ArticleNeurology2013
Continuous and routine EEG in intensive care: utilization and outcomes, United States 2005-2009.
Article in Neurology, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 61 papers, 1 of them a synthesis that pooled it.
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Who cites it
61 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Educational initiatives for electroencephalography in the critical care setting: a systematic review and meta-analysis.Canadian journal of anaesthesia = Journal canadien d'anesthesie · 2021Pooled it
- Efficacy of delivery of care with Tele-continuous EEG in critically ill patients: a multicenter randomized controlled trial (Tele-cRCT study) study.Critical care (London, England) · 2025Trial
- EEG Quantification: A New Dawn for an Old Tool.Revista de neurologia · 2026Article
- Annual Course / From Then to Now: The Evolving Spectrum of Epilepsy Care.Epilepsy currents · 2025Article
- Continuous EEG Monitoring in Canadian Hospitals: A Nationwide Cross-Sectional Survey.Neurology. Clinical practice · 2025Article
- Canine EEG helps human: cross-species and cross-modality epileptic seizure detection via multi-space alignment.National science review · 2025Article
- Implementation of 2HELPS2B Seizure Risk Score: A Cost-Effective Approach to Seizure Detection in the Intensive Care Units.Neurology. Clinical practice · 2025Article
- Article
- Using artificial intelligence to optimize anti-seizure treatment and EEG-guided decisions in severe brain injury.Neurotherapeutics : the journal of the American Society for Experimental NeuroTherapeutics · 2025Review
- High-quality multimodal MRI with simultaneous EEG using conductive ink and polymer-thick film nets.Journal of neural engineering · 2024Article
- Clinical Impact of Standardized Interpretation and Reporting of Multimodality Neuromonitoring Data.Critical care explorations · 2024Observational
- Seizure Assessment and Forecasting With Efficient Rapid-EEG: A Retrospective Multicenter Comparative Effectiveness Study.Neurology · 2024Article
- Utility and rationale for continuous EEG monitoring: a primer for the general intensivist.Critical care (London, England) · 2024Review
- Prevalence of non-convulsive seizures and electroencephalographic abnormalities in critically ill patients-A retrospective observational study.Epilepsia open · 2024Observational
- Continuous versus Routine Electroencephalography in the Intensive Care Unit: A Review of Current Evidence.European neurology · 2024Review
- Identifying inpatient hospitalizations with continuous electroencephalogram monitoring from administrative data.BMC health services research · 2023Article
- Predictors of referral for long-term EEG monitoring for Medicare beneficiaries with drug-resistant epilepsy.Epilepsia open · 2023Article
- Continuous electroencephalography in the intensive care unit: A critical review and position statement from an Australian and New Zealand perspective.Critical care and resuscitation : journal of the Australasian Academy of Critical Care Medicine · 2023Article
- United States Epilepsy Center Characteristics: A Data Analysis From the National Association of Epilepsy Centers.Neurology · 2022Article
- Using electronic health data to explore effectiveness of ICU EEG and anti-seizure treatment.Annals of clinical and translational neurology · 2021Article
1 more citing papers are in PubMed but not listed here.
Corrections and comments
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesTo evaluate the effect of intensive care unit continuous EEG (cEEG) monitoring on inpatient mortality, hospital charges, and length of stay.
methodsA retrospective cross-sectional study was conducted using the Nationwide Inpatient Sample, a dataset representing 20% of inpatient discharges in nonfederal US hospitals. Adult discharge records reporting mechanical ventilation and EEG (routine EEG or cEEG) were included. cEEG was compared with routine EEG alone in association with the primary outcome of in-hospital mortality and secondary outcomes of total hospital charges and length of stay. Demographics, hospital characteristics, and medical comorbidity were used for multivariate adjustments of the primary and secondary outcomes.
resultsA total of 40,945 patient discharges in the weighted sample met inclusion criteria, of which 5,949 had reported cEEG. Mechanically ventilated patients receiving cEEG were younger than routine EEG patients (56 vs 61 years; p < 0.001). There was no difference in the 2 groups in income or medical comorbidities. cEEG was significantly associated with lower in-hospital mortality in both univariate (odds ratio = 0.54, 95% confidence interval 0.45-0.64; p < 0.001) and multivariate (odds ratio = 0.63, 95% confidence interval 0.51-0.76; p < 0.001) analyses. There was no significant difference in costs or length of stay for patients who received cEEG relative to those receiving only routine EEG. Sensitivity analysis showed that adjusting for diagnosis-related groups (DRGs) for any neurologic diagnoses, DRGs for neurologic procedures, and specific DRGs for epilepsy/convulsions did not substantially alter the association of cEEG with reduced inpatient mortality.
conclusionscEEG is favorably associated with inpatient survival in mechanically ventilated patients, without adding significant charges to the hospital stay.
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