Emergent EEG is helpful in neurology critical care practice

Emergent EEG (eEEG) is increasingly used in critical care practice related to neurological disorders although it involves considerable reorganization in the neurophysiology department at high cost. There is little data regarding the usefulness of eEEG in acute care situations. Our objective was to a...

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Bibliographic Details
Published in:Clinical neurophysiology 2005-10, Vol.116 (10), p.2454-2459
Main Authors: Firosh Khan, S., Ashalatha, R., Thomas, S.V., Sarma, P.S.
Format: Article
Language:English
Subjects:
Adolescent
Adult
Aged
Aged, 80 and over
Biological and medical sciences
Brain Diseases - diagnosis
Brain Diseases - therapy
Child
Child, Preschool
Cost
Critical care
Critical Care - methods
Decision Making
Developing Countries
Electrodiagnosis. Electric activity recording
Electroencephalography - utilization
Emergency Medical Services - methods
Emergent electroencephalography
Encephalitis
Epilepsy - diagnosis
Epilepsy - therapy
Female
Headache. Facial pains. Syncopes. Epilepsia. Intracranial hypertension. Brain oedema. Cerebral palsy
Humans
Hypoxia, Brain - diagnosis
India
Infant
Investigative techniques, diagnostic techniques (general aspects)
Male
Medical sciences
Middle Aged
Nervous system
Nervous system (semeiology, syndromes)
Neurologic Examination
Neurological services
Neurology
Neurology - methods
Status epilepticus
Treatment Outcome
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Summary:Emergent EEG (eEEG) is increasingly used in critical care practice related to neurological disorders although it involves considerable reorganization in the neurophysiology department at high cost. There is little data regarding the usefulness of eEEG in acute care situations. Our objective was to audit the practice and utility of eEEG in critical care practice in a developing country. This study was carried out in a tertiary care neurological center situated in a developing country. We had defined eEEG as any EEG performed on a non-elective basis upon request from a clinician for a seemingly emergency indication. All eEEGs performed in the neurophysiology service between October 2002 and September 2003 were reviewed. Referral diagnosis, delay in execution, final diagnosis and outcome were analyzed. eEEG was classified as useful if it clinched a diagnosis, excluded a specific diagnosis or helped in management. Statistical analysis was performed using the χ 2 test or Fisher's exact test when indicated. The referral diagnosis and eEEG characteristics were correlated with the utility of the eEEG. Those with P-value
ISSN:1388-2457
1872-8952
DOI:10.1016/j.clinph.2005.06.024