Development and Feasibility Testing of a Critical Care EEG Monitoring Database for Standardized Clinical Reporting and Multicenter Collaborative Research

Jong Woo Lee, Suzette LaRoche, Hyunmi Choi, Andres A. Rodriguez Ruiz, Evan Fertig, Jeffrey Politsky, Susan T. Herman, Tobias Loddenkemper, Arnold J. Sansevere, Pearce J. Korb, Nicholas S. Abend, Joshua L. Goldstein, Saurabh R. Sinha, Keith E. Dombrowski, Eva K. Ritzl, Michael B. Westover, Jay R. Gavvala, Elizabeth E. Gerard, Sarah E. Schmitt, Jerzy P. Szaflarski & 7 others Kan Ding, Kevin F. Haas, Richard Buchsbaum, Lawrence J. Hirsch, Courtney J. Wusthoff, Jennifer L. Hopp, Cecil D. Hahn

Research output: Contribution to journalArticle

12 Citations (Scopus)

Abstract

Purpose: The rapid expansion of the use of continuous critical care electroencephalogram (cEEG) monitoring and resulting multicenter research studies through the Critical Care EEG Monitoring Research Consortium has created the need for a collaborative data sharing mechanism and repository. The authors describe the development of a research database incorporating the American Clinical Neurophysiology Society standardized terminology for critical care EEG monitoring. The database includes flexible report generation tools that allow for daily clinical use. Methods: Key clinical and research variables were incorporated into a Microsoft Access database. To assess its utility for multicenter research data collection, the authors performed a 21-center feasibility study in which each center entered data from 12 consecutive intensive care unit monitoring patients. To assess its utility as a clinical report generating tool, three large volume centers used it to generate daily clinical critical care EEG reports. Results: A total of 280 subjects were enrolled in the multicenter feasibility study. The duration of recording (median, 25.5 hours) varied significantly between the centers. The incidence of seizure (17.6%), periodic/rhythmic discharges (35.7%), and interictal epileptiform discharges (11.8%) was similar to previous studies. The database was used as a clinical reporting tool by 3 centers that entered a total of 3,144 unique patients covering 6,665 recording days. Conclusions: The Critical Care EEG Monitoring Research Consortium database has been successfully developed and implemented with a dual role as a collaborative research platform and a clinical reporting tool. It is now available for public download to be used as a clinical data repository and report generating tool.

Original languageEnglish (US)
Pages (from-to)133-140
Number of pages8
JournalJournal of Clinical Neurophysiology
Volume33
Issue number2
DOIs
StatePublished - Apr 1 2016

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Critical Care
Electroencephalography
Databases
Research
Feasibility Studies
Multicenter Studies
Neurophysiology
Information Dissemination
Physiologic Monitoring
Terminology
Intensive Care Units
Seizures
Incidence

All Science Journal Classification (ASJC) codes

  • Physiology
  • Neurology
  • Clinical Neurology
  • Physiology (medical)

Cite this

Lee, Jong Woo ; LaRoche, Suzette ; Choi, Hyunmi ; Rodriguez Ruiz, Andres A. ; Fertig, Evan ; Politsky, Jeffrey ; Herman, Susan T. ; Loddenkemper, Tobias ; Sansevere, Arnold J. ; Korb, Pearce J. ; Abend, Nicholas S. ; Goldstein, Joshua L. ; Sinha, Saurabh R. ; Dombrowski, Keith E. ; Ritzl, Eva K. ; Westover, Michael B. ; Gavvala, Jay R. ; Gerard, Elizabeth E. ; Schmitt, Sarah E. ; Szaflarski, Jerzy P. ; Ding, Kan ; Haas, Kevin F. ; Buchsbaum, Richard ; Hirsch, Lawrence J. ; Wusthoff, Courtney J. ; Hopp, Jennifer L. ; Hahn, Cecil D. / Development and Feasibility Testing of a Critical Care EEG Monitoring Database for Standardized Clinical Reporting and Multicenter Collaborative Research. In: Journal of Clinical Neurophysiology. 2016 ; Vol. 33, No. 2. pp. 133-140.
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abstract = "Purpose: The rapid expansion of the use of continuous critical care electroencephalogram (cEEG) monitoring and resulting multicenter research studies through the Critical Care EEG Monitoring Research Consortium has created the need for a collaborative data sharing mechanism and repository. The authors describe the development of a research database incorporating the American Clinical Neurophysiology Society standardized terminology for critical care EEG monitoring. The database includes flexible report generation tools that allow for daily clinical use. Methods: Key clinical and research variables were incorporated into a Microsoft Access database. To assess its utility for multicenter research data collection, the authors performed a 21-center feasibility study in which each center entered data from 12 consecutive intensive care unit monitoring patients. To assess its utility as a clinical report generating tool, three large volume centers used it to generate daily clinical critical care EEG reports. Results: A total of 280 subjects were enrolled in the multicenter feasibility study. The duration of recording (median, 25.5 hours) varied significantly between the centers. The incidence of seizure (17.6{\%}), periodic/rhythmic discharges (35.7{\%}), and interictal epileptiform discharges (11.8{\%}) was similar to previous studies. The database was used as a clinical reporting tool by 3 centers that entered a total of 3,144 unique patients covering 6,665 recording days. Conclusions: The Critical Care EEG Monitoring Research Consortium database has been successfully developed and implemented with a dual role as a collaborative research platform and a clinical reporting tool. It is now available for public download to be used as a clinical data repository and report generating tool.",
author = "Lee, {Jong Woo} and Suzette LaRoche and Hyunmi Choi and {Rodriguez Ruiz}, {Andres A.} and Evan Fertig and Jeffrey Politsky and Herman, {Susan T.} and Tobias Loddenkemper and Sansevere, {Arnold J.} and Korb, {Pearce J.} and Abend, {Nicholas S.} and Goldstein, {Joshua L.} and Sinha, {Saurabh R.} and Dombrowski, {Keith E.} and Ritzl, {Eva K.} and Westover, {Michael B.} and Gavvala, {Jay R.} and Gerard, {Elizabeth E.} and Schmitt, {Sarah E.} and Szaflarski, {Jerzy P.} and Kan Ding and Haas, {Kevin F.} and Richard Buchsbaum and Hirsch, {Lawrence J.} and Wusthoff, {Courtney J.} and Hopp, {Jennifer L.} and Hahn, {Cecil D.}",
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Lee, JW, LaRoche, S, Choi, H, Rodriguez Ruiz, AA, Fertig, E, Politsky, J, Herman, ST, Loddenkemper, T, Sansevere, AJ, Korb, PJ, Abend, NS, Goldstein, JL, Sinha, SR, Dombrowski, KE, Ritzl, EK, Westover, MB, Gavvala, JR, Gerard, EE, Schmitt, SE, Szaflarski, JP, Ding, K, Haas, KF, Buchsbaum, R, Hirsch, LJ, Wusthoff, CJ, Hopp, JL & Hahn, CD 2016, 'Development and Feasibility Testing of a Critical Care EEG Monitoring Database for Standardized Clinical Reporting and Multicenter Collaborative Research', Journal of Clinical Neurophysiology, vol. 33, no. 2, pp. 133-140. https://doi.org/10.1097/WNP.0000000000000230

Development and Feasibility Testing of a Critical Care EEG Monitoring Database for Standardized Clinical Reporting and Multicenter Collaborative Research. / Lee, Jong Woo; LaRoche, Suzette; Choi, Hyunmi; Rodriguez Ruiz, Andres A.; Fertig, Evan; Politsky, Jeffrey; Herman, Susan T.; Loddenkemper, Tobias; Sansevere, Arnold J.; Korb, Pearce J.; Abend, Nicholas S.; Goldstein, Joshua L.; Sinha, Saurabh R.; Dombrowski, Keith E.; Ritzl, Eva K.; Westover, Michael B.; Gavvala, Jay R.; Gerard, Elizabeth E.; Schmitt, Sarah E.; Szaflarski, Jerzy P.; Ding, Kan; Haas, Kevin F.; Buchsbaum, Richard; Hirsch, Lawrence J.; Wusthoff, Courtney J.; Hopp, Jennifer L.; Hahn, Cecil D.

In: Journal of Clinical Neurophysiology, Vol. 33, No. 2, 01.04.2016, p. 133-140.

Research output: Contribution to journalArticle

TY - JOUR

T1 - Development and Feasibility Testing of a Critical Care EEG Monitoring Database for Standardized Clinical Reporting and Multicenter Collaborative Research

AU - Lee, Jong Woo

AU - LaRoche, Suzette

AU - Choi, Hyunmi

AU - Rodriguez Ruiz, Andres A.

AU - Fertig, Evan

AU - Politsky, Jeffrey

AU - Herman, Susan T.

AU - Loddenkemper, Tobias

AU - Sansevere, Arnold J.

AU - Korb, Pearce J.

AU - Abend, Nicholas S.

AU - Goldstein, Joshua L.

AU - Sinha, Saurabh R.

AU - Dombrowski, Keith E.

AU - Ritzl, Eva K.

AU - Westover, Michael B.

AU - Gavvala, Jay R.

AU - Gerard, Elizabeth E.

AU - Schmitt, Sarah E.

AU - Szaflarski, Jerzy P.

AU - Ding, Kan

AU - Haas, Kevin F.

AU - Buchsbaum, Richard

AU - Hirsch, Lawrence J.

AU - Wusthoff, Courtney J.

AU - Hopp, Jennifer L.

AU - Hahn, Cecil D.

PY - 2016/4/1

Y1 - 2016/4/1

N2 - Purpose: The rapid expansion of the use of continuous critical care electroencephalogram (cEEG) monitoring and resulting multicenter research studies through the Critical Care EEG Monitoring Research Consortium has created the need for a collaborative data sharing mechanism and repository. The authors describe the development of a research database incorporating the American Clinical Neurophysiology Society standardized terminology for critical care EEG monitoring. The database includes flexible report generation tools that allow for daily clinical use. Methods: Key clinical and research variables were incorporated into a Microsoft Access database. To assess its utility for multicenter research data collection, the authors performed a 21-center feasibility study in which each center entered data from 12 consecutive intensive care unit monitoring patients. To assess its utility as a clinical report generating tool, three large volume centers used it to generate daily clinical critical care EEG reports. Results: A total of 280 subjects were enrolled in the multicenter feasibility study. The duration of recording (median, 25.5 hours) varied significantly between the centers. The incidence of seizure (17.6%), periodic/rhythmic discharges (35.7%), and interictal epileptiform discharges (11.8%) was similar to previous studies. The database was used as a clinical reporting tool by 3 centers that entered a total of 3,144 unique patients covering 6,665 recording days. Conclusions: The Critical Care EEG Monitoring Research Consortium database has been successfully developed and implemented with a dual role as a collaborative research platform and a clinical reporting tool. It is now available for public download to be used as a clinical data repository and report generating tool.

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