Altered Level of Consciousness, Encephalopathy, Epilepsy, Non-epileptic Seizures, Status Epilepticus
Conditions
Keywords
EEG, Emergency Department, Paediatrics, Reduced Glasgow Coma Scale (GCS)
Brief summary
Children frequently present with altered or reduced consciousness levels to emergency departments. By using EEG monitoring, subclinical seizure activity may be detected, leading to earlier pharmacological intervention and improved outcomes. Post-ictal phases that may be interpreted as seizure activity may become less over-treated. A feasibility study will ascertain if EEG monitoring can be applied successfully in this cohort, within a specified time period, obtaining minimum artefact (defined as \< 25% artefact). EEG recordings will not be used to guide clinical management during this feasibility study.
Detailed description
See study protocol attached
Interventions
None listed
Sponsors
Study design
Eligibility
Inclusion criteria
Children between 0 and 15 years and 11 months who present to Resuscitation Room, ED, CUH with a Glasgow Coma Scale (GCS) \< 11 or, a reduction in baseline GCS in the case of children with significant neurodisability at baseline
Exclusion criteria
* Polytrauma * Open head wounds * Unstable airway or requirement for bag and mask ventilation, where cap application would affect clinical management
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The percentage of children who had EEG monitoring applied within twenty minutes and obtainment of an interpretable EEG recording with less than 25% artefact. | Anticipated 12 month study period |
Countries
Ireland