The American Clinical Neurophysiology Society Guideline on Indications for Continuous Electroencephalography Monitoring in Neonates.

Λεπτομέρειες βιβλιογραφικής εγγραφής
Τίτλος:	The American Clinical Neurophysiology Society Guideline on Indications for Continuous Electroencephalography Monitoring in Neonates.
Συγγραφείς:	Wusthoff CJ; Department of Neurology, University of California, Davis, Sacramento, CA., Numis AL; Department of Neurology and Weill Institute for Neuroscience, University of California San Francisco, San Francisco, CA., Pressler RM; Clinical Neuroscience, UCL-Great Ormond Street Institute of Child Health and Great Ormond Street Hospital, London, Great Britain., Chu CJ; Divisions of Child Neurology and Neurophysiology, Massachusetts General Hospital, Harvard Medical School, Boston, MA., Massey S; Departments of Neurology and Pediatrics, University of Pennsylvania, and the Children's Hospital of Philadelphia, Philadelphia, PA., Clancy RR; Departments of Neurology and Pediatrics, University of Pennsylvania, and the Children's Hospital of Philadelphia, Philadelphia, PA., Nguyen S; CHU Lille, Child Neurology Unit, Lille, France., Hahn CD; Division of Neurology, The Hospital for Sick Children and Department of Paediatrics, University of Toronto, Toronto, Canada., Scher MS; Case Western Reserve University School of Medicine, Cleveland, OH., Pilon B; Hope for HIE, West Bloomfield, MI., King DT 3rd; Children's Hospital of Alabama, Birmingham, AL., Wong HN; Lane Medical Library, Stanford University School of Medicine, Palo Alto, CA., Tsuchida TN; Departments of Neurology and Pediatrics, George Washington University School of Medicine and Health Sciences, Children's National Hospital, Washington, DC., Riviello JJ; Division of Neurology and Developmental Neuroscience, Department of Pediatrics, Baylor College of Medicine/Texas Children's Hospita, Houston, TX; and., Shellhaas RA; Department of Neurology, Washington University in St Louis, St. Louis, MO.
Πηγή:	Journal of clinical neurophysiology : official publication of the American Electroencephalographic Society [J Clin Neurophysiol] 2025 Jan 01; Vol. 42 (1), pp. 1-11. Date of Electronic Publication: 2024 Oct 09.
Τύπος έκδοσης:	Journal Article; Practice Guideline
Γλώσσα:	English
Στοιχεία περιοδικού:	Publisher: Lippincott Williams & Wilkins Country of Publication: United States NLM ID: 8506708 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1537-1603 (Electronic) Linking ISSN: 07360258 NLM ISO Abbreviation: J Clin Neurophysiol Subsets: MEDLINE
Imprint Name(s):	Publication: <2000->: Hagerstown, MD : Lippincott Williams & Wilkins Original Publication: [New York, N.Y.] : Raven Press, [1984-
Ιατρικοί όροι (MeSH):	Electroencephalography/standards , Electroencephalography/methods , Neurophysiology/standards , Neurophysiology/methods , Societies, Medical*/standards, Humans ; Infant, Newborn ; United States ; Seizures/diagnosis ; Seizures/physiopathology
Περίληψη:	Competing Interests: C. J. Wusthoff's research is supported by NIH and the Thrasher Research Fund. She has received a stipend for serving on data safety monitoring boards for PRA Health Sciences, ICON, and the University of Utah. She is on the editorial board for Epilepsy and Behavior Reports, the Journal of Clinical Neurophysiology, and is an associate editor for Neurology. She receives royalties from Cambridge University Press. A. D. Numis's research is supported by the NIH. He is on the editorial board for Seminars in Pediatric Neurology and Frontiers in Neurology. He has served as a consultant for Ambit, Inc. R. M. Pressler is an investigator for studies with UCB. She has served as a consultant, as a speaker, and/or on advisory boards for Natus, Esai, Kephala, GW, and UCB. Her research is supported by the National Institute of Health Research (NIHR) Biomedical Research Centre at Great Ormond Street Hospital and Cambridge University Hospital, NIHR, Thrasher Research Fund, and James Bradfield Memorial Grant (via the Evelyn Trust). She is on the editorial boards of Journal of Clinical Neurophysiology, Neurophysiologie Clinique, and European Journal of Pediatric Neurology and is an associate editor for Epilepsia Open. Dr. Chu receives research support from the NIH, the Epilepsy Foundation New England, Novartis, and Biogen. She is a site investigator for a clinical trial sponsored by Neuropace. She provides consulting services to Biogen, Ionis Pharmaceuticals, Novartis, Sun Pharmaceuticals, and Ovid Pharmaceuticals. S. Massey serves as a consultant for Sun Pharmaceuticals. S. Nguyen serves as a consultant for UCB. C. D. Hahn's research is supported by NIH and CIHR. He is an associate editor for the Journal of Clinical Neurophysiology and receives royalties from Cambridge University Press. He has served as a consultant on clinical trial design to Takeda Pharmaceuticals and UCB Pharma SRL. T. N. Tsuchida's research has been supported by NIH funding and had been a seizure drug trial advisor for Xenon and Hikma Pharmaceuticals. J. J. Riviello's spouse is a section editor for UpToDate. R. A. Shellhaas' research is supported by NIH. She receives royalties from UpToDate for authorship of topics related to neonatal seizures and serves as a consultant for the Epilepsy Study Consortium. She receives a stipend for her role as president of the Pediatric Epilepsy Research Foundation. The remaining authors have no conflicts of interest to disclose. Purpose: Continuous EEG (cEEG) monitoring is increasingly used in the management of neonates with seizures. There remains debate on what clinically relevant information can be gained from cEEG in neonates with suspected seizures, at high risk for seizures, or with definite seizures, as well as the use of cEEG for prognosis in a variety of conditions. In this guideline, we address these questions using American Clinical Neurophysiology Society structured methodology for clinical guideline development. Methods: A working group was formed from American Clinical Neurophysiology Society membership with expertise in neonatal cEEG and a set of priority questions developed. We performed literature searches in PubMed and EMBASE to identify relevant studies. Evidence tables were compiled from extracted data and quality assessments performed. A modification of the GRADE process was used to evaluate the body of evidence and draft recommendations. Results: Our working group identified six priority questions to evaluate the accuracy of cEEG for neonatal seizure diagnosis and the formulation of prognosis. An initial literature search yielded 18,167 results, which were distilled to a set of 217 articles. Overall, the quality of evidence for most priority questions was rated as very low and we provided conditional recommendations based on published literature and expert consensus. For each priority question, we also considered the benefits and harms of cEEG, with relative harms considered to be far less than the potential benefits across recommendations. Conclusions: We present evidence-based clinical guidelines regarding indications for cEEG monitoring in neonates. Considering resource utilization and feasibility, when cEEG monitoring results have a likelihood of altering clinical decision making, the authors felt the resource investment was justifiable. (Copyright © 2024 by the American Clinical Neurophysiology Society.)
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Entry Date(s):	Date Created: 20250103 Date Completed: 20250103 Latest Revision: 20250729
Update Code:	20250731
DOI:	10.1097/WNP.0000000000001120
PMID:	39752571
Βάση Δεδομένων:	MEDLINE

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ISSN:	1537-1603
DOI:	10.1097/WNP.0000000000001120