Cardiac arrest & resuscitation

Myoclonus After Cardiac Arrest: Need for Standardization—A Systematic Review and Research Proposal on Terminology

Crit Care MedPublished Systematic review

Authors' conclusion

Heterogeneity in definitions resulted in weak associations with outcomes.

Study context

Population
Adults (≥ 18 yr) with myoclonus ≤72 hours after cardiac arrest119 studies
Participants
2,659 / 883 / 569 / 40
Comparison
Myoclonus vs MyS/SM vs myoclonic status epilepticus (MSE) vs early Lance-Adams Syndrome (eLAS)
  • Myoclonusn = 2,659
  • MyS/SMn = 883
  • MSEn = 569
  • eLASn = 40
Outcome
CPC 1-2 (among patients with a defined outcome)
Methodological detailsresearch proposal on terminology, PubMed, Embase and Cochrane, 1966 to May 31, 2024; English-language adult studies, Quality: Newcastle-Ottawa Scale and Cochrane Risk-of-Bias tool
  • Research proposal on terminology
  • PubMed, Embase and Cochrane, 1966 to May 31, 2024; English-language adult studies
  • Quality: Newcastle-Ottawa Scale and Cochrane Risk-of-Bias tool

Pooled result

As reported in the abstract

Further pooled results

EEG recorded

Patients with EEG recorded
2714 (69.9%)

Cerebral Performance Category (CPC) 1-2 by EEG pattern

Suppression/suppression/suppression burst (SB)/unreactive EEG
1.6%
Non-SB/U EEG with SE
11.3%
Non-SB/U EEG without SE
22.3%

Original publication

Myoclonus After Cardiac Arrest: Need for Standardization—A Systematic Review and Research Proposal on Terminology. Crit Care Med. Published 22 November 2024. doi:10.1097/ccm.0000000000006521

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