Table 4

Severity criteria for neonatal convulsions, as an example of the specific severity criteria per AE given in INC NAESS (online supplementary appendix 6)

Grade 1Grade 2Grade 3Grade 4Grade 5
MildModerateSevereLife threateningDeath
Neonatal convulsion
Definition C154952 │ 10028932: Sudden, involuntary, rapid, rhythmic or stereotyped skeletal muscular contractions in a newborn.
Single, self-limited suspected seizure, no treatment.Suspected seizures controlled with one anti-seizure drug (no recurrence within 3 days after treatment).Suspected seizures uncontrolled with one antiseizure drug (recurrence within 3 days after treatment or requiring two or more antiseizure drugs).Suspected seizures with life-threatening consequences (eg, need for ventilation); suspected status epilepticus* despite multiple anti-seizure drugs.Death related to suspected seizures.
  • *>30 min duration of convulsions within any 60 min period.

  • AE, adverse event; INC, International Neonatal Consortium; NAESS, neonatal AE severity scale.