Author/Editor		Osredkar, Damjan
Title		Spremljanje možganske aktivnosti novorojenčkov z elektroencefalografsko metodo povprečevanja amplitud
Type		monografija
Place		Ljubljana
Publisher		Medicinska fakulteta
Publication year		2003
Volume		str. 57
Language		slo
Abstract		Objective. Monitoring cerebral function with cerebral function monitor (CFM) has been used wortdwide for more than three decades. With our study we wished to introduce standardized monitoring of newborns with CFM in two neonatal units in Slovenia and verify the accomptished levet of expertise, using standard electroencephalography (EEG) as a reference point. In contrast with other research groups, that have studied mainly asphyxiated children, we also wished to study the usefulness of CFM in monitoring low-risk newborns that constitute the greater part of patients of non-intensive neonatal care department. Methods. In our study we have included 36 term newborns and constituted two separate groups. In the high-risk group we have included newborns having HIE, those that were resuscitated after birth, had Apgar score <=5 after 5 min or had intracraniat hemorrhage. In the low risk group we have included newborns with no history of birth asphyxia, who had a transient disturbance of consciousness and/or epileptic convulsions or have been suspected of having them, disturbances of muscle tone, hyperirritability and/or jitteriness. We have recorded CFM and EEG in all newborns and have performed follow-up with Bayley early infant development scales after one year. Results. 33 newborns were suitabte for anatysis. 18 have been included in the low-risk group and 15 in the high-risk group. Interobserver agreement on background patterns (BP) on CFM in the low-risk group was near statistical significance (p 0,054), and was statistically significant in the high-risk group (p <0,005). Interobserver agreement on patterns of epileptiform activity (PEA) and the presence of sleep-wake cycling was reached with statistical significance in both groups (p <0,005). In the low-risk group only normat or slightly abnormal patterns of BP were present, but in the high-risk group agreement on BP on CFM and EEG was statistically significant (p 0,032). (Abstract truncated at 2000 characters).
Descriptors		DEVELOPMENTAL DISABILITIES CEREBRAL ANOXIA EPILEPSY ELECTROENCEPHALOGRAPHY INFANT, NEWBORN APGAR SCORE