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Table 3 Electroencephalography findings and clinical examinations of the study patients in the early and late electroencephalography groups according to neurologic outcome at 1 month

From: Background frequency can enhance the prognostication power of EEG patterns categories in comatose cardiac arrest survivors: a prospective, multicenter, observational cohort study

EEG findings and clinical neurological examinations

Patients with EEG < 72 h

(N = 353)

Patients with EEG of 72 h to 7 days

(N = 136)

Good neurologic outcome

(n = 110)

Poor neurologic outcome

(n = 243)

P value

Good neurologic outcome

(n = 38)

Poor neurologic outcome

(n = 98)

P value

EEG background frequency

  

< 0.001

  

< 0.001

 Dominant alpha waves

69 (62.7%)

15 (6.2%)

 

14 (36.8%)

8 (8.2%)

 

 Dominant theta waves

36 (32.7%)

51 (21.0%)

 

20 (52.6%)

20 (20.4%)

 

 Dominant delta waves

5 (4.5%)

62 (25.5%)

 

4 (10.5%)

19 (19.4%)

 

 Undetermined

0 (0%)

115 (47.3%)

 

0 (0%)

51 (52.0%)

 

Categorization

  

< 0.001

  

< 0.001

 Highly malignant pattern

0 (0%)

144 (59.3%)

 

0 (0%)

55 (56.1%)

 

 Malignant pattern

24 (21.8%)

64 (26.3%)

 

10 (26.3%)

26 (26.5%)

 

 Benign

86 (78.2%)

35 (14.4%)

 

28 (73.7%)

17 (17.3%)

 

Highly malignant pattern

0 (0%)

144 (59.3%)

< 0.001

0 (0%)

55 (56.1%)

< 0.001

 Suppressed background without discharges

0 (0%)

106 (43.6%)

< 0.001

0 (0%)

48 (49.0%)

< 0.001

 Suppressed background with continuous periodic discharges

0 (0%)

8 (3.3%)

0.061

0 (0%)

2 (2.0%)

 > 0.999

 Burst-suppression

0 (0%)

30 (12.3%)

< 0.001

0 (0%)

5 (5.1%)

0.322

Malignant rhythmic or periodic features

6 (5.5%)

38 (15.6%)

0.007

7 (18.4%)

16 (16.3%)

0.770

 Periodic discharges (≥ 50%)

2 (1.8%)

17 (7.0%)

0.046

3 (7.9%)

8 (8.2%)

 > 0.999

 Rhythmic spike-and-wave (≥ 50%)

3 (2.7%)

18 (7.4%)

0.085

1 (2.6%)

6 (6.1%)

0.673

 Unequivocal seizures or status epilepticus

3 (2.7%)

34 (14.0%)

0.001

6 (15.8%)

10 (10.2%)

0.382

Malignant background

18 (16.4%)

46 (18.9%)

0.562

3 (7.9%)

18 (18.4%)

0.129

 Discontinuous (> 10% suppression)

2 (1.8%)

8 (3.3%)

0.730

1 (2.6%)

5 (5.1%)

 > 0.999

 Low voltage (< 20 μV)

14 (12.7%)

33 (13.6%)

0.827

2 (5.3%)

12 (12.2%)

0.349

 Reversed anteroposterior gradient

2 (1.8%)

9 (3.7%)

0.513

0 (0%)

3 (3.1%)

0.560

Absent pupillary reflex at ≥ 72 h after ROSCa

5 (4.7%),

n = 107

158 (67.8%),

n = 233

< 0.001

2 (5.3%),

n = 38

62 (63.9%),

n = 97

< 0.001

Absent corneal reflex at ≥ 72 h after ROSCa

16 (20.3%),

n = 79

170 (85.9%),

n = 198

< 0.001

5 (16.1%),

n = 31

59 (79.7%),

n = 74

< 0.001

Motor component of the Glasgow Coma Scoreb

      

  ≤ 3 at 48 h after ROSC

83 (77.6%),

n = 107

238 (98.8%),

n = 241

< 0.001

28 (77.8%),

n = 36

96 (99.0%),

n = 97

< 0.001

 ≤ 3 at 72 h after ROSC

55 (50.5%),

n = 109

233 (97.9%),

n = 238

< 0.001

16 (45.7%),

n = 35

96 (98.0%),

n = 98

< 0.001

  1. Values are expressed as number (%)
  2. EEG, electroencephalography; ROSC, return of spontaneous circulation
  3. aA total of 13 patients dead < 72 h after ROSC were categorized as absent ocular reflexes
  4. bTwo patients dead < 48 h after ROSC were categorized as motor component ≤ 3. Similarly, 13 patients dead < 72 h were categorized as motor component ≤ 3