Neuroanesthesia & neurocritical care
Indications, results and consequences of electroencephalography in neurocritical care: A retrospective study
Authors' conclusion
All EEGs were performed to investigate the presence of (NC)SE or seizures. A slowed, but continuous background pattern was found in nearly all patients and (NC)SE and seizures were rarely diagnosed. Adjustments in ASM were made in approximately half of the patients.
Study context
- Population
- Adult Intensive Care Unit (ICU) patients with severe acute brain injury who received a routine EEG (30–60 min)
- Participants
- 109 patients
- Outcome
- Indications and results of routine EEG and corresponding changes in anti-seizure medication (ASM)
Methodological detailssingle-centre
- Single-centre
Main finding
As reported in the abstract
EEG indications, results and ASM changes
- (Slowed) continuous background pattern
- 94%
- Low voltage, burst-suppression and suppressed background patterns
- 6 patients (5.5%)
- Seizures diagnosed
- 2 patients
- (NC)SE diagnosed
- 5 patients (6.4%)
- Anti-seizure medication (ASM) changed based on EEG
- 47 patients (43%)
- ASM discontinued
- 27 patients (24.8%)
- ASM initiated
- 20 patients (18.3%)
Observational data: associations, not effects.
Original publication
Indications, results and consequences of electroencephalography in neurocritical care: A retrospective study. J Crit Care. Published 16 July 2024. doi:10. 1016/ j. jcrc. 2024. 154861
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