BRIEF RESEARCH REPORT article
Front. Neurol.
Sec. Epilepsy
Optimization of Continuous EEG Monitoring in the Inpatient Setting-A Quality Improvement study
Provisionally accepted
Vijaya Lakshmi Valaparla*
Tripti Sharma
Mohammad Almomani
Muhammad HafeezFNU Komal
Todd MaselDiosely Silveira
Xiangping Li- University of Texas Medical Branch at Galveston, Galveston, United States
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Background: Continuous EEG (cEEG) is widely used in the inpatient setting to detect non convulsive seizures and status epilepticus. Prolonged EEG monitoring can increase healthcare cost burden and patient discomfort. Optimizing cEEG by safely reducing the duration of EEG monitoring can be done using a validated scoring system. 2HELPS2B score predicts seizure risk in the next 24 hours based on first hour of EEG monitoring and provides recommendation on the total duration of EEG monitoring. We aimed to safely reduce the duration of cEEG monitoring in low-risk patients (2HELPS2B score
Keywords: 2HELPS2B score, Inpatient EEG monitoring, Critical care EEG monitoring, Continuous EEG, Long term EEG
Received: 11 Jun 2025; Accepted: 17 Nov 2025.
Copyright: © 2025 Valaparla, Sharma, Almomani, Hafeez, Komal, Masel, Silveira and Li. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
* Correspondence: Vijaya Lakshmi Valaparla, vivalapa@utmb.edu
Disclaimer: All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.