PMID- 38014443
OWN - NLM
STAT- MEDLINE
DCOM- 20231216
LR  - 20231216
IS  - 1941-837X (Electronic)
IS  - 1369-6998 (Linking)
VI  - 27
IP  - 1
DP  - 2024 Jan-Dec
TI  - Economic review of point-of-care EEG.
PG  - 51-61
LID - 10.1080/13696998.2023.2288422 [doi]
AB  - Aims: Point-of-care electroencephalogram (POC-EEG) is an acute care bedside 
      screening tool for the identification of nonconvulsive seizures (NCS) and 
      nonconvulsive status epilepticus (NCSE). The objective of this narrative review 
      is to describe the economic themes related to POC-EEG in the United States 
      (US).Materials and methods: We examined peer-reviewed, published manuscripts on 
      the economic findings of POC-EEG for bedside use in US hospitals, which included 
      those found through targeted searches on PubMed and Google Scholar. Conference 
      abstracts, gray literature offerings, frank advertisements, white papers, and 
      studies conducted outside the US were excluded.Results: Twelve manuscripts were 
      identified and reviewed; results were then grouped into four categories of 
      economic evidence. First, POC-EEG usage was associated with clinical management 
      amendments and antiseizure medication reductions. Second, POC-EEG was correlated 
      with fewer unnecessary transfers to other facilities for monitoring and reduced 
      hospital length of stay (LOS). Third, when identifying NCS or NCSE onsite, 
      POC-EEG was associated with greater reimbursement in Medical Severity-Diagnosis 
      Related Group coding. Fourth, POC-EEG may lower labor costs via decreasing 
      after-hours requests to EEG technologists for conventional EEG 
      (convEEG).Limitations: We conducted a narrative review, not a systematic review. 
      The studies were observational and utilized one rapid circumferential headband 
      system, which limited generalizability of the findings and indicated publication 
      bias. Some sample sizes were small and hospital characteristics may not represent 
      all US hospitals. POC-EEG studies in pediatric populations were also lacking. 
      Ultimately, further research is justified.Conclusions: POC-EEG is a rapid 
      screening tool for NCS and NCSE in critical care and emergency medicine with 
      potential financial benefits through refining clinical management, reducing 
      unnecessary patient transfers and hospital LOS, improving reimbursement, and 
      mitigating burdens on healthcare staff and hospitals. Since POC-EEG has 
      limitations (i.e. no video component and reduced montage), the studies asserted 
      that it did not replace convEEG.
FAU - Green, Adam
AU  - Green A
AUID- ORCID: 0000-0003-2562-746X
AD  - Critical Care Medicine, Cooper University Health Care and Cooper Medical School 
      of Rowan University, Camden, NJ, USA.
FAU - Wegman, M Elizabeth
AU  - Wegman ME
AD  - Medical Communications, Costello Medical Consulting, Inc, Boston, MA, USA.
FAU - Ney, John P
AU  - Ney JP
AUID- ORCID: 0000-0003-3479-6441
AD  - Department of Neurology, Boston University Aram V. Chobanian & Edward Avedisian 
      School of Medicine, Boston, MA, USA.
LA  - eng
PT  - Journal Article
PT  - Review
DEP - 20231214
PL  - England
TA  - J Med Econ
JT  - Journal of medical economics
JID - 9892255
SB  - IM
MH  - Child
MH  - Humans
MH  - *Point-of-Care Systems
MH  - Seizures
MH  - *Status Epilepticus/diagnosis/drug therapy
MH  - Electroencephalography/methods
MH  - Critical Care/methods
OTO - NOTNLM
OT  - A10
OT  - I10
OT  - Nonconvulsive seizure
OT  - critical care
OT  - economic themes
OT  - healthcare burdens
OT  - point-of-care EEG
OT  - rapid-EEG
OT  - reimbursement
EDAT- 2023/11/28 06:42
MHDA- 2023/12/17 09:44
CRDT- 2023/11/28 04:13
PHST- 2023/12/17 09:44 [medline]
PHST- 2023/11/28 06:42 [pubmed]
PHST- 2023/11/28 04:13 [entrez]
AID - 10.1080/13696998.2023.2288422 [doi]
PST - ppublish
SO  - J Med Econ. 2024 Jan-Dec;27(1):51-61. doi: 10.1080/13696998.2023.2288422. Epub 
      2023 Dec 14.