The evaluation value of disturbance coefficient combined with bedside continuous video electroencephalogram for the short-term prognosis of severe encephalitis in children

OBJECTIVE: Exploring the value of non-invasive brain edema monitoring combined with bedside video electroencephalography in evaluating the short-term prognosis of children with severe encephalitis. METHODS: This study retrospectively analyzed the clinical data of 136 children diagnosed with severe encephalitis in the Intensive Care Medicine Department of Hebei Children's Hospital from January 2021 to July 2024. According to the prognosis at discharge, patients were divided into a poor prognosis group (54 cases) and a good prognosis group (82 cases). Compare the clinical manifestations, modified GCS scores, early warning scores, clinical indicators monitored after admission, DC values, and video electroencephalography between two groups of children. Logistic regression was used to analyze the risk factors for poor prognosis, and receiver operating characteristic (ROC) curves and decision curve analysis (DCA) were used to analyze the predictive value and clinical net benefit of DC, video EEG, and their combined evaluation of prognosis. RESULTS: There was a statistically significant difference (P