Which aEEG patterns could predict neurodevelopmental outcome in preterm neonates? - A systematic review.

IF 1.4 4区医学 Q4 CLINICAL NEUROLOGY Brain & Development Pub Date : 2024-12-31 DOI:10.1016/j.braindev.2024.104315

Mariana Martins Dantas Santos, Isadora Souza Eilers, Taís Michele Werle, Gabriel Lorentz Trein, Lara Michel D A Silva, Luiz Eduardo Leal Canton, Magda Lahorgue Nunes

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Abstract

Objective: Amplitude-integrated electroencephalogram (aEEG) enables continuous and simplified bedside monitoring of brain function. This review aims to investigate aEEG's value as a predictor of neurodevelopment outcome in preterm infants.

Methods: PubMed, Embase and Web of Science were systematically searched according to the PRISMA in April 2023 and updated in October 2023. The protocol was registered on PROSPERO platform and the methodological quality of studies was analyzed using the Newcastle-Ottawa Scale (NOS).

Results: Nineteen articles (18 cohort and 1 case-control study) were included, reporting the recording of aEEG in 2074 preterm neonates and its association to neurodevelopment outcome. In most studies, aEEG recording started within 72 h of life. The mean NOS score for prospective and retrospective cohort studies were 6 (4-7, median 6) and 6.6 (6-7, median 7), respectively. The case-control study received 7 stars. Burst suppression and low voltage background were associated with poor neurodevelopmental outcome, while normal background and established cyclicity was correlated with a favorable outcome, especially when they occurred in the first week of life.

Conclusion: The background patterns and cyclicity of aEEG seems to be reliable patterns to help predict neurodevelopmental outcome in premature infants, especially when monitorization started early.

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哪些脑电图模式可预测早产新生儿的神经发育结果？- 系统综述。

目的：波幅集成脑电图（aEEG）能够实现对脑功能的连续、简化的床边监测。本综述旨在探讨aEEG作为早产儿神经发育结局预测指标的价值。方法：系统检索PubMed、Embase和Web of Science，检索时间为2023年4月和2023年10月。该方案在PROSPERO平台上注册，并使用纽卡斯尔-渥太华量表（NOS）对研究的方法学质量进行分析。结果：共纳入19篇文献（18篇队列研究和1篇病例对照研究），报道了2074例早产儿的aEEG记录及其与神经发育结局的关系。在大多数研究中，aEEG记录开始于生命72小时内。前瞻性和回顾性队列研究的NOS平均评分分别为6（4-7，中位数6）和6.6（6-7，中位数7）。病例对照研究获得7颗星。突发抑制和低电压背景与不良的神经发育结果相关，而正常背景和已建立的循环与良好的结果相关，特别是当它们发生在生命的第一周时。结论：aEEG的背景模式和周期似乎是帮助预测早产儿神经发育结局的可靠模式，特别是当监测开始较早时。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Brain & Development 医学-临床神经学

CiteScore

3.60

自引率

0.00%

发文量

153

审稿时长

50 days

期刊介绍： Brain and Development (ISSN 0387-7604) is the Official Journal of the Japanese Society of Child Neurology, and is aimed to promote clinical child neurology and developmental neuroscience. The journal is devoted to publishing Review Articles, Full Length Original Papers, Case Reports and Letters to the Editor in the field of Child Neurology and related sciences. Proceedings of meetings, and professional announcements will be published at the Editor''s discretion. Letters concerning articles published in Brain and Development and other relevant issues are also welcome.