PMID- 23019765
OWN - NLM
STAT- MEDLINE
DCOM- 20121025
LR  - 20181202
IS  - 2164-6821 (Print)
IS  - 2164-6821 (Linking)
VI  - 52
IP  - 3
DP  - 2012 Sep
TI  - Cross section of stat (emergent) EEG use. Who orders them? What do we find? What 
      indications best predict finding seizures?
PG  - 281-90
AB  - Stat electroencephalograms (sEEG) recorded over a one year period were analyzed 
      to determine the rate of seizure or status epilepticus (SE) detection and the 
      best predictors based on: ordering physician, clinical indication for study, and 
      clinical history. All consecutive sEEG reports done over a year period at our 
      institution were retrospectively reviewed. The following data were evaluated: 
      sEEG findings, clinical history, clinical indication for study, requesting 
      physician, location of patient, and demographics. Univariate analysis followed by 
      a multivariate regression model analysis was performed. Of the 3,471 inpatient 
      EEGs performed during the review period, 778 (22.4%) were sEEGs. 3.5% (n = 27) 
      nonconvulsive status epilepticus (NCSE), 0.4% (n = 3) convulsive status 
      epilepticus (CSE), and 1.1% (n = 9) had discrete electrographic seizures giving a 
      total yield of 5.0% (39/778) patients with seizures or SE. A multivariate 
      logistic retrospective model looking at ordering physician, clinical indication, 
      and clinical history found that only clinical indications (overt continuous 
      seizures/movements and witnessed seizure without return to baseline) were 
      significant in the overall model. In our tertiary care institution sample, the 
      rate of detecting status epilepticus or seizures among sEEG is low compared to 
      prior studies. The best clinical predictors of finding SE or discrete seizures 
      were overt continuous seizures/movements or witnessed seizure without return to 
      baseline.
FAU - Teleb, Mohamed S
AU  - Teleb MS
AD  - Barrow Neurological Institute, St Joseph's Hospital, Neurology Department, 
      Phoenix, Arizona, USA. mteleb@stanford.edu
FAU - Lee, Susan W
AU  - Lee SW
FAU - Crepeau, Amy Z
AU  - Crepeau AZ
FAU - Chang, Jason
AU  - Chang J
FAU - Wu, Tzu Ching
AU  - Wu TC
FAU - Chapple, Kristina
AU  - Chapple K
FAU - Chung, Steve
AU  - Chung S
FAU - Maganti, Rama
AU  - Maganti R
LA  - eng
PT  - Journal Article
PL  - United States
TA  - Neurodiagn J
JT  - The Neurodiagnostic journal
JID - 101573167
SB  - IM
MH  - Arizona/epidemiology
MH  - Electroencephalography/*statistics & numerical data
MH  - Emergency Medical Services/*statistics & numerical data
MH  - Epilepsy/*diagnosis/*epidemiology
MH  - Female
MH  - Humans
MH  - Male
MH  - Prevalence
MH  - Referral and Consultation/*statistics & numerical data
EDAT- 2012/10/02 06:00
MHDA- 2012/10/26 06:00
CRDT- 2012/10/02 06:00
PHST- 2012/10/02 06:00 [entrez]
PHST- 2012/10/02 06:00 [pubmed]
PHST- 2012/10/26 06:00 [medline]
PST - ppublish
SO  - Neurodiagn J. 2012 Sep;52(3):281-90.