Author/Editor		Osredkar, D; Paro-Panjan, D; Derganc, M; Neubauer, D
Title		Primerjava med amplitudno povprečenim elektroencefalogramom in standardnim elektroencefalogramom pri novorojenčkih
Translated title		Comparison between amplitude integrated electroencephalogram and standard EEG in newborns
Type		članek
Source		Slov Pediatr
Vol. and No.		Letnik 9, št. 2-3
Publication year		2002
Volume		str. 56-8
Language		slo
Abstract		Background. Authors present and discuss new technique of continuous function monitoring, which has recently become often used method abroad, especially on neonatal intensive care units. The method is designed upon the use of amplitude integrated electroencephalogram (aEEG). This report represents our first exeperiences with this technology also in Slovenia. Material and methods. Two groups of newborns (high-risk and low-risk) who were treated at two different neonatal units in Ljubljana are presented, and who all have had aEEG performed during early neonatal period. The recordings were later classified according to the severity and compared with the results of standard, digital electroencephalogram (EEG). Results. Both groups revealed high comparative values regarding the ictal activity on standard EEG and aEEG respectively. The high-risk group revealed 66.7% sensitivity and 100% specificity while 50.0% sensitivity and 96% specificity was found in the low-risk group. Conclusions. Our results in high-risk group newborns are comparable with those found by the other authors. In the low-risk group lower sensitivity was found most probable due to underestimated events such are ictal, lowamplitude and short epileptiform bursts on aEEG. We would like in future to compare these results with fmal outcome of these children and to compare them with their psychological an neurological status at later age.
Summary		Izhodišča. Avtorji predstavijo nov način neprekinjenega spremljanja možganskih funkcij, ki se v tujini vedno bolj uveljavlja, predvsem na oddelkih za intenzivno terapijo. Metoda sloni na enokanalnem amplitudno povprečenem elektroencefalogramu (aEEG). Poročilo predstavlja naše prve izkušnje pri uporabi tovrstne tehnologije tudi v Sloveniji. Preiskovanci in metode. Dve skupini novorojenčkov (visoko rizično in nizko rizično), ki so bili obravnavani na dveh neonatalnih oddelkih v Ljubljani in jim je bil v zgodnjem neonatalnem obdobju opravljen aEEG. Posnetki so bili kasneje razvrščeni glede na stopnjo nenormalnosti in primerjani z izvidom klasičnega elektroencefalograma (EEG). Rezultati. V obeh skupinah smo našli visoko skladnost iktične aktivnosti v izvidih aEEG in klasičnega posnetka EEG. V visoko rizični smo našli občutljivost 66,7%, specifičnost 100%; v nizko rizični pa občutljivost 50,0%, specifičnost 96%. Zaključki. Dobljeni rezultati za visoko rizične novorojenčke so primerljivi s tistimi dobljenimi v drugih raziskavah. V skupini nizko-rizičnih novorojenčkov je bila občutljivost posnetkov aEEG manjša, najverjetneje na račun dejstva, da lahko s tako metodo spregledamo določene žariščne, nizkoamplitudne in zelo kratke epileptiformne izbruhe možganske aktivnosti. V prihodnje želimo dobljene podatke primerjati z nevrološkim in psihološkim sledenjem teh otrok ter ugotoviti napovedno veljavnost te nove in obetavne metode.
Descriptors		ELECTROENCEPHALOGRAPHY INTENSIVE CARE UNITS, NEONATAL BRAIN INJURIES INFANT, NEWBORN