Evidence map›Paper›PMID 30971485›Full record

Observational studyNeurology2019

Quantitative EEG predicts outcomes in children after cardiac arrest.

Seungha Lee, Xuelong Zhao, Kathryn A Davis, Alexis A Topjian, Brian Litt, Nicholas S Abend

Abstract readObservational Study
In one paragraph

Observational study in Neurology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

17 citing papers in PubMed, 1 synthesis or guideline pooled it.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Seungha LeeFrom the Department of Bioengineering (S.L., X.Z., B.L.), The University of Pennsylvania; Department of Neurology (K.A.D., B.L., N.S.A.), Perelman School of Medicine at the University of Pennsylvania; and the Departments of Pediatrics (N.S.A.) and Anesthesia and Critical Care Medicine (A.A.T., N.S.A.), Children's Hospital of Philadelphia and Perelman School of Medicine at the University of Pennsylvania, Philadelphia.
Xuelong ZhaoFrom the Department of Bioengineering (S.L., X.Z., B.L.), The University of Pennsylvania; Department of Neurology (K.A.D., B.L., N.S.A.), Perelman School of Medicine at the University of Pennsylvania; and the Departments of Pediatrics (N.S.A.) and Anesthesia and Critical Care Medicine (A.A.T., N.S.A.), Children's Hospital of Philadelphia and Perelman School of Medicine at the University of Pennsylvania, Philadelphia.
Kathryn A DavisFrom the Department of Bioengineering (S.L., X.Z., B.L.), The University of Pennsylvania; Department of Neurology (K.A.D., B.L., N.S.A.), Perelman School of Medicine at the University of Pennsylvania; and the Departments of Pediatrics (N.S.A.) and Anesthesia and Critical Care Medicine (A.A.T., N.S.A.), Children's Hospital of Philadelphia and Perelman School of Medicine at the University of Pennsylvania, Philadelphia.
Alexis A TopjianFrom the Department of Bioengineering (S.L., X.Z., B.L.), The University of Pennsylvania; Department of Neurology (K.A.D., B.L., N.S.A.), Perelman School of Medicine at the University of Pennsylvania; and the Departments of Pediatrics (N.S.A.) and Anesthesia and Critical Care Medicine (A.A.T., N.S.A.), Children's Hospital of Philadelphia and Perelman School of Medicine at the University of Pennsylvania, Philadelphia.
Brian LittFrom the Department of Bioengineering (S.L., X.Z., B.L.), The University of Pennsylvania; Department of Neurology (K.A.D., B.L., N.S.A.), Perelman School of Medicine at the University of Pennsylvania; and the Departments of Pediatrics (N.S.A.) and Anesthesia and Critical Care Medicine (A.A.T., N.S.A.), Children's Hospital of Philadelphia and Perelman School of Medicine at the University of Pennsylvania, Philadelphia.ORCID 0000-0003-2732-6927
Nicholas S AbendFrom the Department of Bioengineering (S.L., X.Z., B.L.), The University of Pennsylvania; Department of Neurology (K.A.D., B.L., N.S.A.), Perelman School of Medicine at the University of Pennsylvania; and the Departments of Pediatrics (N.S.A.) and Anesthesia and Critical Care Medicine (A.A.T., N.S.A.), Children's Hospital of Philadelphia and Perelman School of Medicine at the University of Pennsylvania, Philadelphia. abend@email.chop.edu.

Funding

Virtual Resection to Treat EpilepsyR01NS099348 · NINDS · UNIVERSITY OF PENNSYLVANIA · PI BASSETT, DANIELLE SMITH, LITT, BRIAN · 2016 to 2019
$2.3M
Localizing epileptic networks using novel 7T MRI glutamate imagingK23NS092973 · NINDS · UNIVERSITY OF PENNSYLVANIA · PI DAVIS, KATHRYN ADAMIAK · 2016 to 2020
$980k
NINDS NIH HHS K23 NS092973NINDS NIH HHS R01 NS099348
6 · The paper itself

Abstract

objectiveTo determine whether quantitative EEG (QEEG) features predict neurologic outcomes in children after cardiac arrest.

methodsWe performed a single-center prospective observational study of 87 consecutive children resuscitated and admitted to the pediatric intensive care unit after cardiac arrest. Full-array conventional EEG data were obtained as part of clinical management. We computed 8 QEEG features from 5-minute epochs every hour after return of circulation. We developed predictive models utilizing random forest classifiers trained on patient age and 8 QEEG features to predict outcome. The features included SD of each EEG channel, normalized band power in alpha, beta, theta, delta, and gamma wave frequencies, line length, and regularity function scores. We measured outcomes using Pediatric Cerebral Performance Category (PCPC) scores. We evaluated the models using 5-fold cross-validation and 1,000 bootstrap samples.

resultsThe best performing model had a 5-fold cross-validation accuracy of 0.8 (0.88 area under the receiver operating characteristic curve). It had a positive predictive value of 0.79 and a sensitivity of 0.84 in predicting patients with favorable outcomes (PCPC score of 1-3). It had a negative predictive value of 0.8 and a specificity of 0.75 in predicting patients with unfavorable outcomes (PCPC score of 4-6). The model also identified the relative importance of each feature. Analyses using only frontal electrodes did not differ in prediction performance compared to analyses using all electrodes.

conclusionsQEEG features can standardize EEG interpretation and predict neurologic outcomes in children after cardiac arrest.

Indexed as

Area Under CurveChildChild, PreschoolElectroencephalographyFemaleHeart ArrestHumansHypoxia, BrainInfantMaleNear DrowningPrognosisProspective StudiesReproducibility of ResultsRespiratory InsufficiencyROC Curve

Identifiers

PMID30971485
PMCPMC6598820

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.