SAFER-EEG Trial

The Seizure Assessment Forecasting with Efficient Rapid-EEG (SAFER-EEG) trial is a retrospective study of 890 adult patients from 4-top tier US academic hospitals who were monitored with EEG during their hospital stay from January 1, 2018 through June 20, 2022.

SAFER-EEG Study Subanalysis

Evaluating the Impact of Point-of-Care EEG on Length of Stay in the Intensive Care Unit1

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Key Impact


shorter median ICU
length of stay with Ceribell vs. conventional EEG

more patients from the Ceribell cohort had better neurological outcomes*

faster door-to-EEG time with the Ceribell System; 5.9 hours with Ceribell vs. 25.3 hours with conventional EEG

*Using modified Rankin Scale score (mRS) greater than or equal to 4 at discharge as an indicator of functional disability


Study Overview

  • 3 sites had access to both Ceribell and 24/7 conventional EEG with technicians onsite or on-call.

  • 283 ICU patients from the two cohorts were matched 1:1 with propensity scores to have equivalent age, admission scores, diagnosis group and seizure suspicion.


Author Research Overview

“Ceribell use is associated with shorter stays in the ICU and better functional outcomes, which are extremely impactful benefits to patients and their families.”

Masoom J. Desai, M.D., FACNS
Principal Investigator
Assistant Professor, Department of Neurology
University of New Mexico School of Medicine

 

SAFER-EEG Study Primary Analysis

Seizure Assessment and Forecasting With Efficient Rapid-EEG2

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Key Impact

  • Comparable 72 hours in-hospital seizure risk forecasting with Ceribell vs. conventional EEG**

  • Similar false negative rate (0.021 with Ceribell vs. 0.016 with conventional EEG)

  • Similar seizure yield (9.1% with Ceribell vs. 12.9% with conventional EEG)

**As measured by 2HELPS2B score based on the first hour of EEG in matched cohorts


Study Overview

Results were published in Neurology, and demonstrate that Ceribell point-of-care EEG performs comparably to conventional EEG in forecasting seizure risk for acutely ill patients using the 2HELPS2B score.

  • 240 Ceribell EEGs and 650 conventional EEGs were included and matched for confounders to evaluate the feasibility of using Ceribell EEG to assess future seizure risk at the hospital
  • Estimated 2HELPS2B score for seizure-risk forecasting based on the 1st hour of EEG

Author Research Overview

“…the performance of the 2HELPS2B score on a rapid EEG is non-inferior to conventional EEG.”

Mariel Kalkach-Aparicio, MD, MBE
Physician Researcher and Neurology Resident
University of South Dakota

 

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