Abstract

Evaluating the Prognostic Utility of Intermittent vs Continuous Electroencephalography in Comatose Survivors of Cardiac Arrest

Highlights

  • Using an observed cohort of 759 patients who were comatose after cardiac arrests and underwent continuous electroencephalography (cEEG) at 2 academic medical centers, Elmer and colleagues[3] have provided helpful insights into the utility of longer-duration EEG monitoring

  • That basic model estimated that 7% of patients would have very low likelihood of favorable recovery and achieved an observed-to-estimated concordance statistic of 0.87

  • Maximal data obtained by cEEG yielded a slightly better concordance statistic (0.92) and classified a greater proportion of patients (26%) as very unlikely to experience a favorable recovery

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Summary

Introduction

Using an observed cohort of 759 patients who were comatose after cardiac arrests and underwent cEEG at 2 academic medical centers, Elmer and colleagues[3] have provided helpful insights into the utility of longer-duration EEG monitoring. A multimodality model was constructed to estimate favorable discharge status, incorporating demographic information, neuroimaging findings, and other clinical data but no EEG information.

Results
Conclusion
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