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Electroencephalographic Reporting for Refractory Status Epilepticus.

Publication ,  Journal Article
Sansevere, AJ; Arya, R; Sánchez Fernández, I; Gaillard, WD; Tasker, RC; Lai, Y-C; Anderson, AE; Tchapyjnikov, D; Chapman, KE; Brenton, JN ...
Published in: J Clin Neurophysiol
September 2019

PURPOSE: We aimed to determine whether clinical EEG reports obtained from children in the intensive care unit with refractory status epilepticus could provide data for comparative effectiveness research studies. METHODS: We conducted a retrospective descriptive study to assess the documentation of key variables within clinical continuous EEG monitoring reports based on the American Clinical Neurophysiology Society's standardized EEG terminology for children with refractory status epilepticus from 10 academic centers. Two pediatric electroencephalographers reviewed the EEG reports. We compared reports generated using free text or templates. RESULTS: We reviewed 191 EEG reports. Agreement between the electroencephalographers regarding whether a variable was described in the report ranged from fair to very good. The presence of electrographic seizures (ES) was documented in 46% (87/191) of reports, and these reports documented the time of first ES in 64% (56/87), ES duration in 72% (63/85), and ES frequency in 68% (59/87). Reactivity was documented in 16% (31/191) of reports, and it was more often documented in template than in free-text reports (40% vs. 14%, P = 0.006). Other variables were not differentially reported in template versus free-text reports. CONCLUSIONS: Many key EEG features are not documented consistently in clinical continuous EEG monitoring reports, including ES characteristics and reactivity assessment. Standardization may be needed for clinical EEG reports to provide informative data for large multicenter observational studies.

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Published In

J Clin Neurophysiol

DOI

EISSN

1537-1603

Publication Date

September 2019

Volume

36

Issue

5

Start / End Page

365 / 370

Location

United States

Related Subject Headings

  • Young Adult
  • Status Epilepticus
  • Seizures
  • Retrospective Studies
  • Neurology & Neurosurgery
  • Monitoring, Physiologic
  • Male
  • Intensive Care Units
  • Infant
  • Humans
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Sansevere, A. J., Arya, R., Sánchez Fernández, I., Gaillard, W. D., Tasker, R. C., Lai, Y.-C., … Pediatric Status Epilepticus Research Group (pSERG), . (2019). Electroencephalographic Reporting for Refractory Status Epilepticus. J Clin Neurophysiol, 36(5), 365–370. https://doi.org/10.1097/WNP.0000000000000595
Sansevere, Arnold J., Ravindra Arya, Iván Sánchez Fernández, William D. Gaillard, Robert C. Tasker, Yi-Chen Lai, Anne E. Anderson, et al. “Electroencephalographic Reporting for Refractory Status Epilepticus.J Clin Neurophysiol 36, no. 5 (September 2019): 365–70. https://doi.org/10.1097/WNP.0000000000000595.
Sansevere AJ, Arya R, Sánchez Fernández I, Gaillard WD, Tasker RC, Lai Y-C, et al. Electroencephalographic Reporting for Refractory Status Epilepticus. J Clin Neurophysiol. 2019 Sep;36(5):365–70.
Sansevere, Arnold J., et al. “Electroencephalographic Reporting for Refractory Status Epilepticus.J Clin Neurophysiol, vol. 36, no. 5, Sept. 2019, pp. 365–70. Pubmed, doi:10.1097/WNP.0000000000000595.
Sansevere AJ, Arya R, Sánchez Fernández I, Gaillard WD, Tasker RC, Lai Y-C, Anderson AE, Tchapyjnikov D, Chapman KE, Brenton JN, Carpenter JL, Gaínza-Lein M, Goldstein JL, Goodkin HP, Jackson MC, Kapur K, Mikati MA, Peariso K, Glauser TA, Topjian AA, Wainwright M, Wilfong AA, Williams KL, Loddenkemper T, Abend NS, Pediatric Status Epilepticus Research Group (pSERG). Electroencephalographic Reporting for Refractory Status Epilepticus. J Clin Neurophysiol. 2019 Sep;36(5):365–370.

Published In

J Clin Neurophysiol

DOI

EISSN

1537-1603

Publication Date

September 2019

Volume

36

Issue

5

Start / End Page

365 / 370

Location

United States

Related Subject Headings

  • Young Adult
  • Status Epilepticus
  • Seizures
  • Retrospective Studies
  • Neurology & Neurosurgery
  • Monitoring, Physiologic
  • Male
  • Intensive Care Units
  • Infant
  • Humans