Cardiac arrest & resuscitation
Benign EEG for prognostication of favorable outcome after cardiac arrest: A reappraisal
Authors' conclusion
The modified "benign EEG" classification demonstrated a markedly higher sensitivity towards favorable outcome, with minor impact on PPV.
Study context
- Population
- Unconscious adults after cardiac arrest (CA), EEG within 72 h (registry 1.2018–8.2021)
- Participants
- 381 adults
- Exposure
- Modified "benign EEG" vs Westhall's "benign EEG"
- Outcome
- Predictive performance for good outcome (Cerebral Performance Category 1-2)
- Follow-up
- 3 months
Methodological detailsregistry, diagnostic accuracy comparison
- Registry
- Diagnostic accuracy comparison
Main finding
As reported in the abstract
Prediction of good outcome (CPC 1-2 at 3 months)
| Group | Value | Sensitivity | PPV |
|---|---|---|---|
| Modified benign EEG | 66% | 0.97 (95% CI: 0.92-0.97) | 0.53 (95% CI: 0.46-0.59) |
Modified benign EEG
Value66%
Sensitivity0.97 (95% CI: 0.92-0.97)
PPV0.53 (95% CI: 0.46-0.59)
- Modified benign EEG vs Westhall benign EEG: P < 0.001 — 0.97 vs 0.71
- Modified benign EEG vs Westhall benign EEG: P = 0.17 — 0.53 vs 0.59
Observational data: associations, not effects.
Further findings
Performance at definite recording times and for survivors
- Similar statistics were observed
Parts of this Brief are withheld: the automatic checks could not confirm them against the abstract.
Original publication
Benign EEG for prognostication of favorable outcome after cardiac arrest: A reappraisal. Resuscitation. Published 14 November 2022. doi:10. 1016/ j. resuscitation. 2022. 11. 003
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