile] explode all trees

#2 (febrile seizure*) or (febrile convulsion*) or (pyrexial seizure*) or (pyrexial convulsion*) or (fever seizure*) or (fever convulsion*)

#3 #1 or #2

#4 MeSH descriptor: [Electroencephalography] explode all trees

#5 electroencephalograph* or EEG

#6 #4 or #5

#7 #3 and #6 from 2012, in Trials

3 MEDLINE (Ovid) 1946 to 6 July 2015

1. (randomized controlled trial or controlled clinical trial).pt. or (randomi?ed or placebo or randomly).ab.

2. clinical trials as topic.sh.

3. trial.ti.

4. 1 or 2 or 3

5. exp animals/ not humans.sh.

6. 4 not 5

7. exp Seizures, Febrile/

8. febrile seizure*.tw.

9. febrile convulsion*.tw.

10. pyrexial seizure*.tw.

11. pyrexial convulsion*.tw.

12. fever seizure*.tw.

13. fever convulsion*.tw.

14. 7 or 8 or 9 or 10 or 11 or 12 or 13

15. exp Electroencephalography/

16. (electroencephalograph* or EEG).tw.

17. 15 or 16

18. 6 and 14 and 17

19. limit 18 to ed=20121001‐20150706

4 ClinicalTrials.gov 6 July 2015

"Febrile Seizures" and Children | received from 10/17/2013 to 07/06/2015

Appendix 2. Eligibility assessment form

Name of the review author:                                                 Date:

 

Title of the study:                                                                   Study ID:

 

Name of the authors of the study:

 

Name of the journal with year of publication:

 

Questions:

 

No.

Questions

Remark

1.       

Is the study a randomised clinical trial or a quasi‐experimental study?    

 

Yes      No    Unclear

2

Did participants in the study have complex febrile seizures with first episode?

Yes      No    Unclear

3

Is a comparison made of no EEG and EEG (early EEG, late EEG or any time) among children having complex febrile seizures with first episode?

Yes      No    Unclear

4

Did the study report better epileptic management or assess risk of occurrence?

Yes      No    Unclear

Final decision:  Include                      Exclude                       Unclear              Pending

Note:

1.      Reasons for excluding the study:

2.      In case study is labelled as "unclear"‐ Contact the authors __________ date:

3.      In case study is labelled as "pending"‐ Contact the authors ___________date:

4.      Response of the author: ___________________   date:

5.      Opinion of Cochrane Epilepsy Group sought:___________________ date:

6.      Opinion of Cochrane Epilepsy Group: _________________________ date:

Final decision:

Appendix 3. Data extraction form

Date

 

Name of the review author

 

Title of included study

 

Authors

 

Journal

 

Year of publication

 

Sponsor of the study

 

Conflict of Interest

Participants

Inclusion criteria

 

Exclusion criteria

 

Age range

 

Ethnicity

 

Any other comorbid condition

 

Notes

 

Intervention

No EEG and EEG (early, late EEG or any other time)(with exact details of days of seizure attack)

 

Notes

 

 

 

Outcome for no EEG or EEG (early EEG, late EEG or any other time)

                                                    

No EEG   

EEG (early, late or any other time)

List of outcomes

 

 

 

 

Notes

 

 

Brief description of methodology

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Risk of bias tool

 

 

Sequence generation

Quote:

 

Comment:

 

Judgement :   Yes              No                 Unclear

 

Allocation concealment

Quote:

 

Comment:

 

Judgement :   Yes              No                 Unclear

 

Blinding of participants, personnel and outcome

assessors

Quote:

 

Comment:

 

Judgement :   Yes              No                 Unclear

 

Incomplete outcome data

Quote:

 

Comment:

 

Judgement :   Yes              No                 Unclear

 

Selective outcome

reporting

Quote:

 

Comment:

 

Judgement :   Yes              No                 Unclear

 

Free of other biases

Quote:

 

Comment:

 

Judgement :   Yes              No                 Unclear

 

Clinical trial registration details

Registration no.:

Website link:     

Access date:

Primary outcome:

Secondary outcome:

Any discrepancy with respect to outcome (compare with report):

Any other discrepancy:

 

 

Note:

1.      Response of the author sought: ___________________   date:                  

2.      Response of the author: ___________________  date: _________________________

3.      Opinion of Cochrane Epilepsy Group sought:___________________ date:______________

4.      Opinion of Cochrane Epilepsy Group: _________________________ date:___________________

Final comments:

Appendix 4. Risk of bias tool

 

No.

Name of the bias

Description

Domains in the "risk of bias" table

1

Selection bias

Systematic differences between baseline characteristics of the groups that are compared

  • Sequence generation

  • Allocation concealment

2

Performance bias

Systematic differences between groups in the care that is provided, or in exposure to factors other than the interventions of interest

Blinding of participant,

personnel and outcome

assessors

 

3

Attrition bias

Systematic differences between groups in withdrawals from study

  • Incomplete outcome data

  • Blinding

4

Detection bias

Systematic differences between groups in how outcomes are determined

Blinding of participants,

personnel and outcome

assessors

 

5

Reporting bias

Systematic differences between reported and unreported findings

Selective outcome

reporting

Appendix 5. 'Summary of findings' table

The GRADE approach describes levels of quality of a body of evidence as follows.

No.

Underlying methodology quality

Rating

1

Randomised trials or double‐upgraded observational studies

High

2

Downgraded randomised trials or upgraded observational studies

Moderate

3

Double‐downgraded randomised trials or observational studies

Low

4

Triple‐downgraded randomised trials, downgraded observational
studies or case series/case reports

Very low

 

Factors that would have reduced the quality of the evidence include the following.

No.

Factor

Consequence

1

Limitations in study design or execution (risk of

bias)

1 or 2 levels

 

2

Inconsistency of results

1 or 2 levels

3

Indirectness of evidence

1 or 2 levels

4

Imprecision

1 or 2 levels

5

Publication bias

1 or 2 levels

Factors that would have increased the quality of the evidence include the following.

No

Factor

Consequence

1

Large magnitude of effect

 

1 or 2 levels

2

Dose‐response gradient

 

1 level

 

For example, if we would have found that the results were precise, we would have chosen 'no' in GRADEpro software. If serious imprecision was present, we would have chosen four and downgraded by one level in the GRADEpro software. If very serious imprecision was present, we would have chosen 'very serious', and this might have led to downgrading of the quality of evidence for the particular outcome by two levels. A footnote in the 'Summary of findings' table would have documented this.

Appendix 6. Summary of the results of the search

The following table summarises the results of the searches for the review.

Database

Date searched

Number of 'hits'

Total no. of hits after duplicates removed*

Total no. of hits after irrelevant reports removed*

Cochrane Epilepsy Group Specialized Register

18 October 2012, 17 October 2013, 6 July 2015

7 (2012), 0 (2013), 0 (2015)

28

 

 

0

CENTRAL

18 October 2012, 17 October 2013, 6 July 2015

13 (2012), 0 (2013), 3 (2015)

MEDLINE (Ovid)

1946 onwards

18 October 2012, 17 October 2013, 6 July 2015

21 (2012), 0 (2013), 0 (2015)

ClinicalTrials.gov

18 October 2012, 17 October 2013, 6 July 2015

3 (2012), 5 (2013), 1 (2015)

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