Shah Nidhi A, Van Meurs Krisa P, Davis Alexis S
Division of Neonatal and Developmental Medicine, Department of Pediatrics, Stanford University School of Medicine and Lucile Packard Children's Hospital, Stanford, Palo Alto, California.
Pediatrix Medical Group, Good Samaritan Hospital, San Jose, California.
Am J Perinatol. 2015 Jul;32(8):755-60. doi: 10.1055/s-0034-1395483. Epub 2014 Dec 17.
Amplitude-integrated electroencephalography (aEEG) is a simplified method for continuous monitoring of brain activity in the neonatal intensive care unit (NICU). Our objective was to describe current aEEG use in the United States.
An online survey was distributed to the American Academy of Pediatrics Section on Perinatal Pediatrics' list serve.
A total of 654 surveys were received; 55% of respondents reported using aEEG. aEEG was utilized more often in academic and levels III and IV NICUs; hypoxic-ischemic encephalopathy and suspected seizures were the most common indications for use. aEEG was primarily interpreted by neonatologists (87%), with approximately half reporting either self-teaching or hospital-based training for interpretation. For those not using aEEG, uncertain clinical benefit (40%) and cost (17%) were reported as barriers to use.
More than half of neonatologists utilize aEEG, with practice variation by NICU setting. Barriers to wider adoption include education regarding potential benefit, training, and cost.
振幅整合脑电图（aEEG）是新生儿重症监护病房（NICU）连续监测脑活动的一种简化方法。我们的目的是描述目前美国aEEG的使用情况。
向美国儿科学会围产期儿科学分会的邮件列表发送了一项在线调查。
共收到654份调查问卷；55%的受访者报告使用aEEG。aEEG在学术性以及三级和四级NICU中使用更为频繁；缺氧缺血性脑病和疑似癫痫是最常见的使用指征。aEEG主要由新生儿科医生解读（87%），约一半的人报告通过自学或基于医院的培训进行解读。对于未使用aEEG的人，不确定的临床益处（40%）和成本（17%）被报告为使用障碍。
超过一半的新生儿科医生使用aEEG，不同NICU环境下的使用情况存在差异。更广泛采用的障碍包括关于潜在益处的教育、培训和成本。
