Nidhi A Shah1, Krisa P Van Meurs1, Alexis S Davis2. 1. Division of Neonatal and Developmental Medicine, Department of Pediatrics, Stanford University School of Medicine and Lucile Packard Children's Hospital, Stanford, Palo Alto, California. 2. Pediatrix Medical Group, Good Samaritan Hospital, San Jose, California.
Abstract
OBJECTIVE: Amplitude-integrated electroencephalography (aEEG) is a simplified method for continuous monitoring of brain activity in the neonatal intensive care unit (NICU). Our objective was to describe current aEEG use in the United States. STUDY DESIGN: An online survey was distributed to the American Academy of Pediatrics Section on Perinatal Pediatrics' list serve. RESULT: A total of 654 surveys were received; 55% of respondents reported using aEEG. aEEG was utilized more often in academic and levels III and IV NICUs; hypoxic-ischemic encephalopathy and suspected seizures were the most common indications for use. aEEG was primarily interpreted by neonatologists (87%), with approximately half reporting either self-teaching or hospital-based training for interpretation. For those not using aEEG, uncertain clinical benefit (40%) and cost (17%) were reported as barriers to use. CONCLUSION: More than half of neonatologists utilize aEEG, with practice variation by NICU setting. Barriers to wider adoption include education regarding potential benefit, training, and cost. Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.
OBJECTIVE: Amplitude-integrated electroencephalography (aEEG) is a simplified method for continuous monitoring of brain activity in the neonatal intensive care unit (NICU). Our objective was to describe current aEEG use in the United States. STUDY DESIGN: An online survey was distributed to the American Academy of Pediatrics Section on Perinatal Pediatrics' list serve. RESULT: A total of 654 surveys were received; 55% of respondents reported using aEEG. aEEG was utilized more often in academic and levels III and IV NICUs; hypoxic-ischemicencephalopathy and suspected seizures were the most common indications for use. aEEG was primarily interpreted by neonatologists (87%), with approximately half reporting either self-teaching or hospital-based training for interpretation. For those not using aEEG, uncertain clinical benefit (40%) and cost (17%) were reported as barriers to use. CONCLUSION: More than half of neonatologists utilize aEEG, with practice variation by NICU setting. Barriers to wider adoption include education regarding potential benefit, training, and cost. Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.
Authors: Geneviève Du Pont-Thibodeau; Sarah M Sanchez; Abbas F Jawad; Vinay M Nadkarni; Robert A Berg; Nicholas S Abend; Alexis A Topjian Journal: Pediatr Crit Care Med Date: 2017-04 Impact factor: 3.624