OBJECTIVE: We aimed to determine the diagnostic yield of continuous monitoring with video electroencephalography (cVEEG) for pediatric inpatients with paroxysmal vital sign changes (PVSCs), and to identify risk factors for the PVSCs being @entity410 , based on clinical information available before cVEEG initiation. We hypothesized that PVSCs without @entity1109 ( @entity1109 ) were unlikely to be @entity410 , and also that @entity1 ' clinical characteristics would alter the risk of recording @entity410 . METHODS: We performed a single-center chart review of 324 cVEEG studies that were obtained for differential diagnosis of PVSCs. We examined the type of PVSCs that prompted cVEEG, associated @entity1109 , and @entity1 characteristics, and whether the target events or @entity410 were recorded. We performed logistic regression analyses to determine which @entity1 and semiologic features altered the risk of the PVSCs being @entity410 , and which @entity1 characteristics altered the risk of recording any @entity410 . RESULTS: Target PVSCs were recorded in 52% (N = 169). @entity410 were recorded in 21% (N = 69) of the studies, often unrelated to the PVSCs (N = 39). When examining only PVSCs without @entity1109 , only 4% (3/75) of studies obtained for @entity386 and 2.1% (1/48) of studies obtained for @entity26 desaturation revealed the target events to be @entity410 . No studies recorded ictal @entity101 (0/26), @entity551 (0/16), or @entity1168 (0/18). In univariate analysis, there was a decreased risk that the events were @entity410 when PVSCs lacked @entity1109 (odds ratio [OR] 0.23, 95% confidence interval [CI] 0.08-0.65). The risk was increased when the @entity1 had received an antiseizure medication (2.9, 1.3-6.5), the target PVSC was @entity386 (3.5, 1.5-8.5), and in particular, @entity386 with @entity1109 (8.7, 3.7-20.8). In adjusted analyses, only @entity386 with associated @entity1109 independently increased the risk of the PVSCs being @entity410 (7.7, 3.2-18.5). SIGNIFICANCE: PVSCs in the absence of @entity1109 are rarely due to @entity410 . Ideally, cVEEG should be reserved for @entity1 with additional risk factors for @entity410 , beyond isolated PVSCs.

Diagnostic yield of continuous video electroencephalography for paroxysmal vital sign changes in pediatric XXXX .

@entity1 :: ('9606', 'Species') :: ['children', 'patients', 'patient'] @entity410 :: ('MESH:D012640', 'Disease') :: ['Seizures', 'seizures'] @entity101 :: ('MESH:D006973', 'Disease') :: ['hypertension'] @entity26 :: ('MESH:D010100', 'Chemical') :: ['oxygen'] @entity1109 :: ('MESH:D012678', 'Disease') :: ['NAS', 'nonautonomic symptoms'] @entity551 :: ('MESH:D007022', 'Disease') :: ['hypotension'] @entity1168 :: ('MESH:D001919', 'Disease') :: ['bradycardia'] @entity386 :: ('MESH:D001049', 'Disease') :: ['apnea']
@entity1 :: (9606,Species) :: ['patients']
