Cardiac arrest & resuscitation

Role of EEG spindle-like activity in post cardiac arrest prognostication

ResuscitationPublished Retrospective cohort study

Authors' conclusion

Spindle-like EEG activity may orient on prognostication of favorable outcome in adult post CA patients, and correlates with lower neuronal damage.

Study context

Population
Comatose adults after cardiac arrest (CA), institutional registry 09.2021–09.2023
Participants
276 adults
Exposure
Spindle-like EEG activity vs no spindle-like activity
  • Spindle-like activityn = 66
Outcome
Favorable outcome (CPC 1-2)
Follow-up
3 months
Methodological detailsprospective institutional registry, single-centre
  • Prospective institutional registry
  • Single-centre

Main finding

As reported in the abstract

Prediction of CPC 1-2 by spindle-like activity within 72 h
GroupSpecificitySensitivity
Spindle-like activity82.2 %36.8 %

Spindle-like activity

Specificity82.2 %
Sensitivity36.8 %

Observational data: associations, not effects.

Further findings

Peak serum NSE at 24-48 h

P < 0.001

Sensitivity of modified benign EEG with addition of spindle-like activity

Sensitivity increased from 90.5 % to 95.8 % (p < 0.001); specificity 54.4 %

Original publication

Role of EEG spindle-like activity in post cardiac arrest prognostication. Resuscitation. Published 18 October 2024. doi:10.1016/j.resuscitation.2024.110413

Composed by AI from the published abstract and checked against it. How Briefs are made →

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