脑电图在急诊科的作用：它对病人的诊断-治疗途径的贡献。隆起研究

IF 2 Q3 NEUROSCIENCES

Clinical Neurophysiology Practice Pub Date : 2025-01-01 DOI:10.1016/j.cnp.2025.02.010

Scarpino Maenia , Verna Maria Teresa , Grippo Antonello , Lolli Francesco , Piccardi Benedetta , Nazerian Peiman , Nencini Patrizia , Boccardi Cristina , Nencioni Andrea

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引用次数: 0

摘要

目的探讨急诊脑电图（emEEG）在急诊科（ED）患者诊断中的应用价值。方法收集1年内连续入住急诊科的患者资料。我们根据随后的患者临床管理来评估emegs的有效性。结果共分析1018例患者的1125例emegs。emEEG的总体有用性为86.7%，主要受其对诊断的贡献（75.0%）和对患者管理的贡献（78.0%）的影响，通常不包括初始工作诊断（50.0%）。emegs在癫痫持续状态（SE）和意识水平改变的最终诊断、患者管理和治疗途径方面显示出最佳的总体用途。在言语和认知/行为障碍中，emegs有助于诊断（分别为80.6%和79.8%），通常排除了最初对癫痫发作/SE的怀疑。emegs正常有助于诊断（79.0%）、患者管理（87.0%）和出院（82.0%）。结论在急诊科，主治医师必须对患者的诊治管理做出快速决策，排除初步诊断，使患者安全出院也是急诊科的重要目标。意义：本研究为急诊科临床医生选择患者进行emEEG检查提供了有价值的指导，并评估了其对诊断和治疗管理的贡献。

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The role of EEG in the emergency department: Its contribution to the patient’s diagnostic–therapeutic pathway. The EMINENCE study

Objectives

To investigate the utility of the emergency electroencephalogram(emEEG) in the diagnostic work-up of patients admitted to the Emergency Department(ED).

Methods

Data from consecutive patients admitted to the ED during a 1-year period. We evaluated the usefulness of emEEGs based on the subsequent patient clinical management.

Results

1125 emEEGs from 1018 patients were analyzed. The overall usefulness of an emEEG was 86.7%, mainly influenced by its contribution to diagnosis(75.0%), often excluding initial working diagnosis(50.0%), and to patient management(78.0%). EmEEGs showed their best overall usefulness in Status Epilepticus(SE) and altered level of consciousness both in contributing to the final diagnosis and in patient management and therapeutic pathway. In speech and cognitive/behavioural disorders, emEEGs contributed to the diagnosis(80.6% and 79.8%, respectively), often excluding the initial suspicion of seizures/SE. Normal emEEGs contributed to diagnosis(79.0%), patient management(87.0%) and discharge to home(82.0%).

Conclusions

In ED, attending physicians have to make quick decisions about the diagnostic–therapeutic management of patients, and also the ruling out of the initial diagnosis and safely discharging the patient to home are also important goals.

Significance

This study provides valuable guidance to ED clinicians in selecting patients for an emEEG and evaluates its contribution to their diagnostic–therapeutic management.

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来源期刊

Clinical Neurophysiology Practice NEUROSCIENCES-

CiteScore

3.90

自引率

0.00%

发文量

审稿时长

71 days

期刊介绍： Clinical Neurophysiology Practice (CNP) is a new Open Access journal that focuses on clinical practice issues in clinical neurophysiology including relevant new research, case reports or clinical series, normal values and didactic reviews. It is an official journal of the International Federation of Clinical Neurophysiology and complements Clinical Neurophysiology which focuses on innovative research in the specialty. It has a role in supporting established clinical practice, and an educational role for trainees, technicians and practitioners.