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Updated: Jan 23, 2026

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Electroencephalographic Reporting for Refractory Status Epilepticus

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

  • 1Division of Epilepsy and Clinical Neurophysiology, Department of Neurology, Boston Children's Hospital, Harvard Medical School, Boston, Massachusetts, U.S.A.

Journal of Clinical Neurophysiology : Official Publication of the American Electroencephalographic Society
|June 6, 2019
PubMed

Insights

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.

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.
Abstract

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