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Electroencephalographic Reporting for Refractory Status Epilepticus.

Arnold J Sansevere1, Ravindra Arya2, Iván Sánchez Fernández1,3

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Journal of Clinical Neurophysiology : Official Publication of the American Electroencephalographic Society
|June 6, 2019
PubMed
Summary
This summary is machine-generated.

Clinical EEG reports from pediatric intensive care units often lack consistent documentation of key electrographic seizure features and reactivity. Standardization is crucial for utilizing these reports in comparative effectiveness research.

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Area of Science:

  • Pediatric Neurology
  • Clinical Neurophysiology
  • Intensive Care Medicine

Background:

  • Refractory status epilepticus in children requires continuous electroencephalogram (EEG) monitoring in the intensive care unit (ICU).
  • Clinical EEG reports are a potential source of data for comparative effectiveness research (CER).

Purpose of the Study:

  • To evaluate the adequacy of clinical EEG reports from pediatric ICUs for CER.
  • To assess the documentation of key variables in continuous EEG monitoring reports for children with refractory status epilepticus.

Main Methods:

  • Retrospective descriptive study of 191 clinical EEG reports from 10 academic centers.
  • Two pediatric electroencephalographers reviewed reports for documentation of standardized EEG terminology.
  • Comparison of reports generated using free text versus templates.

Main Results:

  • Agreement on variable documentation ranged from fair to very good.
  • Electrographic seizures (ES) were documented in 46% of reports, with varying documentation of timing, duration, and frequency.
  • Reactivity assessment was documented in only 16% of reports, and more frequently in template-generated reports (40% vs. 14%).

Conclusions:

  • Clinical EEG reports frequently lack consistent documentation of critical data, including ES characteristics and reactivity.
  • Standardization of clinical EEG reporting is necessary to enable robust multicenter observational studies for CER.