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. Author manuscript; available in PMC: 2024 Mar 1.
Published in final edited form as: Epilepsia. 2023 Feb 10;64(3):602–618. doi: 10.1111/epi.17448

Table 1.

Clinical questions and Patient/population, Intervention, Comparison and Outcome (PICO) statements.

Question Population Intervention Comparison Outcomes
1. What are the indications for routine and sleep EEG? Patient in EEG EEG recording No EEG recording Impact on diagnostics, management decisions or prognostication
2. What are the minimum technical standards for routine and sleep EEG? Not practically applicable
3. What provocation methods should be used in routine and sleep EEG and how? Patient in EEG Photic stimulation
Hyperventilation
Other provocation
No provocation Epileptiform abnormality
Seizure
-epileptic
-non-epileptic
Adverse effects
4. What should be a minimum duration of routine and sleep EEG to be optimally diagnostic? Patient in EEG EEG duration 1 EEG duration 2 Abnormal EEG finding
5. Should sleep deprivation (partial or all night/24h) used to obtain sleep? Patient in EEG Sleep deprivation Natural sleep Sleep
Adverse effects
Cost-benefit
6. Can melatonin or other drugs be used for sleep induction? Patient in EEG Melatonin
Other sleep-inducing drug
Sleep deprivation
Sleep inducing drug
Sleep
Adverse effects
Cost-benefit

EEG, electroencephalography