How do you apply the 2HELPS2B score into clinical decision making for determining duration of cEEG testing?

I think there are two important issues to note:

1. Always remember that the study was based on a 1-hour screening EEG, not a typical 20-minute routine. This may or may not make a difference in finding sporadic epileptiform abnormalities or BIRDs.
2. Most of the time you do not need to use this score.

For example, if they are on no AEDs, any positive score in the 1-hour screen, outside of the prior history of seizures question, will necessitate an AED. At that point, you will record for 12 hours per ...