Neuroanesthesia & neurocritical care
ICU-Electroencephalogram Unit Improves Outcome in Status Epilepticus Patients: A Retrospective Before-After Study
Authors' conclusion
Integrating neurology expertise in the ICU setting through the establishment of an ICU-electroencephalogram unit with nearly real-time cEEG review, shortened SE duration, and increased likelihood of returning to premorbid neurologic function, with an increased number of antiseizure medications used.
Study context
- Population
- Adults treated for nonhypoxic SE in the neuro-ICU of a Swiss academic tertiary centre, Nov 2015–Dec 2023
- Participants
- 207 adults
- Exposure
- After vs before ICU-EEG unit establishment
- Aftern = 58
- Beforen = 149reference
- Outcome
- Return to premorbid neurologic function, ICU mortality, SE duration, and ICU SE management
Methodological detailssingle-centre
- Single-centre
Main finding
As reported in the abstract
- Higher chance of returning to premorbid neurologic function after ICU-EEG unit introduction
- p = 0.002
- Reduced SE duration after ICU-EEG unit introduction
- p = 0.024
- Shift in SE management with increased use of antiseizure medications after ICU-EEG unit introduction
- p = 0.007
Observational data: associations, not effects.
Secondary outcomes
SE type and etiology
- Increased detection of nonconvulsive SE
- P = 0.003
- Increased detection of SE due to acute symptomatic etiology
- P = 0.019
Original publication
ICU-Electroencephalogram Unit Improves Outcome in Status Epilepticus Patients: A Retrospective Before-After Study. Crit Care Med. Published 9 August 2024. doi:10.
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