Affiliation:
1. Department of Neonatology, Copenhagen University Hospital, Rigshospitalet, Copenhagen, Denmark
2. The Cochrane Hepato-Biliary Group, Copenhagen Trial Unit, Centre for Clinical Intervention Research, Rigshospitalet, Copenhagen, Denmark
Abstract
CONTEXT:
Brain injury is common in preterm infants, and predictors of neurodevelopmental outcome are relevant.
OBJECTIVE:
To assess the prognostic test accuracy of the background activity of the EEG recorded as amplitude-integrated EEG (aEEG) or conventional EEG early in life in preterm infants for predicting neurodevelopmental outcome.
DATA SOURCES:
The Cochrane Library, PubMed, Embase, and the Cumulative Index to Nursing and Allied Health Literature.
STUDY SELECTION:
We included observational studies that had obtained an aEEG or EEG within 7 days of life in preterm infants and reported neurodevelopmental outcomes 1 to 10 years later.
DATA EXTRACTION:
Two reviewers independently performed data extraction with regard to participants, prognostic testing, and outcomes.
RESULTS:
Thirteen observational studies with a total of 1181 infants were included. A meta-analysis was performed based on 3 studies (267 infants). Any aEEG background abnormality was a predictor of abnormal outcome. For prediction of a developmental quotient <70 points, cerebral palsy, or death, the pooled sensitivity was 0.83 (95% confidence interval, 0.69–0.92) and specificity 0.83 (95% confidence interval, 0.77–0.87).
LIMITATIONS:
All studies were at high risk of bias. Heterogeneity was evident among the studies with regard to the investigated aEEG and EEG variables, neurodevelopmental outcomes, and cutoff values.
CONCLUSIONS:
aEEG or EEG recorded within the first 7 days of life in preterm infants may have potential as a predictor for later neurodevelopmental outcome. We need high-quality studies to confirm these findings. Meanwhile, the prognostic value of aEEG and EEG should be used only as a scientific tool.
Publisher
American Academy of Pediatrics (AAP)
Subject
Pediatrics, Perinatology, and Child Health
Cited by
44 articles.
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