TY - JOUR
T1 - Corrigendum to “Complications During Ketogenic Diet Initiation
T2 - Prevalence, Treatment and Influence on Seizure Outcomes” [Pediatr Neurol. 68 (2017) 35–39](S0887899416310244)(10.1016/j.pediatrneurol.2017.01.007)
AU - Lin, Abigail
AU - Turner, Zahava
AU - Doerrer, Sarah C.
AU - Stanfield, Anthony
AU - Kossoff, Eric H.
N1 - Publisher Copyright:
© 2017 Elsevier Inc.
PY - 2018/7
Y1 - 2018/7
N2 - We would like to call attention to an error in our article, “Complications during ketogenic diet initiation: prevalence, treatment, and influence on seizure outcomes.” An astute reader noticed a mistake in both number and percentile in Table 5, which compared complications from a fasting versus nonfasting ketogenic diet initiation. Now no longer significant, the incidence of at least one event of hypoglycemia <40 mg/dL was 35 (27%) in those 127 fasted versus a similar 9 (29%) of those 31 not fasted (P=0.87). Adding to our other findings, there is now no difference in all studied hypoglycemia events (including repeated values <40 mg/dL or at least one <30 mg/dL). Lethargy was the only more likely complication in those fasted. We do not believe this finding changes our three main messages: complications at ketogenic diet initiation were mild and treatable, do not portend a failure of seizure control, and were more common in younger children. We agree with the European guidelines for ketogenic diet initiation in infancy which recommends against fasting in children under 2 years of age, as even lethargy alone can be problematic. The authors would like to apologize for any inconvenience caused.
AB - We would like to call attention to an error in our article, “Complications during ketogenic diet initiation: prevalence, treatment, and influence on seizure outcomes.” An astute reader noticed a mistake in both number and percentile in Table 5, which compared complications from a fasting versus nonfasting ketogenic diet initiation. Now no longer significant, the incidence of at least one event of hypoglycemia <40 mg/dL was 35 (27%) in those 127 fasted versus a similar 9 (29%) of those 31 not fasted (P=0.87). Adding to our other findings, there is now no difference in all studied hypoglycemia events (including repeated values <40 mg/dL or at least one <30 mg/dL). Lethargy was the only more likely complication in those fasted. We do not believe this finding changes our three main messages: complications at ketogenic diet initiation were mild and treatable, do not portend a failure of seizure control, and were more common in younger children. We agree with the European guidelines for ketogenic diet initiation in infancy which recommends against fasting in children under 2 years of age, as even lethargy alone can be problematic. The authors would like to apologize for any inconvenience caused.
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U2 - 10.1016/j.pediatrneurol.2018.04.010
DO - 10.1016/j.pediatrneurol.2018.04.010
M3 - Comment/debate
C2 - 29753574
AN - SCOPUS:85046665380
SN - 0887-8994
VL - 84
SP - 57
JO - Pediatric Neurology
JF - Pediatric Neurology
ER -