Prediction of Survival After Pediatric Cardiac Arrest Using Quantitative EEG and Machine Learning Techniques.

Journal: Neurology
Published Date: Nov 20, 2024

Abstract

BACKGROUND AND OBJECTIVES: Early neuroprognostication in children with reduced consciousness after cardiac arrest (CA) is a major clinical challenge. EEG is frequently used for neuroprognostication in adults, but has not been sufficiently validated for this indication in children. Using machine learning techniques, we studied the predictive value of quantitative EEG (qEEG) features for survival 12 months after CA, based on EEG recordings obtained 24 hours after CA in children. The results were confirmed through visual analysis of EEG background patterns.

Authors

  • Maayke Hunfeld
    From the Department of Neurology (M.H., M.V., S.J., A.v.R., D.S., R.v.d.B.), Erasmus MC, University Medical Center; Department of Neonatal and Pediatric Intensive Care, Division of Pediatric Intensive Care (M.H., C.B.), Erasmus MC Children's Hospital, Rotterdam; and Delft Institute of Applied Mathematics (F.L., G.J.), Delft University of Technology, the Netherlands.
  • Marit Verboom
    From the Department of Neurology (M.H., M.V., S.J., A.v.R., D.S., R.v.d.B.), Erasmus MC, University Medical Center; Department of Neonatal and Pediatric Intensive Care, Division of Pediatric Intensive Care (M.H., C.B.), Erasmus MC Children's Hospital, Rotterdam; and Delft Institute of Applied Mathematics (F.L., G.J.), Delft University of Technology, the Netherlands.
  • Sabine Josemans
    From the Department of Neurology (M.H., M.V., S.J., A.v.R., D.S., R.v.d.B.), Erasmus MC, University Medical Center; Department of Neonatal and Pediatric Intensive Care, Division of Pediatric Intensive Care (M.H., C.B.), Erasmus MC Children's Hospital, Rotterdam; and Delft Institute of Applied Mathematics (F.L., G.J.), Delft University of Technology, the Netherlands.
  • Annemiek van Ravensberg
    From the Department of Neurology (M.H., M.V., S.J., A.v.R., D.S., R.v.d.B.), Erasmus MC, University Medical Center; Department of Neonatal and Pediatric Intensive Care, Division of Pediatric Intensive Care (M.H., C.B.), Erasmus MC Children's Hospital, Rotterdam; and Delft Institute of Applied Mathematics (F.L., G.J.), Delft University of Technology, the Netherlands.
  • Dirk Straver
    From the Department of Neurology (M.H., M.V., S.J., A.v.R., D.S., R.v.d.B.), Erasmus MC, University Medical Center; Department of Neonatal and Pediatric Intensive Care, Division of Pediatric Intensive Care (M.H., C.B.), Erasmus MC Children's Hospital, Rotterdam; and Delft Institute of Applied Mathematics (F.L., G.J.), Delft University of Technology, the Netherlands.
  • Femke Lückerath
    From the Department of Neurology (M.H., M.V., S.J., A.v.R., D.S., R.v.d.B.), Erasmus MC, University Medical Center; Department of Neonatal and Pediatric Intensive Care, Division of Pediatric Intensive Care (M.H., C.B.), Erasmus MC Children's Hospital, Rotterdam; and Delft Institute of Applied Mathematics (F.L., G.J.), Delft University of Technology, the Netherlands.
  • Geurt Jongbloed
    From the Department of Neurology (M.H., M.V., S.J., A.v.R., D.S., R.v.d.B.), Erasmus MC, University Medical Center; Department of Neonatal and Pediatric Intensive Care, Division of Pediatric Intensive Care (M.H., C.B.), Erasmus MC Children's Hospital, Rotterdam; and Delft Institute of Applied Mathematics (F.L., G.J.), Delft University of Technology, the Netherlands.
  • Corinne Buysse
    From the Department of Neurology (M.H., M.V., S.J., A.v.R., D.S., R.v.d.B.), Erasmus MC, University Medical Center; Department of Neonatal and Pediatric Intensive Care, Division of Pediatric Intensive Care (M.H., C.B.), Erasmus MC Children's Hospital, Rotterdam; and Delft Institute of Applied Mathematics (F.L., G.J.), Delft University of Technology, the Netherlands.
  • Robert van den Berg
    From the Department of Neurology (M.H., M.V., S.J., A.v.R., D.S., R.v.d.B.), Erasmus MC, University Medical Center; Department of Neonatal and Pediatric Intensive Care, Division of Pediatric Intensive Care (M.H., C.B.), Erasmus MC Children's Hospital, Rotterdam; and Delft Institute of Applied Mathematics (F.L., G.J.), Delft University of Technology, the Netherlands.

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