Serial aEEG recordings in a cohort of extremely preterm infants: Feasibility and safety

A. S. Davis; M. G. Gantz; B. Do; S. Shankaran; S. E.G. Hamrick; K. A. Kennedy; J. E. Tyson; L. F. Chalak; A. R. Laptook; R. F. Goldstein; S. R. Hintz; A. Das; R. D. Higgins; M. B. Ball; E. C. Hale; K. P. Van Meurs

doi:10.1038/jp.2014.217

Serial aEEG recordings in a cohort of extremely preterm infants: Feasibility and safety

A. S. Davis, M. G. Gantz, B. Do, S. Shankaran, S. E.G. Hamrick, K. A. Kennedy, J. E. Tyson, L. F. Chalak, A. R. Laptook, R. F. Goldstein, S. R. Hintz, A. Das, R. D. Higgins, M. B. Ball, E. C. Hale, K. P. Van Meurs

Pediatrics

Research output: Contribution to journal › Article › peer-review

15 Citations (SciVal)

Abstract

Objective:Amplitude-integrated electroencephalography (aEEG) monitoring is increasing in the neonatal population, but the safety and feasibility of performing aEEG in extremely preterm infants have not been systematically evaluated.Study Design:Inborn infants 23 0/7 to 28 6/7 weeks gestation or birth weight 401 to 1000 g were eligible. Serial, 6-h aEEG recordings were obtained from first week of life until 36 weeks postmenstrual age. Adverse events were documented, and surveys evaluated the impact of the aEEGs on routine care. Success of performing aEEGs according to protocol and aEEG quality were assessed.Result:A total of 102 infants were enrolled, with 755 recordings performed. 83% of recordings were performed according to schedule, and 96% were without adverse event. Bedside nurses reported no interference with routine care for 89% of recordings. 92% of recordings had acceptable signal quality.Conclusion:Serial aEEG monitoring is safe in preterm infants, with few adverse events and general acceptance by nursing staff.

Original language	English
Pages (from-to)	373-378
Number of pages	6
Journal	Journal of Perinatology
Volume	35
Issue number	5
DOIs	https://doi.org/10.1038/jp.2014.217
State	Published - May 30 2015

Bibliographical note

Funding Information:
We are indebted to our medical and nursing colleagues and to the infants and their parents who agreed to take part in this study. A complete list of investigators who participated in this study are listed in the Appendix. The National Institutes of Health and the Eunice Kennedy Shriver National Institute of Child Health and Human Development provided grant support for this study.

Publisher Copyright:
© 2015 Nature America, Inc.

ASJC Scopus subject areas

Pediatrics, Perinatology, and Child Health
Obstetrics and Gynecology

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10.1038/jp.2014.217

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Davis, A. S., Gantz, M. G., Do, B., Shankaran, S., Hamrick, S. E. G., Kennedy, K. A., Tyson, J. E., Chalak, L. F., Laptook, A. R., Goldstein, R. F., Hintz, S. R., Das, A., Higgins, R. D., Ball, M. B., Hale, E. C., & Van Meurs, K. P. (2015). Serial aEEG recordings in a cohort of extremely preterm infants: Feasibility and safety. Journal of Perinatology, 35(5), 373-378. https://doi.org/10.1038/jp.2014.217

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title = "Serial aEEG recordings in a cohort of extremely preterm infants: Feasibility and safety",

abstract = "Objective:Amplitude-integrated electroencephalography (aEEG) monitoring is increasing in the neonatal population, but the safety and feasibility of performing aEEG in extremely preterm infants have not been systematically evaluated.Study Design:Inborn infants 23 0/7 to 28 6/7 weeks gestation or birth weight 401 to 1000 g were eligible. Serial, 6-h aEEG recordings were obtained from first week of life until 36 weeks postmenstrual age. Adverse events were documented, and surveys evaluated the impact of the aEEGs on routine care. Success of performing aEEGs according to protocol and aEEG quality were assessed.Result:A total of 102 infants were enrolled, with 755 recordings performed. 83% of recordings were performed according to schedule, and 96% were without adverse event. Bedside nurses reported no interference with routine care for 89% of recordings. 92% of recordings had acceptable signal quality.Conclusion:Serial aEEG monitoring is safe in preterm infants, with few adverse events and general acceptance by nursing staff.",

author = "Davis, {A. S.} and Gantz, {M. G.} and B. Do and S. Shankaran and Hamrick, {S. E.G.} and Kennedy, {K. A.} and Tyson, {J. E.} and Chalak, {L. F.} and Laptook, {A. R.} and Goldstein, {R. F.} and Hintz, {S. R.} and A. Das and Higgins, {R. D.} and Ball, {M. B.} and Hale, {E. C.} and {Van Meurs}, {K. P.}",

note = "Funding Information: We are indebted to our medical and nursing colleagues and to the infants and their parents who agreed to take part in this study. A complete list of investigators who participated in this study are listed in the Appendix. The National Institutes of Health and the Eunice Kennedy Shriver National Institute of Child Health and Human Development provided grant support for this study. Publisher Copyright: {\textcopyright} 2015 Nature America, Inc.",

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Davis, AS, Gantz, MG, Do, B, Shankaran, S, Hamrick, SEG, Kennedy, KA, Tyson, JE, Chalak, LF, Laptook, AR, Goldstein, RF, Hintz, SR, Das, A, Higgins, RD, Ball, MB, Hale, EC & Van Meurs, KP 2015, 'Serial aEEG recordings in a cohort of extremely preterm infants: Feasibility and safety', Journal of Perinatology, vol. 35, no. 5, pp. 373-378. https://doi.org/10.1038/jp.2014.217

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T1 - Serial aEEG recordings in a cohort of extremely preterm infants

T2 - Feasibility and safety

AU - Davis, A. S.

AU - Gantz, M. G.

AU - Do, B.

AU - Shankaran, S.

AU - Hamrick, S. E.G.

AU - Kennedy, K. A.

AU - Tyson, J. E.

AU - Chalak, L. F.

AU - Laptook, A. R.

AU - Goldstein, R. F.

AU - Hintz, S. R.

AU - Das, A.

AU - Higgins, R. D.

AU - Ball, M. B.

AU - Hale, E. C.

AU - Van Meurs, K. P.

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PY - 2015/5/30

Y1 - 2015/5/30

N2 - Objective:Amplitude-integrated electroencephalography (aEEG) monitoring is increasing in the neonatal population, but the safety and feasibility of performing aEEG in extremely preterm infants have not been systematically evaluated.Study Design:Inborn infants 23 0/7 to 28 6/7 weeks gestation or birth weight 401 to 1000 g were eligible. Serial, 6-h aEEG recordings were obtained from first week of life until 36 weeks postmenstrual age. Adverse events were documented, and surveys evaluated the impact of the aEEGs on routine care. Success of performing aEEGs according to protocol and aEEG quality were assessed.Result:A total of 102 infants were enrolled, with 755 recordings performed. 83% of recordings were performed according to schedule, and 96% were without adverse event. Bedside nurses reported no interference with routine care for 89% of recordings. 92% of recordings had acceptable signal quality.Conclusion:Serial aEEG monitoring is safe in preterm infants, with few adverse events and general acceptance by nursing staff.

AB - Objective:Amplitude-integrated electroencephalography (aEEG) monitoring is increasing in the neonatal population, but the safety and feasibility of performing aEEG in extremely preterm infants have not been systematically evaluated.Study Design:Inborn infants 23 0/7 to 28 6/7 weeks gestation or birth weight 401 to 1000 g were eligible. Serial, 6-h aEEG recordings were obtained from first week of life until 36 weeks postmenstrual age. Adverse events were documented, and surveys evaluated the impact of the aEEGs on routine care. Success of performing aEEGs according to protocol and aEEG quality were assessed.Result:A total of 102 infants were enrolled, with 755 recordings performed. 83% of recordings were performed according to schedule, and 96% were without adverse event. Bedside nurses reported no interference with routine care for 89% of recordings. 92% of recordings had acceptable signal quality.Conclusion:Serial aEEG monitoring is safe in preterm infants, with few adverse events and general acceptance by nursing staff.

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Serial aEEG recordings in a cohort of extremely preterm infants: Feasibility and safety

Abstract

Bibliographical note

ASJC Scopus subject areas

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