An EEG severity index of traumatic brain injury

J Neuropsychiatry Clin Neurosci. 2001 Winter;13(1):77-87. doi: 10.1176/jnp.13.1.77.

Abstract

EEG spectral analyses were conducted from 19 scalp locations for patients with mild (n=40), moderate (n=25), and severe (n=43) traumatic brain injury (TBI), 15 days to 4 years after injury. Severity of TBI was judged by emergency hospital admission records (Glasgow Coma Score and duration of coma and amnesia). Highest-loading EEG variables on each factor that differed significantly between severe and mild TBI by univariate t-test were entered into a multivariate discriminant analysis, yielding 16 variables. Discriminant analysis between mild and severe TBI groups showed classification accuracy of 96.39%, sensitivity 95.45%, and specificity 97.44%. The EEG discriminant score also measured intermediate severity in moderate TBI patients. Results were cross-validated in 503 VA patients. Significant correlations between EEG discriminant scores, emergency admission measures, and post-trauma neuropsychological test scores validated the discriminant function as an index of severity of injury and a classifier of the extremes of severity.

Publication types

  • Research Support, U.S. Gov't, Non-P.H.S.

MeSH terms

  • Adolescent
  • Adult
  • Brain Damage, Chronic / diagnosis*
  • Brain Damage, Chronic / physiopathology
  • Brain Injuries / diagnosis*
  • Brain Injuries / physiopathology
  • Electroencephalography*
  • Female
  • Follow-Up Studies
  • Fourier Analysis
  • Glasgow Coma Scale
  • Humans
  • Male
  • Middle Aged
  • Neuropsychological Tests
  • Sensitivity and Specificity
  • Signal Processing, Computer-Assisted