Evidence map›Paper›PMID 32495314›Full record

Observational studyNeurocritical care2021

Teaching Important Basic EEG Patterns of Bedside Electroencephalography to Critical Care Staffs: A Prospective Multicenter Study.

Stephane Legriel, Gwenaëlle Jacq, Amandine Lalloz, Guillaume Geri, Pedro Mahaux, Cedric Bruel, Sandie Brochon, Benjamin Zuber, Cécile André, Krystel Dervin and 2 more

Registry-linked trialAbstract readMulticenter StudyObservational Study
PubMed Publisher
In one paragraph

Observational study in Neurocritical care, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03545776 (Teaching the Basics of Electroencephalography to Critical Care Teams), which is not on this map. Cited by 15 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing 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.

NCT03545776 completednot on this map

Teaching the Basics of Electroencephalography to Critical Care Teams

TypeobservationalSponsorIctal GroupRan2018 to 2019Enrolled100ConditionsElectroencephalogram, Intensive Care Units, Teaching InterventionArmsCritical Care EEG Course
3 · Its place in the literature

Who cites it

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

  1. Pooled it
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  13. Nurses: The Missing Link in Continuous EEG Monitoring?Neurology. Clinical practice · 2021
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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

12 authors.

Stephane LegrielMedical-Surgical Intensive Care Unit, Centre Hospitalier de Versailles - Site André Mignot, 177 rue de Versailles, 78150, Le Chesnay Cedex, France. slegriel@ch-versailles.fr.ORCID http://orcid.org/0000-0003-4782-6734
Gwenaëlle JacqMedical-Surgical Intensive Care Unit, Centre Hospitalier de Versailles - Site André Mignot, 177 rue de Versailles, 78150, Le Chesnay Cedex, France.
Amandine LallozMedical Intensive Care Unit, Cochin Teaching Hospital, Assistance Publique Hôpitaux de Paris, Paris, France.
Guillaume GeriMedical-Surgical Intensive Care Unit, Ambroise Pare University Hospital, Boulogne, France.
Pedro MahauxMedical-Surgical Intensive Care Unit, Ambroise Pare University Hospital, Boulogne, France.
Cedric BruelIctalGroup, Le Chesnay, France.
Sandie BrochonMedical and Surgical Intensive Care Unit, Groupe Hospitalier Paris Saint Joseph, Paris, France.
Benjamin ZuberIntensive Care Medicine Department, Foch Hospital, Suresnes, France.
Cécile AndréIntensive Care Medicine Department, Foch Hospital, Suresnes, France.
Krystel DervinDepartment of Anaesthesiology and Critical Care, Hôpital Beaujon, Hôpitaux Universitaires Paris Nord Val de Seine, Paris, France.
Mathilde HollevilleIctalGroup, Le Chesnay, France.
Alain CariouINSERM U970, Paris Cardiovascular Research Center, Paris, France.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundContinuous electroencephalography (cEEG) is commonly recommended for neurocritical care patients. Routine implementation of such monitoring requires the specific training of professionals. The aim of this research was to evaluate the effectiveness of a training program on initiation of the basic interpretation of cEEG for critical care staff in a prospective multicenter study.

methodsAfter completion of a pretest, participants (senior physicians, fellows, residents, medical students, and nurses) recruited in six French ICUs participated in a face-to-face electroencephalogram (EEG) training program followed by additional e-learning sessions at day 1 (post-course), day 15, day 30, and day 90, based on training tests followed by illustrated and commented answers. Each test was designed to evaluate knowledge and skills through correct recognition of ten predefined EEG sequences covering the most common normal and abnormal patterns. The primary objective was to achieve a success rate > 80% correct answers at day 90 by at least 75% of the participants.

resultsAmong 250 participants, 77/108 (71.3%) who completed the full training program achieved at least 80% correct answers at day 90. Paired comparisons between the scores obtained at each evaluation showed an increase over time. The rate of correct answers at day 90 was > 80% for all common predefined EEG sequences, except for the recognition of periodic and burst-suppression patterns and reactivity, which were identified in only 42.6% (95% CI 36.4-48.8), 60.2% (54.1-66.3), and 70.4% (64.7-76.1) of the tests, respectively.

conclusionsA training strategy for the basic interpretation of EEG in ICUs, consisting of a face-to-face EEG course supplemented with reinforcement of knowledge by e-learning, was associated with significant resignation and an effectiveness of training allowing 71% of learners to accurately recognize important basic EEG patterns encountered in critically ill patients.

trial registrationClinicalTrials.gov number: NCT03545776.

Indexed as

Critical CareElectroencephalographyHumansIntensive Care UnitsProspective StudiesEducationElectroencephalographyIntensive care unitsPublic health professional

Identifiers

What OpenQuestion holds

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Registered trials

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.