Use of Continuous EEG Monitoring and Short-term Outcomes in Critically Ill Children

Authors

• Xiuhua Liang BOZARTH, Division of Pediatric Neurology, Department of Neurology, University of Washington, Seattle, Washington, United StatesFollow
• Pin-Yi KO, Division of Pediatric Neurology, Department of Neurology, University of Washington, Seattle, Washington, United States
• Hao BAO, Biostatistics, Epidemiology, Econometrics and Programming Core, Seattle Children's Research Institute, Washington, United States
• Nicholas S. ABEND, Division of Neurology, Departments of Neurology and Pediatrics, Children's Hospital of Philadelphia, University of Pennsylvania, Philadelphia, Pennsylvania, United States
• R. Scott WATSON, Division of Pediatric Critical Care Medicine, Department of Pediatrics, University of Washington, Seattle, Washington, United States; Center for Child Health, Behavior, and Development, Seattle Children's Research Institute, Seattle, Washington, United States
• Pingping QU, Biostatistics, Epidemiology, Econometrics and Programming Core, Seattle Children's Research Institute, Washington, United States
• Leslie A. DERVAN, Division of Pediatric Critical Care Medicine, Department of Pediatrics, University of Washington, Seattle, Washington, United States
• Lindsey A. MORGAN, Division of Pediatric Neurology, Department of Neurology, University of Washington, Seattle, Washington, United States
• Mark WAINWRIGHT, Division of Pediatric Neurology, Department of Neurology, University of Washington, Seattle, Washington, United States
• John K. MCGUIRE, Division of Pediatric Critical Care Medicine, Department of Pediatrics, University of Washington, Seattle, Washington, United States
• Edward NOVOTNY, Division of Pediatric Neurology, Department of Neurology, University of Washington, Seattle, Washington, United States; Center for Integrative Brain Research, Seattle Children's Research Institute, Washington, United States

Abstract

Objectives: This study aimed to compare short-term outcomes at pediatric intensive care unit (PICU) discharge in critically ill children with and without continuous EEG (cEEG) monitoring. Methods: We retrospectively compared 234 patients who underwent cEEG with 2294 patients without cEEG. Propensity score matching was used to compare patients with seizures and status epilepticus between cEEG cohort and historical cohort. Results: The EEG cohort had higher in-hospital mortality, worse Pediatric Cerebral Performance Category (PCPC) scores, and greater PCPC decline at discharge. In patients with status epilepticus, PCPC decline was higher in the cEEG cohort. Conclusions: PCPC decline at PICU discharge was associated with cEEG monitoring in patients with status epilepticus.

Recommended Citation

BOZARTH, Xiuhua Liang; KO, Pin-Yi; BAO, Hao; ABEND, Nicholas S.; WATSON, R. Scott; QU, Pingping; DERVAN, Leslie A.; MORGAN, Lindsey A.; WAINWRIGHT, Mark; MCGUIRE, John K.; and NOVOTNY, Edward (2025) "Use of Continuous EEG Monitoring and Short-term Outcomes in Critically Ill Children," Journal of Pediatric Intensive Care: Vol. 14: Iss. 1, Article 7.
DOI: https://doi.org/10.53391/2146-4618.1006
Available at: https://jpic.researchcommons.org/journal/vol14/iss1/7