Evidence map›Paper›PMID 34278312›Full record

ArticleCritical care explorations2021

A Full-Stack Application for Detecting Seizures and Reducing Data During Continuous Electroencephalogram Monitoring.

John M Bernabei, Olaoluwa Owoputi, Shyon D Small, Nathaniel T Nyema, Elom Dumenyo, Joongwon Kim, Steven N Baldassano, Christopher Painter, Erin C Conrad, Taneeta M Ganguly and 5 more

Open access · goldAbstract read
In one paragraph

Article in Critical care explorations, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
0.5field-weighted citation impact, top 41% of its field
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

5 citing papers in PubMed, 7 citations in OpenAlex.

  1. Article
  2. Article
  3. 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 · 2025
    Review
  4. Article
  5. Review
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

15 authors at 2 institutions in 1 country.

John M BernabeiDepartment of Bioengineering, University of Pennsylvania, Philadelphia, PA.
Olaoluwa OwoputiDepartment of Bioengineering, University of Pennsylvania, Philadelphia, PA.
Shyon D SmallDepartment of Bioengineering, University of Pennsylvania, Philadelphia, PA.
Nathaniel T NyemaDepartment of Bioengineering, University of Pennsylvania, Philadelphia, PA.
Elom DumenyoDepartment of Bioengineering, University of Pennsylvania, Philadelphia, PA.
Joongwon KimDepartment of Bioengineering, University of Pennsylvania, Philadelphia, PA.
Steven N BaldassanoDepartment of Bioengineering, University of Pennsylvania, Philadelphia, PA.
Christopher PainterDepartment of Bioengineering, University of Pennsylvania, Philadelphia, PA.
Erin C ConradDepartment of Neurology, Hospital of the University of Pennsylvania, Philadelphia, PA.
Taneeta M GangulyDepartment of Neurology, Hospital of the University of Pennsylvania, Philadelphia, PA.
Ramani BaluDepartment of Neurology, Hospital of the University of Pennsylvania, Philadelphia, PA.
Kathryn A DavisCenter for Neuroengineering and Therapeutics, University of Pennsylvania, Philadelphia, PA.
Joshua M LevineDepartment of Neurology, Hospital of the University of Pennsylvania, Philadelphia, PA.
Jay PathmanathanDepartment of Neurology, Hospital of the University of Pennsylvania, Philadelphia, PA.
Brian LittDepartment of Bioengineering, University of Pennsylvania, Philadelphia, PA.
University of Pennsylvania · USHospital of the University of Pennsylvania · US

Funding

Ghost in the Machine: Melding Brain, Computer and BehaviorDP1NS122038 · NINDS · UNIVERSITY OF PENNSYLVANIA · PI LITT, BRIAN · 2020 to 2024
$5.7M
Training Program in Neuroengineering and MedicineT32NS091006 · NINDS · UNIVERSITY OF PENNSYLVANIA · PI Brian Litt · 2015 to 2026
$4.1M
Optimized Intracranial EEG Targeting in Focal Epilepsy based upon Neuroimaging ConnectomicsR01NS116504 · NINDS · UNIVERSITY OF PENNSYLVANIA · PI DAVIS, KATHRYN ADAMIAK · 2021 to 2025
$3.3M
Virtual Resection to Treat EpilepsyR01NS099348 · NINDS · UNIVERSITY OF PENNSYLVANIA · PI BASSETT, DANIELLE SMITH, LITT, BRIAN · 2016 to 2019
$2.3M
NINDS NIH HHS DP1 NS122038NINDS NIH HHS R01 NS099348NINDS NIH HHS R01 NS116504NINDS NIH HHS T32 NS091006
6 · The paper itself

Abstract

Continuous electroencephalogram monitoring is associated with lower mortality in critically ill patients; however, it is underused due to the resource-intensive nature of manually interpreting prolonged streams of continuous electroencephalogram data. Here, we present a novel real-time, machine learning-based alerting and monitoring system for epilepsy and seizures that dramatically reduces the amount of manual electroencephalogram review.

methodsWe developed a custom data reduction algorithm using a random forest and deployed it within an online cloud-based platform, which streams data and communicates interactively with caregivers via a web interface to display algorithm results. We developed real-time, machine learning-based alerting and monitoring system for epilepsy and seizures on continuous electroencephalogram recordings from 77 patients undergoing routine scalp ICU electroencephalogram monitoring and tested it on an additional 20 patients.

resultsWe achieved a mean seizure sensitivity of 84% in cross-validation and 85% in testing, as well as a mean specificity of 83% in cross-validation and 86% in testing, corresponding to a high level of data reduction. This study validates a platform for machine learning-assisted continuous electroencephalogram analysis and represents a meaningful step toward improving utility and decreasing cost of continuous electroencephalogram monitoring. We also make our high-quality annotated dataset of 97 ICU continuous electroencephalogram recordings public for others to validate and improve upon our methods.

Indexed as

critical careelectroencephalographyepilepsymachine learningseizuressoftware

Identifiers

PMID34278312
PMCPMC8280012
OpenAlexW3185011306

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.