Assessment of a quasi-piezoelectric mattress monitor as a detection system for generalized convulsions

Aditi Pradeep Narechania, Irena I. Garić, Indranil Sen-Gupta, Micheal P Macken, Elizabeth Erway Gerard, Stephan U Schuele*

*Corresponding author for this work

Research output: Contribution to journalArticle

34 Citations (Scopus)

Abstract

The risk of sudden unexpected death in epilepsy (SUDEP) is highest with nocturnal, unattended generalized convulsions, and basic resuscitation may be able to prevent SUDEP. This study investigates an under-mattress device (ElectroMechanical Film - Emfit®) which is triggered by rhythmic motor activity of a specifiable duration, frequency, and intensity using a quasi-piezoelectric material sensitive to changes in mattress pressure. The device was tested during inpatient video-EEG monitoring. Eighteen GTCSs were recorded, 10 out of wakefulness and 8 out of sleep. Sixteen of the 18 seizures (89%) resulted in Emfit® activation with both false negative alarms occurring during wakefulness. On average, the device was activated within 9. s of onset of bilateral clonic motor movements (range: -. 37 to +. 39. s) and occurred, on average, 45. s before seizure end (range: 19 to 76. s). Only 21 false alarms were encountered, all occurring during wakefulness (PPV: 43%). The data suggest that the Emfit® detection device has a high predictive value for generalized convulsions, offers caregivers a reliable and early warning to assist the patient during convulsions, and may be a novel way to prevent SUDEP.

Original languageEnglish (US)
Pages (from-to)172-176
Number of pages5
JournalEpilepsy and Behavior
Volume28
Issue number2
DOIs
StatePublished - Jan 1 2013

Fingerprint

Seizures
Wakefulness
Sudden Death
Epilepsy
Equipment and Supplies
Resuscitation
Caregivers
Inpatients
Electroencephalography
Sleep
Motor Activity
Pressure

Keywords

  • Generalized convulsion
  • Generalized tonic-clonic seizure
  • Mattress monitor
  • Seizure alarm
  • Seizure detection
  • SUDEP

ASJC Scopus subject areas

  • Neurology
  • Clinical Neurology
  • Behavioral Neuroscience

Cite this

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title = "Assessment of a quasi-piezoelectric mattress monitor as a detection system for generalized convulsions",
abstract = "The risk of sudden unexpected death in epilepsy (SUDEP) is highest with nocturnal, unattended generalized convulsions, and basic resuscitation may be able to prevent SUDEP. This study investigates an under-mattress device (ElectroMechanical Film - Emfit{\circledR}) which is triggered by rhythmic motor activity of a specifiable duration, frequency, and intensity using a quasi-piezoelectric material sensitive to changes in mattress pressure. The device was tested during inpatient video-EEG monitoring. Eighteen GTCSs were recorded, 10 out of wakefulness and 8 out of sleep. Sixteen of the 18 seizures (89{\%}) resulted in Emfit{\circledR} activation with both false negative alarms occurring during wakefulness. On average, the device was activated within 9. s of onset of bilateral clonic motor movements (range: -. 37 to +. 39. s) and occurred, on average, 45. s before seizure end (range: 19 to 76. s). Only 21 false alarms were encountered, all occurring during wakefulness (PPV: 43{\%}). The data suggest that the Emfit{\circledR} detection device has a high predictive value for generalized convulsions, offers caregivers a reliable and early warning to assist the patient during convulsions, and may be a novel way to prevent SUDEP.",
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AU - Gerard, Elizabeth Erway

AU - Schuele, Stephan U

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