The maximum value of bispectral index predicts outcome in hypoxic-ischemic encephalopathy after resuscitation, better than minimum or mean value

Brain Injury : [BI]
Wen-li MiaoHai-ling Li

Abstract

Although bispectral index (BIS) has been widely used for predicting neurological outcomes in clinical practice, its optimal value concerning maximum (BISmax), minimum (BISmin) and mean (BISmean) on accurately predicting the prognosis of patients with hypoxic-ischemic encephalopathy (HIE) after resuscitation has not been clearly determined. For a total number of 45 cases, the duration of each BIS measurement was 12 h, with the data collected at a 30 min interval. Outcome was recorded as survival and non-survival count 60 days after the resuscitation. Receiver operator characteristic curve was used to assess the BISmax, BISmin and BISmean for predicting clinical outcome. By the end of observation, 20 cases (44.4%) survived with a significantly higher BISmax. The area under the curve for BISmax of predicting survival was the highest compared to BISmin and BISmean. The optimal cut-off value of BISmax was 71.5 with 100% sensitivity and 60% specificity. Ten patients presented BIS value down to zero at any time point did not survive the observation. The BISmax is a better outcome predictor than BISmin or BISmean for patients with HIE after resuscitation. Lower BISmax represents higher risk of mortality. Additionally, BIS value decreas...Continue Reading

References

Jan 14, 1999·Intensive Care Medicine·C De DeyneF Colardyn
Feb 21, 2003·Intensive Care Medicine·Iwan A MeynaarDurk F Zandstra
Apr 17, 2003·British Journal of Anaesthesia·M HayashidaA Murakami
Nov 1, 2003·Journal of Clinical Neuroscience : Official Journal of the Neurosurgical Society of Australasia·N UmegakiA Mtasuki
Jan 28, 2005·Anesthesia and Analgesia·Thomas M HemmerlingIgnatio Prieto
Dec 28, 2005·Resuscitation·Daniel M FatovichMichael J Paech
Sep 12, 2006·Journal of Clinical Monitoring and Computing·Danie B Paul, G S Umamaheswara Rao
Dec 9, 2008·Resuscitation·Charlotte Chollet-XémardJean Marty
Apr 23, 2009·International Journal of Emergency Medicine·Michael T PawlikChristoph Selig
Feb 2, 2013·Korean journal of anesthesiology·Jin Yong JungJung-Eun Kim
May 21, 2013·Journal of the American College of Cardiology·Pascal StammetYvan Devaux
Jan 10, 2014·Journal of Veterinary Emergency and Critical Care·Francesco ApreaMartina Mosing
Sep 28, 2014·Resuscitation·Pascal StammetYvan Devaux
Sep 1, 2013·Anesthesia, Essays and Researches·T V Bharath Kumar, Goverdhan Dutt Puri
Oct 16, 2015·The American Journal of Emergency Medicine·An-Yi WangWen-Jone Chen

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Sep 8, 2021·Journal of Trauma Nursing : the Official Journal of the Society of Trauma Nurses·Dan ShiJunhui Chen

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