Table 3 Studies describing use of amplitude-integrated EEG.

From: Neuromonitoring practices for neonates with congenital heart disease: a scoping review

Scope of Study

Number of neonates Mean [range]

Type of congenital heart disease (n)

Type of study (n)

Findings Summary

Citations

SVP

TGA

Heterogeneous CHDa

Case series

Cohort study

Other

Characterization of aEEG background in neonates with CHD (n = 3)

53 [26,72]

0

0

3

0

3

0

-aEEG background in the postoperative period abnormal in almost half of neonates with CHD.

-Seizures frequent and mostly subclinical.

-Sleep-wake cycling impacted postoperatively and can be affected by sedatives.

76,77,78

aEEG as a predictor of neurodevelopmental outcome (n = 4)

70 [32–150]

0

0

4

0

4

0

-There was a large heterogeneity of tests used to evaluate neurodevelopment and timing of evaluation.

-Delayed return of sleep-wake cycling associated with worse neurodevelopmental outcomes.

-Conflicting data on whether aEEG seizures were more likely to be associated with impaired development.

80,81,82,83

aEEG as a predictor injury on neuroimaging and outcome (n = 3)

37 [10–76]

0

0

4

0

3

0

-Most studies were underpowered to demonstrate an association between aEEG abnormalities and neuroimaging abnormalities.

84,85,86

  1. aEEG Amplitude-integrated electroencephalogram, SVP Single ventricle physiology, TGA Transposition of the great arteries, CHD Congenital Heart Disease.
  2. aHeterogeneous CHD (refers to the inclusion of different phenotypes of CHD in the same study including SVP, TGA, truncus arteriosus, coarctation of the aorta, left ventricular outflow obstruction).