[The importance of using the cerebral function monitor (CFM) in the neurological prognosis of neonates in intensive care].
Cerebral function monitor (CFM), unlike traditional EEG, allows a long-term evaluation of electric brain activity, without interfering with the nursing of the newborn in the intensive care unit. Our aim was to evaluate the prognostic value of CFM for neurological outcome. We studied 102 newborns (gestational age 34.5 +/- 4.36 weeks; weight 1980 +/- 720 grams) by Multitrace CFM (Lectromed) 5 hours daily in the first week following admission. The patients also underwent cerebral echography, EEG and neurological follow-up to the 24th month. CFM was found to correlate well with the EEG recorded 3 months later. The persistence for at least one week of an I.C. tracing or the normalization of initial tracing have a good prognostic value (positive predictive value 95.23%), a persistently pathologic registration has a negative prognostic value (negative predictive value 85.18%), that even increases if cerebral echographic alterations are demonstrated (98.57%). The association of CFM and ultrasound abnormalities determines a relative risk for neurological motor impairment of 69.14, whereas CFM alone gives a relative risk of 6.4.
Romeo
M G
MG
Clinica Pediatrica II, Università di Catania, Italia.
Tina
L G
LG
Cilauro
S
S
Morano
C
C
Virzì
G
G
Rodonò
A
A
Betta
P
P
Saporito
A
A
Distefano
G
G
D001921:Brain / Q000503:physiopathology*; D004453:Echoencephalography / Q000706:statistics & numerical data; D004569:Electroencephalography / Q000706:statistics & numerical data; D005500:Follow-Up Studies; D006801:Humans; D007231:Infant, Newborn; D015931:Intensive Care, Neonatal; D008991:Monitoring, Physiologic / Q000295:instrumentation / Q000706:statistics & numerical data; D019957:Motor Skills Disorders / Q000175:diagnosis; D009460:Neurologic Examination / Q000706:statistics & numerical data; D011379:Prognosis; D012307:Risk Factors