title: Amplitude-integrated electroencephalography: a survey of practices in the United States.
abstract: OBJECTIVE
  Amplitude-integrated electroencephalography (aEEG) is a simplified method for continuous monitoring of brain activity in the neonatal intensive care unit (NICU). Our objective was to describe current aEEG use in the United States.
  
  
  METHODS
  An online survey was distributed to the American Academy of Pediatrics Section on Perinatal Pediatrics' list serve.
  
  
  RESULTS
  A total of 654 surveys were received; 55% of respondents reported using aEEG. aEEG was utilized more often in academic and levels III and IV NICUs; hypoxic-ischemic encephalopathy and suspected seizures were the most common indications for use. aEEG was primarily interpreted by neonatologists (87%), with approximately half reporting either self-teaching or hospital-based training for interpretation. For those not using aEEG, uncertain clinical benefit (40%) and cost (17%) were reported as barriers to use.
  
  
  CONCLUSIONS
  More than half of neonatologists utilize aEEG, with practice variation by NICU setting. Barriers to wider adoption include education regarding potential benefit, training, and cost.
authors.affiliation: Division of Neonatal and Developmental Medicine, Department of Pediatrics, Stanford University School of Medicine and Lucile Packard Children's Hospital, Stanford, Palo Alto, California.
authors.forename: Nidhi A
authors.initials: NA
authors.lastname: Shah
authors.affiliation: Division of Neonatal and Developmental Medicine, Department of Pediatrics, Stanford University School of Medicine and Lucile Packard Children's Hospital, Stanford, Palo Alto, California.
authors.forename: Krisa P
authors.initials: KP
authors.lastname: Van Meurs
authors.affiliation: Pediatrix Medical Group, Good Samaritan Hospital, San Jose, California.
authors.forename: Alexis S
authors.initials: AS
authors.lastname: Davis
mesh_terms: D004569:Electroencephalography / Q000379:methods*; D006801:Humans; D020925:Hypoxia-Ischemia, Brain / Q000175:diagnosis*; D007231:Infant, Newborn; D007363:Intensive Care Units, Neonatal / Q000145:classification*; D009726:Nurses / Q000706:statistics & numerical data*; D010820:Physicians / Q000706:statistics & numerical data*; D012640:Seizures / Q000175:diagnosis*; D011795:Surveys and Questionnaires; D014481:United States