Applicability of NeuroTrend as a bedside monitor in the neuro ICU.
Clin Neurophysiol
; 128(6): 1000-1007, 2017 06.
Article
in En
| MEDLINE
| ID: mdl-28458027
ABSTRACT
OBJECTIVE:
To assess whether ICU caregivers can correctly read and interpret continuous EEG (cEEG) data displayed with the computer algorithm NeuroTrend (NT) with the main attention on seizure detection and determination of sedation depth.METHODS:
120 screenshots of NT (480h of cEEG) were rated by 18 briefly trained nurses and biomedical analysts. Multirater agreements (MRA) as well as interrater agreements (IRA) compared to an expert opinion (EXO) were calculated for items such as pattern type, pattern location, interruption of recording, seizure suspicion, consistency of frequency, seizure tendency and level of sedation.RESULTS:
MRA as well as IRA were almost perfect (80-100%) for interruption of recording, spike-and-waves, rhythmic delta activity and burst suppression. A substantial agreement (60-80%) was found for electrographic seizure patterns, periodic discharges and seizure suspicion. Except for pattern localization (70.83-92.26%), items requiring a precondition and especially those who needed interpretation like consistency of frequency (47.47-79.15%) or level of sedation (41.10%) showed lower agreements.CONCLUSIONS:
The present study demonstrates that NT might be a useful bedside monitor in cases of subclinical seizures. Determination of correct sedation depth by ICU caregivers requires a more detailed training.SIGNIFICANCE:
Computer algorithms may reduce the workload of cEEG analysis in ICU patients.Key words
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Seizures
/
Software
/
Point-of-Care Systems
/
Critical Care
/
Electroencephalography
/
Neurophysiological Monitoring
Type of study:
Evaluation_studies
Limits:
Adult
/
Humans
/
Middle aged
Language:
En
Journal:
Clin Neurophysiol
Journal subject:
NEUROLOGIA
/
PSICOFISIOLOGIA
Year:
2017
Document type:
Article