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EEG 24/7: The use of Emergency EEG to Diagnose Status Epilepticus

The authors reviewed the reports of all emergency EEGs (EmEEGs) performed in our hospital within 1 hour of the test being ordered over a period of 52 months. Two hundred sixty-one EmEEGs (12.8% of all EEGs) were performed. The most common reason to order the test was a change in mental status or coma (17.6%). Although EmEEG was ordered to rule out status epilepticus (SE) in 60.2% of cases, this diagnosis was made in only 10.7% of patients. The only independent predictor for SE was a history of cardiac or respiratory arrest [odds (95% confidence interval, CI), 6.8 (2.7 to 16.9)].