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Highly malignant routine EEG predicts poor prognosis after cardiac arrest in the Target Temperature Management trial

Resuscitation Jul 27, 2018

Backman S, et al. - The performance of standardised routine EEG (electroencephalography) patterns to predict neurological outcome after cardiac arrest was examined. Researchers undertook the prospective multicenter Target Temperature Management trial comprising comatose cardiac arrest patients randomized to different temperature levels (950 patients, 36 sites). They performed a routine EEG in patients who remained comatose after the 36 hours temperature control intervention according to the prospective protocol. Findings support that after targeted temperature management, highly malignant routine EEG strongly forecasts the poor outcome. A benign EEG was identified as a relevant indicator of a good outcome for patients remaining in coma.
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