Neuroanesthesia & neurocritical care

The predictive value of EEG reactivity by electrical stimulation and quantitative analysis in critically ill patients with large hemispheric infarction

J Crit CarePublished Prospective diagnostic accuracy study

Authors' conclusion

EEG reactivity by electrical stimulation and quantitative analysis seems a promising prognostic factor in these critical patients.

Study context

Population
Critically ill patients with large hemispheric infarction, 2018–202194 admitted
Participants
56 patients
Comparison
EEG reactivity by electrical vs pain stimulation, with visual vs quantitative analysis
Outcome
Prediction of good neurological outcome (mRS 0-3 vs poor mRS 4-6)
Follow-up
within 6-month
Methodological detailsconsecutive enrolment, randomised stimulation method
  • Consecutive enrolment
  • Randomised stimulation method

Performance

As reported in the abstract

Good outcome prediction
Test or modelAUC
Pain, visual0.763
Pain, quantitative0.844
Electrical, visual0.825
Electrical, quantitative0.931

AUC

Pain, visual0.763
Pain, quantitative0.844
Electrical, visual0.825
Electrical, quantitative0.931
  • Electrical, visual vs Pain, visual: P = 0.143
  • Electrical, quantitative vs Pain, quantitative: P = 0.058
  • Electrical, quantitative vs Pain, visual: P = 0.006
  • Pain, quantitative vs Pain, visual: P = 0.118
  • Electrical, quantitative vs Electrical, visual: P = 0.041

Original publication

The predictive value of EEG reactivity by electrical stimulation and quantitative analysis in critically ill patients with large hemispheric infarction. J Crit Care. Published 15 June 2023. doi:10.1016/j.jcrc.2023.154358

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