Rapid-Response EEG in Seizure Diagnosis and Patient Care: Lessons From a Community Hospital
A nurse-led, rapid-response EEG protocol at a community hospital resulted in significant improvements in EEG accessibility and seizure diagnosis with hospital-level financial benefits. By expanding access to EEG, confirming non-convulsive seizures, and increasing care efficiency, rapid-response EEG protocols can enhance patient care.
Implementation and impact of a point-of-care EEG platform in a community hospital: a cohort study
A POC EEG system can be safely implemented in a community hospital leading to an absolute decrease in transfers to tertiary hospital. This decrease in patient transfers can cover the cost of implementing the POC EEG system. The additional benefits from transfer avoidance include clinical benefits such as rapid appropriate treatment of seizures and avoidance […]
Point-of-Care EEG enables rapid evaluation and management of NCSE in the emergency department
The real-world use of POC EEG in emergency medicine found that rapid EEG acquisition in the ED was feasible in a community hospital and significantly affected the management of suspected non-convulsive seizures.
Gaining Clarity on the Clarity Algorithm
We hope to clarify what the Claritɣ algorithm was designed to do and, more importantly, what it was not designed to do. Claritɣ was designed to detect seizures and calculate the load of such activity. With continuous dialogue between clinicians and corporate engineers, machine learning algorithms will continue to improve over time as more cases […]
Effect of rapid EEG on anti-seizure medication usage
To study how early diagnoses from rapid EEG (rEEG) during the initial evaluation of patients with suspected non-convulsive seizures correlates with changes in anti-seizure medication (ASM) use. Of 100 patients, SZ were found in 5%, HEP in 14%, and no epileptiform/ictal activity in 81%. Forty-six percent of patients had received ASM(s) before rEEG. While 84% […]
Comparing Seizures Captured by Rapid Response EEG and Conventional EEG Recordings in a Multicenter Clinical Study
Seizures detected on both EEG systems had similar electrographic appearance and laterality. Seizures detected only on conventional EEG (within 24 h following Rapid-EEG) were visible in the temporal chains, and external clinical factors (e.g., treatment with anti-seizure medications, sedation, and duration of recordings) explained the delayed presentation of seizures. Patients with seizures detected only by […]
Subclinical early posttraumatic seizures detected by continuous EEG monitoring in a consecutive pediatric cohort
cEEG monitoring significantly improves detection of seizures/SE and is the only way to detect subclinical seizures/SE. cEEG may be indicated after pediatric TBI, particularly in younger children, AHT cases, and those with intraaxial blood on computerized tomography (CT).
Early Standard Electroencephalogram Abnormalities Predict Mortality in Septic Intensive Care Unit Patients
In this prospective cohort of 110 septic ICU patients, early standard EEG was significantly disturbed. Absence of EEG reactivity, a delta-predominant background, PDs, Synek grade 3 and Young grade > 1 at day 1 to 3 following admission were independent predictors of ICU mortality and were associated with occurence of delirium. ESZ and PDs, found […]
Incorporating abbreviated EEGs in the initial workup of patients who present to the emergency room with mental status changes of unknown etiology
AbEEGs can be successfully incorporated in the early evaluation of patients who present to the ER with mental status changes of unknown cause and provide useful information in this setting.
Burden of illness for super-refractory status epilepticus patients
SRSE is associated with high mortality and morbidity, which place a high burden on healthcare resources. Projections based upon the findings of this study suggest an estimated 25,821–41,959 cases of SRSE may occur in the US each year, but more in-depth studies are required.
Detection of electrographic seizures with continuous EEG monitoring in critically ill patients
CEEG monitoring detected seizure activity in 19% of patients, and the seizures were almost always nonconvulsive. Coma, age 18 years, a history of epilepsy, and convulsive seizures prior to monitoring were risk factors for electrographic seizures. Comatose patients frequently required 24 hours of monitoring to detect the first electrographic seizure.
Guidelines for the Evaluation and Management of Status Epilepticus
Status epilepticus (SE) treatment strategies vary substantially from one institution to another due to the lack of data to support one treatment over another. To provide guidance for the acute treatment of SE in critically ill patients, the Neurocritical Care Society organized a writing committee to evaluate the literature and develop an evidence-based and expert […]
