Peer-Reviewed Journal Details
Mandatory Fields
Pavlidis, E;Lloyd, RO;Livingstone, V;O'Toole, JM;Filan, PM;Pisani, F;Boylan, GB
2020
January
Clinical Neurophysiology
A standardised assessment scheme for conventional EEG in preterm infants
Validated
()
Optional Fields
PROGNOSTIC VALUE PREMATURE-INFANTS NEONATAL SEIZURES INTEROBSERVER AGREEMENT ELECTROENCEPHALOGRAPHY BORN TERMINOLOGY PATTERNS CHILDREN NEWBORNS
131
199
204
Objective: To develop a standardised scheme for assessing normal and abnormal electroencephalography (EEG) features of preterm infants. To assess the interobserver agreement of this assessment scheme.Methods: We created a standardised EEG assessment scheme for 6 different post-menstrual age (PMA) groups using 4 EEG categories. Two experts, not involved in the development of the scheme, evaluated this on 24 infants <32 weeks gestational age (GA) using random 2 hour EEG epochs. Where disagreements were found, the features were checked and modified. Finally, the two experts independently evaluated 2 hour EEG epochs from an additional 12 infants <37 weeks GA. The percentage of agreement was calculated as the ratio of agreements to the sum of agreements plus disagreements.Results: Good agreement in all patients and EEG feature category was obtained, with a median agreement between 80% and 100% over the 4 EEG assessment categories. No difference was found in agreement rates between the normal and abnormal features (p = 0.959).Conclusions: We developed a standard EEG assessment scheme for preterm infants that shows good interobserver agreement.Significance: This will provide information to Neonatal Intensive Care Unit (NICU) staff about brain activity and maturation. We hope this will prove useful for many centres seeking to use neuromonitoring during critical care for preterm infants. (C) 2019 Published by Elsevier B.V. on behalf of International Federation of Clinical Neurophysiology.
CLARE
1388-2457
10.1016/j.clinph.2019.09.028
Grant Details