Critical care EEG standardized nomenclature in clinical practice: Strengths, limitations, and outlook on the example of prognostication after cardiac arrest.

Pia De Stefano, Margitta Seeck, Andrea O Rossetti

Abstract readReview

In one paragraph

Review in Clinical neurophysiology practice, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it

0cells of the map it votes in

1citing papers in PubMed

–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

1 citing paper in PubMed.

Prognostication after cardiac arrest: how EEG and evoked potentials may improve the challenge.Annals of intensive care · 2022
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

3 authors.

Pia De StefanoEEG and Epilepsy Unit, University Hospitals of Geneva (HUG), Geneva, Switzerland.

Margitta SeeckEEG and Epilepsy Unit, University Hospitals of Geneva (HUG), Geneva, Switzerland.

Andrea O RossettiDepartment of Clinical Neurosciences, University Hospital (CHUV) and University of Lausanne, Lausanne, Switzerland.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

We discuss the achievements of the ACNS critical care EEG nomenclature proposed in 2013 and, from a clinical angle, outline some limitations regarding translation into treatment implications. While the recently proposed updated 2021 version of the nomenclature will probable improve some uncertainty areas, a refined understanding of the mechanisms at the origin of the EEG patterns, and a multimodal integration of the nomenclature to the clinical context may help improving the rationale supporting therapeutic procedures. We illustrate these aspects on prognostication after cardiac arrest.

Indexed as

ACNS, American Clinical Neurophysiology SocietyAmerican Clinical Neurophysiology Society (ACNS) Standardized TerminologyBIRD, Brief potentially ictal rhythmic dischargeBS, Burst suppressionBurst suppressionCA, Cardiac arrestCardiac arrest (CA)DWI, diffusion-weighted MRIESI, electric source imagingfMRI, functional MRIGPDGPD, generalized periodic dischargeGRDA, generalized rhythmic delta activityIctal-Interictal ContinuumICU-EEG, intensive care unit-electroencephalographyICU, Intensive care unitIIC, Ictal-Interictal ContinuumLPD, Lateralized periodic dischargeMEG, Magneto-electroencephalographyNCSE, Non-Convulsive Status EpilepticusNSE, Serum neuron-specific enolasePET, Positron emission tomographyPrognostication assessmentSE, Status epilepticusSPECT, Single Photon Emission Computed TomographySSEP, Somatosensory evoked potentialsWLST, Withdraw of life sustaining treatment

Identifiers

PMID35112033

DOI10.1016/j.cnp.2021.03.002

PMCPMC8790140

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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.