Evidence map›Paper›PMID 40462820›Full record

ArticleCureus2025

Continuous Electroencephalogram Monitoring in the Intensive Care Unit.

Maria Papaioannou, Georgia Vasileiadou, Vasiliki Soulountsi, Anastasia Dimaki, Anastasia Bikouli, Athina Lavrentieva

Abstract read
In one paragraph

Article in Cureus, 2025. 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.

  1. 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

6 authors.

Maria PapaioannouIntensive Care Unit, George Papanikolaou General Hospital of Thessaloniki, Thessaloniki, GRC.
Georgia VasileiadouIntensive Care Unit, George Papanikolaou General Hospital of Thessaloniki, Thessaloniki, GRC.
Vasiliki SoulountsiIntensive Care Unit, George Papanikolaou General Hospital of Thessaloniki, Thessaloniki, GRC.
Anastasia DimakiIntensive Care Unit, George Papanikolaou General Hospital of Thessaloniki, Thessaloniki, GRC.
Anastasia BikouliIntensive Care Unit, George Papanikolaou General Hospital of Thessaloniki, Thessaloniki, GRC.
Athina LavrentievaIntensive Care Unit, George Papanikolaou General Hospital of Thessaloniki, Thessaloniki, GRC.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveIn recent years, continuous electroencephalogram (cEEG) monitoring has become a noninvasive tool for detecting and evaluating brain activity in critical care patients. The study aimed to evaluate the impact of cEEG on the management of comatose intensive care unit (ICU) patients and its association with disease prognosis.

methodsThis observational, prospective study included adult patients in a single general ICU. The study analyzed patients' demographic characteristics, illness severity using the APACHE II (acute physiology and chronic health evaluation) and SOFA (sequential organ failure assessment) scores, comorbidities, reasons for undertaking EEG, EEG patterns, and therapeutic strategies used. Continuous EEG patterns were correlated with patients' outcomes.

resultsData from 55 patients were analyzed, with a median age of 61 years (range 19-86), a median APACHE II score of 22 (range 5-38), and a median SOFA score of 9 (range 4-16) on admission. The median duration of mechanical ventilation was 35 days, and the median ICU length of stay (LOS) was 42 days. The majority of cEEGs (61.1%) were performed due to medical reasons (ischemic stroke, septic shock, status epilepticus); 25.9% of cEEGs were conducted in neurosurgical patients with post-traumatic acute brain injury and malignancy, whereas 13% were carried out in post-anoxic comatose patients. Patients who started antiepileptic therapy after EEG examination had a higher mortality rate than patients who had already received antiepileptic drugs (AED) (x

conclusionThe management of critically ill patients is influenced by cEEG, which could modify therapeutic strategies and appears to be a useful prognostic tool in critical care patients.

Indexed as

antiepileptic medications (aeds)brain injurycontinuous electroencephalogram (ceeg)monitoringoutcomeprognosisprognostic toolseizures

Identifiers

PMID40462820
PMCPMC12133203

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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.