Factors affecting the yield of pediatric EEGs in clinical practice

被引：27

作者：

Gilbert, DL

Gartside, PS

机构：

[1] Univ Cincinnati, Childrens Hosp, Med Ctr, Dept Neurol, Cincinnati, OH USA

[2] Univ Cincinnati, Dept Environm Hlth, Cincinnati, OH USA

来源：

CLINICAL PEDIATRICS | 2002年 / 41卷 / 01期

关键词：

D O I：

10.1177/000992280204100106

中图分类号：

R72 [儿科学];

学科分类号：

100202 ;

摘要：

Clinical factors affecting the yield of 2500 pediatric electroencephalograms were analyzed. Electroencephalograms were interpreted as epileptiform in 40% of children with epilepsy. Most electroencephalograms were ordered for seizure in children not taking anti-epileptic drugs; just 15% showed epileptiform features. Six percent of electroencephalograms were epileptiform in non-seizure patients. The neurologist significantly influenced the odds of epileptiform interpretation (P = 0.022) and the recommendation to repeat the electroencephalogram (P < 0.001). In practice most electroencephalograms ordered for seizure are actually for non-seizure. In routine pediatric practice, electroencephalography has a low yield and appears to be over-used.

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页码：25 / 32

页数：8

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