Early Presence of Sleep Spindles on Electroencephalography Is Associated With Good Outcome After Pediatric Cardiac Arrest

Laurence Ducharme-Crevier; Craig A. Press; Jonathan E. Kurz; Michele Mills; Joshua Goldstein; Mark S. Wainwright

doi:10.1097/pcc.0000000000001137

March 23, 2017Pediatric Critical Care Medicine

Early Presence of Sleep Spindles on Electroencephalography Is Associated With Good Outcome After Pediatric Cardiac Arrest

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Key Points

To determine whether sleep architecture features, specifically sleep spindles observed on continuous electroencephalography, correlate with favorable 6-month neurologic outcomes following pediatric cardiac arrest.
Retrospective review of N = 34 pediatric patients (aged 6 months to 18 years; 59% male) who underwent continuous electroencephalography within 24 hours after cardiac arrest between 2010 and 2015.
Electroencephalography was initiated at a median of 9.3 hours post-resuscitation and recorded for a median duration of 14.3 hours within the initial 24-hour window.
Sleep architecture analysis revealed normal spindles in 5 patients, abnormal spindles in 5 patients, and complete absence of sleep architecture in 24 patients.
The presence of sleep spindles on electroencephalography during the first 24 hours was significantly associated with favorable neurologic outcomes at 6 months (p = 0.001).

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Implication

Retrospective cohort study finds early sleep spindles predict favorable neurologic recovery in resuscitated children, indicating electroencephalography improves post-arrest prognostication.

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Ducharme-Crevier et al. (2017) studied this question.

synapsesocial.com/papers/6a96f7092d8f86faeeb2ff35 https://doi.org/10.1097/pcc.0000000000001137

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Early Presence of Sleep Spindles on Electroencephalography Is Associated With Good Outcome After Pediatric Cardiac Arrest

Key Points

No abstract yet

Implication

Discussion

Cite This Study

Early Presence of Sleep Spindles on Electroencephalography Is Associated With Good Outcome After Pediatric Cardiac Arrest

Key Points

No abstract yet

Implication

Discussion

Cite This Study

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