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Previous studies have combined the burst suppression, low voltage and flat traces to define an abnormal pattern, but in this study the best PPV was obtained by combining the low voltage and flat trace patterns and excluding the burst suppression pattern.
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Under typical experimental conditions these peaks are so narrow (because the resonances are very sharply tuned) that they appear as lines perpendicular to the flat trace obtained over the ranges of nonresonating frequencies.
Children with a reactive rate were 4 times more likely to survive than children with a flat tracing (P =.003; odd ratio, 4; 95% CI, 12.1; 39.8).
The flat trace, ( mathrm{tr},^flat ), is defined using operations on distributions which generalize integration of the Schwartz kernel over the diagonal: let ( jmath : {mathbb {R}}_+ times M rightarrow {mathbb {R}}_+ times M times M ) be given by ( jmath (t, x) = (t, x, x) ) and ( pi : {mathbb {R}}_+ times M rightarrow {mathbb {R}}_+ ), by ( pi ( t, x ) = t ).
In 3 neonates, high voltage electrocardiographic (ECG) artifacts were found with flat trace on raw EEG.
The low-voltage pattern was defined as an aEEG maximum ≤10 μV, and flat trace was defined as isoelectric activity.
For the pattern classification method, the highest PPV was achieved by combining the continuous low voltage and flat trace patterns (table 1 and figure 1).
Of the 17 neonates, three presented with high voltage electrocardiographic artifacts with flat trace on raw EEG; their data were excluded from further analyses.
5 aEEG records with severely suppressed voltage or with burst suppression, continuous low voltage or flat trace patterns were classed as severely abnormal.
However, if a flat trace is seen after intubation, the presumption must be that the tracheal tube is located in the oesophagus until proven otherwise.
The aEEG background patterns were classified into the following categories by using the voltage method: continuous normal voltage (CNV), discontinuous normal voltage, low voltage, flat trace, BS, and SE.
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