Sensitivity and specificity of bispectral index for classification of overt hepatic encephalopathy: A multicentre, observer blinded, validation study

Gut

Volumn 57, Issue 1, 2008, Pages 77-83

  Dahaba, A A ^a   Worm, H C ^a   Zhu, S M ^b   Bao, F P ^b   Salah, A ^c   Zakaria, S ^c   Bornemann, H ^a   Stadlbauer, V ^a   Rehak, P H ^a   Metzler, H ^a   Stauber, R E ^a  

^a MEDICAL UNIVERSITY OF GRAZ   (Austria)

^b ZHEJIANG UNIVERSITY   (China)

^c CAIRO UNIVERSITY   (Egypt)

Author keywords

[No Author keywords available]

Indexed keywords

AGITATION; ARTICLE; BISPECTRAL INDEX; CLINICAL ARTICLE; CLINICAL TRIAL; DIAGNOSTIC ACCURACY; DIAGNOSTIC VALUE; DISEASE CLASSIFICATION; ELECTROMYOGRAPHY; FEMALE; FOLLOW UP; HEPATIC ENCEPHALOPATHY; HUMAN; LONGITUDINAL STUDY; MALE; MULTICENTER STUDY; OBSERVATIONAL STUDY; PATIENT ASSESSMENT; PRIORITY JOURNAL; SLEEP; STATISTICAL SIGNIFICANCE; UNIVERSITY HOSPITAL; VALIDATION STUDY;

AGED; AMMONIA; FEMALE; HEPATIC ENCEPHALOPATHY; HEPATITIS C, CHRONIC; HUMANS; MALE; MIDDLE AGED; SENSITIVITY AND SPECIFICITY; SPECTRUM ANALYSIS;

EID: 38349159844     PISSN: 00175749     EISSN: None     Source Type: Journal    
DOI: 10.1136/gut.2007.129130     Document Type: Article

References (25)

1. Ferenci P, Lockwood A, Mullen K, et al. Hepatic encephalopathy - definition, nomenclature, diagnosis, and quantification: final report of the working party at the 11th World Congresses of Gastroenterology, Vienna, 1998. Hepatology 2002;35:716-21.
2. Conn HO, Leevy CM, Vlahcevic ZR, et al. Comparison of lactulose and neomycin in the treatment of chronic portal-systemic encephalopathy. A double blind controlled trial. Gastroenterology 1977;72:573-83.
3. Weissenborn K, Ennen JC, Schomerus H, et al. Neuropsychological characterization of hepatic encephalopathy. J Hepatol 2001;34:768-73.
4. Foley JM, Watson CW, Adams RD. Significance of the electroencephalographic changes in hepatic coma. Trans Am Neurol Assoc 1950;51:161-5.
5. Parsons-Smith BG, Summerskill WHJ, Dawson AM, et al. The electroencephalograph in liver disease. Lancet 1957;273:867-71.
6. Van der Rijt CC, Schalm SW, De Groot GH, et al. Objective measurement of hepatic encephalopathy by means of automated EEG analysis. Electroencephalogr Clin Neurophysiol 1984;57:423-36.
7. Amodio P, Marchetti P, Del Piccolo F, et al. Spectral versus visual EEG analysis in mild hepatic encephalopathy. Clin Neurophysiol 1999;110:1334-44.
8. Gugino LD, Chabot RJ, Prichep LS, et al. Quantitative EEG changes associated with loss and return of consciousness in healthy adult volunteers anaesthetized with propofol or sevoflorane. Br J Anaesth 2001;87:421-8.
9. Rampil IJ. A primer for EEG signal processing in anesthesia. Anesthesiology 1998;89:980-1002.
10. Riker RR, Fraser GL, Simmons LE, et al. Validating the sedation-agitation scale with the bispectral index and visual analog scale in adult ICU patients after cardiac surgery. Intensive Care Med 2001;27:853-8.
11. Teasdale G, Jennett B. Assessment of coma and impaired consciousness. A practical scale. Lancet 1974;ii:81-4.
12. Pugh RN, Murray-Lyon IM, Dawson JL, et al. Transection of the oesophagus for bleeding oesophageal varices. Br J Surg 1973;60:646-9.
13. Kamath PS, Wiesner RH, Malinchoc M, et al. A model to predict survival in patients with end-stage liver disease. Hepatology 2001;33:464-70.
14. Bossuyt PM, Reitsma JB, Bruns DE, et al. The STARD statement for reporting studies of Diagnostic Accuracy: explanation and elaboration. Clin Chem 2003;49:7-18.
15. Kim DW, Kil HY, White PF. The effect of noise on the bispectral index during propofol sedation. Anesth Analg 2001;93:1170-3.
16. Nieuwenhuijs D, Coleman EL, Douglas NJ, et al. Bispectral index values and spectral edge frequency at different stages of physiologic sleep. Anesth Analg 2002;94:125-9.
17. Bruhn J, Bouillon TW, Shafer SL. Electromyographic activity falsely elevates the bispectral index. Anesthesiology 2000;92:1485-7.
18. Krisper P, Haditsch B, Stauber R, et al. In vivo quantification of liver dialysis: comparison of albumin dialysis and fractionated plasma separation. J Hepatol 2005;43:451-7.
19. Hanley JA, McNeil BJ. The meaning and use of the area under a receiver operating characteristic (ROC) curve. Radiology 1982;143:29-36.
20. Kullmann F, Hollerbach S, Lock G, et al. Brain electrical activity mapping of EEG for the diagnosis of (sub) clinical hepatic encephalopathy in chronic liver disease. Eur J Gastroenterol Hepatol 2001;13:513-22.
21. Shawcross D, Jalan R. The pathophysiologic basis of hepatic encephalopathy: central role for ammonia and inflammation. Cell Mol Life Sci 2005;62:2295-304.
22. Haussinger D. Low grade cerebral edema and the pathogenesis of hepatic encephalopathy in cirrhosis. Hepatology 2006;43:1187-90.
23. Quero JC, Hartmann IJ, Meulstee J, et al. The diagnosis of subclinical hepatic encephalopathy in patients with cirrhosis using neuropsychological tests and automated electroencephalogram analysis. Hepatology 1996;24:556-60.
24. Sleigh JW, Steyn-Ross DA, Steyn-Ross ML, et al. Comparison of changes in electroencephalographic measures during induction of general anaesthesia: influence of the gamma frequency band and electromyogram signal. Br J Anaest 2001;86:50-8.
25. Ong JP, Aggarwal A, Krieger D, et al. Correlation between venous ammonia levels and the severity of hepatic encephalopathy. Am J Med 2003;114:188-93.