Emergent EEG in the emergency department in patients with altered mental states

Clinical Neurophysiology

Volumn 123, Issue 5, 2012, Pages 910-917

  Ziai, Wendy C ^a   Schlattman, Dan ^b   Llinas, Rafael ^a   Venkatesha, Santosh ^b   Truesdale, Melvin ^b   Schevchenko, Anastasia ^a   Kaplan, Peter W ^a  

^a JOHNS HOPKINS UNIVERSITY SCHOOL OF MEDICINE   (United States)

^b Infinite Biomedical Technologies   (United States)

Author keywords

Consciousness disorders; Electroencephalogram; Emergency service hospital; Seizures

Indexed keywords

ADULT; ALTERED MENTAL STATE; AMPLITUDE MODULATION; ANTICONVULSANT THERAPY; ARTICLE; ARTIFACT; CLINICAL EVALUATION; CLINICAL TRIAL; CONSCIOUSNESS; CONTROLLED STUDY; ELECTROENCEPHALOGRAPHY; EMERGENCY PATIENT; EMERGENCY PHYSICIAN; EMERGENCY WARD; FEASIBILITY STUDY; FEMALE; HEAD INJURY; HUMAN; MAJOR CLINICAL STUDY; MALE; MENTAL DISEASE; MENTAL HEALTH; PATIENT REFERRAL; PREDICTION; PRIORITY JOURNAL; PROSPECTIVE STUDY; RELIABILITY; SEIZURE; TONIC CLONIC SEIZURE;

AGED; AGED, 80 AND OVER; COHORT STUDIES; ELECTROENCEPHALOGRAPHY; EMERGENCIES; EMERGENCY SERVICE, HOSPITAL; EPILEPSY; FEMALE; HUMANS; MALE; MENTAL DISORDERS; MIDDLE AGED; REPRODUCIBILITY OF RESULTS; TIME FACTORS;

EID: 84858753831     PISSN: 13882457     EISSN: 18728952     Source Type: Journal    
DOI: 10.1016/j.clinph.2011.07.053     Document Type: Article

References (20)

1. American College of Emergency Physicians Clinical policy for the initial approach to patients presenting with altered mental status. Ann Emerg Med 1999, 33:251-280.
2. American Clinical Neurophysiology Society Minimum technical requirements for performing clinical electroencephalography. J Clin Neurophysiol 2006, 23:86-91.
3. Bautista R.E., Godwin S., Caro D. Incorporating abbreviated EEGs in the initial workup of patients who present to the emergency room with mental status changes of unknown etiology. J Clin Neurophysiol 2007, 24(1):16-21.
4. Breen P., Murphy K., Browne G., Molloy F., Reid V., Doherty C., et al. Formative evaluation of a telemedicine model for delivering clinical neurophysiology services part I: utility, technical performance and service provider perspective. BMC Med Inform Decis Mak 2010, 15(10):48-60.
5. Cohen J. A coefficient of agreement for Nominal scales. Educ Psychol Meas 1960, 20:37-46.
6. Erkinjuntti T., Wikstrom J., Palo J., Autio L. Dementia among medical inpatients: evaluation of 2000 consecutive admissions. Arch Intern Med 1986, 146:1923-1926.
7. Hoosmand H., Maloney M. The role of the EEG in the emergency room. Clin Electroencephalogr 1980, 11:163-168.
8. Huff J.S., Morris D.L., Kothari R.U., Gibbs M.A. Emergency Medicine Seizure Study Group. Emergency department management of patients with seizures: a multicenter study. Acad Emerg Med 2001, 8(6):622-628.
9. Johnson J., Sims R., Gottlieb G. Differential diagnosis of dementia, delirium and depression: implication for drug therapy. Drugs Aging 1994, 5:431-445.
10. Kanich W., Brady W.J., Huff J.S., Perron A.D., Holstege C., Lindbeck G., et al. Altered mental status: evaluation and etiology in the ED. Am J Emerg Med 2002, 20(7):613-617.
11. Kaplan P.W. Assessing the outcomes in patients with nonconvulsive status epilepticus: nonconvulsive status epilepticus is underdiagnosed, potentially overtreated and confounded by comorbidity. J Clin Neurophysiol 1999, 16:341-352.
12. Landis J.R., Koch G.G. The measurement of observer agreement for categorical data. Biometrics 1977, 33:159-174.
13. Meena A.K., Prasad V.S., Murthy J.M. Neurological intensive care in India - disease spectrum and outcome. Neurol India 2001, 49(Suppl. 1):S1-S7.
14. Nandhagopal R. Generalised convulsive status epilepticus: an overview. Postgrad Med J 2006, 82(973):723-732.
15. Naunheim RS, Treaster M, English J, Casner T. Automated electroencephalogram identifies abnormalities in the ED. Am J Emerg Med Published online: 1-May-2010; doi:10.1016/j.ajem.2010.03.010. doi:10.1016/j.ajem.2010.03.010.
16. Quigg M., Shneker B., Domer P. Current practice in administration and clinical criteria of emergent EEG. J Clin Neurophysiol 2001, 18:162-165.
17. Rossetti A.O., Urbano L.A., Delodder F., Kaplan P.W., Oddo M. Prognostic value of continuous EEG monitoring during therapeutic hypothermia after cardiac arrest. Crit Care 2010, 14(5):R173.
18. Thompson W.D., Walter S.D. A reappraisal of the kappa coefficient. J Clin Epidemiol 1988, 41:949-958.
19. Wofford J., Loehr L., Schwartz E. Acute cognitive impairment in elderly ED patients. Etiologies and outcomes. Am J Emerg Med 1996, 14:649-653.
20. Wolfe RE, Brown DFM. Coma and depressed level of consciousness. In: Marx JA, Hockberger RS, Walls RM, editors. Rosen's emergency medicine: concepts and clinical practice. 5th ed. St. Louis: Mosby, 2002. p. 137-44.