Point-of-care EEG in the Pediatric Emergency Department

Launched by UNIVERSITY CHILDREN'S HOSPITAL, ZURICH · Jun 9, 2022

Keywords

ClinConnect Summary

This clinical trial is studying a new way to monitor brain activity in children who may be having serious seizure episodes or have unclear reasons for their decreased awareness. Researchers want to see if a simplified type of brain scan, known as a point-of-care EEG, is as effective as the traditional EEG used in outpatient settings. This could help doctors make quicker decisions in emergency situations, especially for children experiencing status epilepticus, which is when a seizure lasts too long or occurs repeatedly without recovery in between.

To participate in this trial, children must be patients in the pediatric emergency department with unexplained impaired consciousness or ongoing seizures. They should be able to have a parent or guardian provide consent, or there are special procedures in place for emergency situations. In addition, children who are already diagnosed with epilepsy and are undergoing regular EEG monitoring in an outpatient clinic may also be eligible. Participants in the trial can expect to have their brain activity monitored using both the new simplified EEG and the standard EEG, helping researchers understand which method works better in different settings.

Gender

ALL

Eligibility criteria

• Inclusion Criteria:
• General:
• PED:
• • Pediatric patients with unexplained impaired consciousness, suspicion of NCSE, active SE presenting to the PED
• • Informed consent of patient of parents/persons responsible, if possible, otherwise emergency situation procedure (according to national regulations for research in emergency situations)
• CLINIC:
• • Informed consent as documented by signature
• • Pediatric patients undergoing cEEG in the outpatient epilepsy clinics
• • Either suspected/ to rule out epilepsy or established diagnosis of epilepsy
• Exclusion Criteria:
• PED:
• • AMS of known etiology or another diagnosis
• • Declined informed consent
• CLINIC:
• • Failure to provide signed informed consent
• • Changes in health condition which might interfere with the EEG recording.