Document Detail


A new electroencephalogram classification with reduced recording time in asphyxiated term infants.
MedLine Citation:
PMID:  23835119     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
Background and objectives: Conventional electroencephalogram (cEEG) is a reliable predictor of outcome in term infants with hypoxic ischemic encephalopathy (HIE). Early therapeutic hypothermia initiated within 6h after birth is a beneficial treatment in these infants. However, a classification system with reduced cEEG recording time to determine early intervention has not been reported. The aim of this study is to propose a new classification of depression on cEEG with reduced recording time in infants with HIE and to examine the correlation between the classification and short-term outcome. Patients and methods: We retrospectively investigated 20 term infants with HIE in whom cEEG was performed within 12h after birth, and deaths or outcomes at 18months of age were assessed. We determined grades 0-3 EEG depression in each 10-min epoch based on the most common EEG patterns of each 20s epoch defined by our criteria. Results: Eighteen infants could be assessed by depression grade. The Spearman's rank correlation coefficient Rs between the maximum depression grade in 10-min epochs and three-grade outcomes was 0.68 (P=0.002), and that between the minimum one and outcomes was 0.66 (P=0.003). The area under the receiver operating characteristic curve of the maximum and minimum depression grades for predicting abnormal outcome were 0.885 and 0.869, respectively. Conclusions: We demonstrated a new cEEG depression classification with a recording time of at least 10min in term infants with HIE and a good correlation with short-term outcome.
Authors:
Toru Kato; Takeshi Tsuji; Fumio Hayakawa; Tetsuo Kubota; Hiroyuki Kidokoro; Jun Natsume; Kazuyoshi Watanabe; Akihisa Okumura
Related Documents :
4024929 - Myocardial ischaemia in asphyxia neonatorum. electrocardiographic, enzymatic and histol...
22008359 - Rare case of disseminated neonatal zygomycosis mimicking necrotizing enterocolitis with...
21980949 - The role of medicine in the decline of post-war infant mortality in japan.
21432869 - Death among geladas (theropithecus gelada): a broader perspective on mummified infants ...
21733039 - Prevalence of celiac disease in parents of preterm or low birthweight newborns.
21641649 - Changes in infants' affect related to the onset of independent locomotion.
9279279 - Mandatory parental involvement in minors' abortions: effects of the laws in minnesota, ...
18595969 - Newborn vitamin a supplementation reduced infant mortality in rural bangladesh.
3317499 - Intracranial abnormalities in infants treated with extracorporeal membrane oxygenation:...
Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2013-7-5
Journal Detail:
Title:  Brain & development     Volume:  -     ISSN:  1872-7131     ISO Abbreviation:  Brain Dev.     Publication Date:  2013 Jul 
Date Detail:
Created Date:  2013-7-9     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  7909235     Medline TA:  Brain Dev     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Copyright Information:
Copyright © 2013 The Japanese Society of Child Neurology. Published by Elsevier B.V. All rights reserved.
Affiliation:
Department of Pediatrics, Okazaki City Hospital, Okazaki, Japan. Electronic address: kato-jes@umin.ac.jp.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


Previous Document:  Long-term psychosocial outcome of adults with tetralogy of Fallot and transposition of the great art...
Next Document:  Patient empowerment in long-term conditions: development and preliminary testing of a new measure.