Evidence map›Paper›PMID 42223304›Full record

ArticleCritical care medicine2026

Point-of-Care EEG Artificial Intelligence Measure of Seizure Burden Associates With Clinical Outcome at Discharge.

Josef Parvizi, Michelle Armenta Salas, Mariel Kalkach Aparicio, Sahar F Zafar, Masoom Desai, Suganya Karunakaran, Archit Gupta, Baharan Kamousi, Lawrence J Hirsch, Aaron F Struck

Abstract readMulticenter Study
In one paragraph

Article in Critical care medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0citing papers in PubMed
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1 · What the graph read from it

What it found

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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

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

10 authors.

Josef ParviziDepartment of Neurology and Neurological Sciences, Stanford University School of Medicine, Palo Alto, CA.ORCID 0000-0001-8520-7948
Michelle Armenta SalasCeribell, Inc., Sunnyvale, CA.
Mariel Kalkach AparicioDepartment of Neurology, University of South Dakota Sanford School of Medicine, Sioux Falls, SD.
Sahar F ZafarDepartment of Neurology, Harvard Medical School, Boston, MA.
Masoom DesaiDepartment of Neurology, University of New Mexico School of Medicine, Albuquerque, NM.
Suganya KarunakaranCeribell, Inc., Sunnyvale, CA.
Archit GuptaCeribell, Inc., Sunnyvale, CA.
Baharan KamousiCeribell, Inc., Sunnyvale, CA.
Lawrence J HirschDepartment of Neurology, Yale School of Medicine, New Haven, CT.
Aaron F StruckDepartment of Neurology, University of Wisconsin-Madison, Madison, WI.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesPoint-of-care (POC) electroencephalography (EEG) enabled with artificial intelligence (AI) algorithms hold the potential to address gaps in EEG access and interpretation. We assessed the clinical association of the patterns recognized by one of such systems.

designSecondary cohort analysis of the retrospective multicenter Seizure Assessment and Forecasting with Efficient Rapid-EEG (SAFER-EEG) study.

settingEEG and clinical data were gathered from three academic centers with access to POC EEG (Ceribell, Sunnyvale, CA) as part of their standard of care. We used a bedside seizure burden (SzB) monitor ("bedside" algorithm) and a more sensitive online algorithm ("portal" algorithm) to determine SzB. The modified Rankin Scale (mRS) score at discharge was selected as the outcome. PATIENTS: Four hundred enrolled adult patients, 359 with complete outcome and clinical data.

interventionsTime in seizure and peak SzB assessed by AI. MEASUREMENTS AND MAIN

resultsPer the bedside algorithm, 39.8% of patients had peak 5-minute SzB greater than 0%. With every additional hour of seizure detected by the bedside algorithm, patients were more likely to have unfavorable outcome (mRS > 3) at discharge (adjusted odds ratio [aOR], 1.98; 95% CI, 1.11-4.29). Compared with 5-minute SzB = 0%, prolonged activity per the bedside algorithm (peak 5-min SzB ≥ 90%) was associated with a 3.4-fold increase in aOR of poor outcome. Every 30 seconds of activity in the maximum hourly SzB of the bedside algorithm was associated with increased odds of unfavorable outcome (aOR, 1.02; 95% CI, 1.00-1.03). Combining outputs from the algorithms increased the strength of associations with outcome, particularly in patients with peak 5-minute SzB greater than or equal to 90% (aOR, 4.4; 95% CI, 1.66-12.69).

conclusionsAI-estimated SzB is associated with functional outcomes at discharge in a dose-response fashion, even after controlling for clinical cofounds. This provides initial evidence of the clinical utility of AI algorithms for detecting clinically important EEG patterns.

Indexed as

Artificial IntelligenceElectroencephalographyPoint-of-Care SystemsSeizuresAdultAgedAlgorithmsFemaleHumansMaleMiddle AgedPatient DischargeRetrospective Studiesartificial intelligenceclinical outcomeseizureseizure burdenstatus epilepticus

Identifiers

PMID42223304
PMCPMC13322143

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