Continuous EEG Monitoring in Critically Ill Children and Prognostic Factors for Short-term Outcome: An Observational Study

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dc.authoridKanmaz, Seda/0000-0002-8738-1242
dc.authoridSimsek, Erdem/0000-0002-4413-8779
dc.authoridYazici Ozkaya, Pinar/0000-0002-1209-2534
dc.authorwosidSimsek, Erdem/A-9776-2018
dc.contributor.authorBalci, Ozlem Ozdemir
dc.contributor.authorSimsek, Erdem
dc.contributor.authorOzkaya, Pinar Yazici
dc.contributor.authorKanmaz, Seda
dc.contributor.authorDokurel, Ipek
dc.contributor.authorSerin, Hepsen Mine
dc.contributor.authorYilmaz, Sanem
dc.date.accessioned2023-01-12T20:16:44Z
dc.date.available2023-01-12T20:16:44Z
dc.date.issued2022
dc.departmentN/A/Departmenten_US
dc.description.abstractAim: To evaluate the association of etiology, continuous electroencephalography (cEEG) findings and neuroimaging findings with short-term outcomes for patients admitted to a pediatric intensive care unit (PICU) for acute encephalopathy. Materials and Methods: A total of 24 children admitted to a PICU for acute encephalopathy were enrolled into this study. The etiology, treatment, duration of stay in the PICU, their demographic information and their past medical history were recorded. cEEG was initiated as quickly as possible following admission to the PICU and continued for at least 24 hours. Their short-term prognosis was evaluated by the Pediatric Cerebral Performance Category score (PCPC) at PICU discharge. Results: The most common cause was traumatic brain injury comprising 25% (n=6) of all cases. Other common causes were asphyxia (hanging, foreign body aspiration, drowning) (n=4, 16.67%) and intoxication (n=3, 12.5%). Twenty-two patients underwent cranial imaging. The most common findings in CT were hemorrhage (n=6, 30%) and ischemia/edema (n=6, 30%). Fourteen patients had unfavorable PCPC outcome scores. There was a tendency for poorer outcomes in those patients with hemorrhage/fracture or ischemia/edema in the imaging and for those patients who needed either pre-hospital CPR or had non-convulsive seizures but without statistical significance. Conclusion: cEEG in critically ill children is useful for detecting both epileptic and non-epileptic events. The use of cEEG in PICUs can be helpful for the better management of cases.en_US
dc.identifier.doi10.4274/jpr.galenos.2022.77885
dc.identifier.endpage235en_US
dc.identifier.issn2147-9445
dc.identifier.issue3en_US
dc.identifier.startpage228en_US
dc.identifier.trdizinid1126207en_US
dc.identifier.urihttps://doi.org/10.4274/jpr.galenos.2022.77885
dc.identifier.urihttps://search.trdizin.gov.tr/yayin/detay/1126207
dc.identifier.urihttps://hdl.handle.net/11454/78766
dc.identifier.volume9en_US
dc.identifier.wosWOS:000886614100005en_US
dc.identifier.wosqualityN/Aen_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakTR-Dizinen_US
dc.language.isoenen_US
dc.publisherGalenos Publ Houseen_US
dc.relation.ispartofJournal Of Pediatric Researchen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectAcute encephalopathyen_US
dc.subjectchildrenen_US
dc.subjectcontinuous EEG monitoringen_US
dc.subjectintensive careen_US
dc.subjectprognosisen_US
dc.subjectContinuous Video-Eegen_US
dc.subjectNonconvulsive Seizuresen_US
dc.subjectElectrographic Seizuresen_US
dc.subjectPredictorsen_US
dc.subjectProfileen_US
dc.subjectUtilityen_US
dc.titleContinuous EEG Monitoring in Critically Ill Children and Prognostic Factors for Short-term Outcome: An Observational Studyen_US
dc.typeArticleen_US

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