EEG recording latency in critically ill patients: Impact on outcome. An analysis of a randomized controlled trial (CERTA)

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  • Valentina Urbano
  • Jan Novy
  • Vincent Alvarez
  • Kaspar Schindler
  • Stephan Rüegg
  • Rossetti, Andrea

Objective: To assess, in adults with acute consciousness impairment, the impact of latency between hospital admission and EEG recording start, and their outcome. Methods: We reviewed data of the CERTA trial (NCT03129438) and explored correlations between EEG recording latency and mortality, Cerebral Performance Categories (CPC), and modified Rankin Scale (mRS) at 6 months, considering other variables, using uni- and multivariable analyses. Results: In univariable analysis of 364 adults, median latency between admission and EEG recordings was comparable between surviving (61.1 h; IQR: 24.3–137.7) and deceased patients (57.5 h; IQR: 22.3–141.1); p = 0.727. This did not change after adjusting for potential confounders, such as lower Glasgow Coma Score on enrolment (p < 0.001) and seizure or status epilepticus detection (p < 0.001). There was neither any correlation between EEG latency and mRS (rho 0.087, p 0.236), nor with CPC (rho = 0.027, p = 0.603). Conclusion: This analysis shows no correlation between delays of EEG recordings and mortality or functional outcomes at 6 months in critically ill adults. Significance: These findings might suggest that in critically ill adults mortality correlates with underlying brain injury rather than EEG delay.

Original languageEnglish
Book seriesClinical Neurophysiology
Volume139
Pages (from-to)23-27
Number of pages5
ISSN1388-2457
DOIs
Publication statusPublished - 2022

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Publisher Copyright:
© 2022 International Federation of Clinical Neurophysiology

    Research areas

  • Electroencephalography, Intensive care unit, Prognosis, Seizures, Status epilepticus

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