Critically ill patients with altered mental status Tele-cEEG
Conditions
Interventions
cEEG with recording time of 24-
72 hours. Standard EEG recording technique with 10-
20 system will be applied. EEG specialist interprets EEG findings using standardized 2013 American Clinical Neurophysiology Society terminology.,Tele-
cEEG with recording time of 30 minutes. Standard EEG recording technique with 10-
20 system will be applied. EEG specialist interprets EEG findings using standardized 2013 American Clinical Neurophysiology Society terminology.
Experimental Procedure/Surgery,Active Comparator Procedure/Surgery
cEEG ,Tele-
rEEG
Sponsors
The Thailand Research Fund (TRF)
Eligibility
Sex/Gender
All
Age
15 Years to No maximum
Inclusion criteria
Inclusion criteria: 1. Patients without following conditions Post cardiac arrest, Advanced stage cancer stage IV, AIDs CD4 count less than 200 cells per mm3 or with certain opportunistic infections, Alcoholic intoxication with or without delirium tremens, and Extensive lacerations, skin lesions, or surgical wound where the electrode placement is not possibly applied. 2. Patients with one of the following conditions; Recent clinical seizure/status epilepticus without return to baseline, Severely depressed consciousness from any cause with GCS less than 8, Intracranial hemorrhages with more than low probability of survival, including traumatic brain injury, subarachnoid hemorrhage, and intracerebral hemorrhage, Suspected NCS or NCSE in patients with altered mental status, Central nervous system infection with altered mental status
Exclusion criteria
Exclusion criteria: Patients with survival less than 72 hours after randomization Patients who maintain EEG monitoring < 12 h in Tele-cEEG and < 20 min in Tele-rEEG arm
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Functional outcome 3, 7 days after EEG recording, at discharge, 90 days, 6 months, and 1 year after discharge Modified Rankin Scale,All-cause mortality at discharge and at 1 year case-fatality rate and crude annual mortality rate,Incidence of seizures during admission cumulative incidence | — |
Secondary
| Measure | Time frame |
|---|---|
| Cost at discharge, 90 days, 6 months, 1 year after discharge total costs in Baht,HRQoL at 90 days, 1 year after discharge EQ-5D-5L (Thai version),ICU and hospital lenght of stay at discharge days,Satisfactions at discharge, 1 year after discharge satisfaction score,Changing of medical decision at discharge percentage | — |
Countries
Thailand
Contacts
Public ContactChusak Limotai
Chulalongkorn Comprehensive Epilepsy Center of Excellence
Outcome results
None listed