Repetitive Electroencephalography as Biomarker for the Prediction of Survival in Patients with Post-Hypoxic Encephalopathy.

Détails

Ressource 1Télécharger: jcm-11-06253.pdf (1246.23 [Ko])
Etat: Public
Version: Final published version
Licence: CC BY 4.0
ID Serval
serval:BIB_61F6F65E307A
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Institution
Titre
Repetitive Electroencephalography as Biomarker for the Prediction of Survival in Patients with Post-Hypoxic Encephalopathy.
Périodique
Journal of clinical medicine
Auteur⸱e⸱s
Willems L.M., Rosenow F., Knake S., Beuchat I., Siebenbrodt K., Strüber M., Schieffer B., Karatolios K., Strzelczyk A.
ISSN
2077-0383 (Print)
ISSN-L
2077-0383
Statut éditorial
Publié
Date de publication
23/10/2022
Peer-reviewed
Oui
Volume
11
Numéro
21
Langue
anglais
Notes
Publication types: Journal Article
Publication Status: epublish
Résumé
Predicting survival in patients with post-hypoxic encephalopathy (HE) after cardiopulmonary resuscitation is a challenging aspect of modern neurocritical care. Here, continuous electroencephalography (cEEG) has been established as the gold standard for neurophysiological outcome prediction. Unfortunately, cEEG is not comprehensively available, especially in rural regions and developing countries. The objective of this monocentric study was to investigate the predictive properties of repetitive EEGs (rEEGs) with respect to 12-month survival based on data for 199 adult patients with HE, using log-rank and multivariate Cox regression analysis (MCRA). A total number of 59 patients (29.6%) received more than one EEG during the first 14 days of acute neurocritical care. These patients were analyzed for the presence of and changes in specific EEG patterns that have been shown to be associated with favorable or poor outcomes in HE. Based on MCRA, an initially normal amplitude with secondary low-voltage EEG remained as the only significant predictor for an unfavorable outcome, whereas all other relevant parameters identified by univariate analysis remained non-significant in the model. In conclusion, rEEG during early neurocritical care may help to assess the prognosis of HE patients if cEEG is not available.
Mots-clé
cardiac arrest, epilepsy, intensive care, neurocritical care, resuscitation, seizures
Pubmed
Web of science
Open Access
Oui
Création de la notice
17/02/2023 14:58
Dernière modification de la notice
10/11/2023 8:16
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