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Predicting Outcome in Comatose Patients: The Role of EEG Reactivity to Quantifiable Electrical Stimuli
Joint Authors
Zhang, Yan
Liu, Yi Fei
Liu, Gang
Su, Yingying
Jiang, Mengdi
Zhang, Yunzhou
Gao, Daiquan
Source
Evidence-Based Complementary and Alternative Medicine
Issue
Vol. 2016, Issue 2016 (31 Dec. 2016), pp.1-7, 7 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2016-04-03
Country of Publication
Egypt
No. of Pages
7
Main Subjects
Abstract EN
Objective.
To test the value of quantifiable electrical stimuli as a reliable method to assess electroencephalogram reactivity (EEG-R) for the early prognostication of outcome in comatose patients.
Methods.
EEG was recorded in consecutive adults in coma after cardiopulmonary resuscitation (CPR) or stroke.
EEG-R to standard electrical stimuli was tested.
Each patient received a 3-month follow-up by the Glasgow-Pittsburgh cerebral performance categories (CPC) or modified Rankin scale (mRS) score.
Results.
Twenty-two patients met the inclusion criteria.
In the CPR group, 6 of 7 patients with EEG-R had good outcomes (positive predictive value (PPV), 85.7%) and 4 of 5 patients without EEG-R had poor outcomes (negative predictive value (NPV), 80%).
The sensitivity and specificity were 85.7% and 80%, respectively.
In the stroke group, 6 of 7 patients with EEG-R had good outcomes (PPV, 85.7%); all of the 3 patients without EEG-R had poor outcomes (NPV, 100%).
The sensitivity and specificity were 100% and 75%, respectively.
Of all patients, the presence of EEG-R showed 92.3% sensitivity, 77.7% specificity, 85.7% PPV, and 87.5% NPV.
Conclusion.
EEG-R to quantifiable electrical stimuli might be a good positive predictive factor for the prognosis of outcome in comatose patients after CPR or stroke.
American Psychological Association (APA)
Liu, Gang & Su, Yingying& Liu, Yi Fei& Jiang, Mengdi& Zhang, Yan& Gao, Daiquan…[et al.]. 2016. Predicting Outcome in Comatose Patients: The Role of EEG Reactivity to Quantifiable Electrical Stimuli. Evidence-Based Complementary and Alternative Medicine،Vol. 2016, no. 2016, pp.1-7.
https://search.emarefa.net/detail/BIM-1104417
Modern Language Association (MLA)
Gao, Daiquan…[et al.]. Predicting Outcome in Comatose Patients: The Role of EEG Reactivity to Quantifiable Electrical Stimuli. Evidence-Based Complementary and Alternative Medicine No. 2016 (2016), pp.1-7.
https://search.emarefa.net/detail/BIM-1104417
American Medical Association (AMA)
Liu, Gang & Su, Yingying& Liu, Yi Fei& Jiang, Mengdi& Zhang, Yan& Gao, Daiquan…[et al.]. Predicting Outcome in Comatose Patients: The Role of EEG Reactivity to Quantifiable Electrical Stimuli. Evidence-Based Complementary and Alternative Medicine. 2016. Vol. 2016, no. 2016, pp.1-7.
https://search.emarefa.net/detail/BIM-1104417
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1104417