What are the opportunities for EEG-based monitoring of delirium in the ICU?

Autor: van der Kooi AW; Department of Intensive Care Medicine, University Medical Centre Utrecht, Utrecht, The Netherlands., Leijten FS, van der Wekken RJ, Slooter AJ
Jazyk: angličtina
Zdroj: The Journal of neuropsychiatry and clinical neurosciences [J Neuropsychiatry Clin Neurosci] 2012 Fall; Vol. 24 (4), pp. 472-7.
DOI: 10.1176/appi.neuropsych.11110347
Abstrakt: Recognition of delirium in intensive care unit (ICU) patients is poor, despite the use of screening tools. Electroencephalography (EEG) with a limited number of electrodes and automatic processing may be a more sensitive approach for delirium monitoring. The authors conducted a systematic literature search on EEG characteristics that define delirium, finding 14 studies, which were predominantly conducted in elderly patients. The relative power of the theta and alpha frequency band most often (7/14 studies) distinguished delirium from non-delirium subjects. Given the feasibility for continuous EEG monitoring in ICU, EEG delirium monitoring in ICU patients is promising.
Databáze: MEDLINE