Correlation between quantitative electroencephalography and prognoses of coma after cardio-pulmonary resuscitation
10.3760/cma.j.issn.1671-8925.2017.11.015
- VernacularTitle:定量脑电图与心肺复苏后昏迷预后的相关性研究
- Author:
Qinglin YANG
1
;
Yingying SU
;
Weibi CHEN
;
Hong YE
;
Yan ZHANG
;
Daiquan GAO
Author Information
1. 首都医科大学附属北京同仁医院神经内科
- Keywords:
Coma;
Quantitative electroencephalography;
Cardio-pulmonary resuscitation
- From:
Chinese Journal of Neuromedicine
2017;16(11):1158-1162
- CountryChina
- Language:Chinese
-
Abstract:
Objective To study the correlation of quantitative electroencephalography (qEEG) parameters with outcomes of adults who sustained coma after cardio-pulmonary resuscitation.Methods The clinical data of coma patients after cardio-pulmonary resuscitation,admitted to our hospital from March 2008 to August 2014 were retrospectively analyzed.Glasgow coma scale (GCS) was performed.EEG was registered and recorded at least once within 7 d of coma after cardio-pulmonary resuscitation:electrodes were placed according to the international 10-20 system,using a 16-channel lay out.The qEEG parameters defined as burst suppression ratio (BSR),brain symmetry index (BSI),[delta+theta]/[alpha+beta] ratio (DTABR) were analyzed at the same time.Follow-up was performed 3 months after onset and the outcomes of these patients were assessed by Glasgow outcome scale (GOS).The correlations of GOS scores with qEEG parameters were analyzed.Results Sixty patients with GCS scores-＜ 8 after cardio-pulmonary resuscitation were included.BSR1 and BSR2 were negatively correlated with GOS scores 3 months after onset (r=-0.723,P=0.000;r=-0.651,P=0.000);DTABR was positively correlated with GOS scores 3 months after onset (r=0.270,P=0.037).BSI and DTABR were not correlated with GCS scores.BSR1 and BSR2 were negatively correlated with GCS scores (r=-0.562,P=0.000;r=-0.429,P=0.001).Conclusion The qEEG parameters are correlated with outcomes after cardio-pulmonary resuscitation.
