دورية أكاديمية
Epilepsy monitoring unit practices and safety among NAEC epilepsy centers: A census survey.
| العنوان: | Epilepsy monitoring unit practices and safety among NAEC epilepsy centers: A census survey. |
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| المؤلفون: | Bagić AI; University of Pittsburgh Comprehensive Epilepsy Center (UPCEC), Department of Neurology, Pittsburgh, PA, USA. Electronic address: bagica@upmc.edu., Ahrens SM; Department of Pediatrics, Division of Neurology, Nationwide Children's Hospital and The Ohio State University College of Medicine, Columbus, OH, USA. Electronic address: Stephanie.ahrens@nationwidechildrens.org., Chapman KE; Barrow Neurologic Institute at Phoenix Children's Hospital, Phoenix, AZ, USA. Electronic address: kchapman@phoenixchildrens.com., Bai S; Pediatric Biostatistics Core, Emory University School of Medicine, Atlanta, GA, USA. Electronic address: shasha.bai@emory.edu., Clarke DF; Department of Neurology, Dell Medical School, University of Texas at Austin, Austin, TX, USA. Electronic address: dave.clarke@austin.utexas.edu., Eisner M; Biostatistics Resource at Nationwide Children's Hospital, Columbus, OH, USA. Electronic address: Mariah.Eisner@osumc.edu., Fountain NB; Department of Neurology, University of Virginia Health Sciences Center, Charlottesville, VA, USA. Electronic address: NBF2P@hscmail.mcc.virginia.edu., Gavvala JR; Department of Neurology, Baylor College of Medicine, Houston, TX, USA. Electronic address: jay.gavvala@bcm.edu., Rossi KC; Beth Israel Deaconess Medical Center and Harvard Medical School, Department of Neurology, Division of Epilepsy, Boston, MA, USA. Electronic address: rossi.kylec@gmail.com., Herman ST; Barrow Neurological Institute, Phoenix, AZ, USA. Electronic address: susan.herman@dignityhealth.org., Ostendorf AP; Department of Pediatrics, Division of Neurology, Nationwide Children's Hospital and The Ohio State University College of Medicine, Columbus, OH, USA. Electronic address: Adam.ostendorf@nationwidechildrens.org. |
| مؤلفون مشاركون: | NAEC Center Director Study Group |
| المصدر: | Epilepsy & behavior : E&B [Epilepsy Behav] 2024 Jan; Vol. 150, pp. 109571. Date of Electronic Publication: 2023 Dec 09. |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: Academic Press Country of Publication: United States NLM ID: 100892858 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1525-5069 (Electronic) Linking ISSN: 15255050 NLM ISO Abbreviation: Epilepsy Behav Subsets: MEDLINE |
| أسماء مطبوعة: | Original Publication: San Diego, CA : Academic Press, c2000- |
| مواضيع طبية MeSH: | Epilepsy*/epidemiology , Epilepsy*/drug therapy , Status Epilepticus*, Adult ; Child ; Humans ; Electroencephalography/methods ; Monitoring, Physiologic/methods ; Retrospective Studies ; Seizures/diagnosis ; Seizures/epidemiology ; Seizures/drug therapy ; Surveys and Questionnaires |
| مستخلص: | Objective: An epilepsy monitoring unit (EMU) is a specialized unit designed for capturing and characterizing seizures and other paroxysmal events with continuous video electroencephalography (vEEG). Nearly 260 epilepsy centers in the United States are accredited by the National Association of Epilepsy Centers (NAEC) based on adherence to specific clinical standards to improve epilepsy care, safety, and quality. This study examines EMU staffing, safety practices, and reported outcomes. Method: We analyzed NAEC annual report data and results from a supplemental survey specific to EMU practices reported in 2019 from 341 pediatric or adult center directors. Data on staffing, resources, safety practices and complications were collated with epilepsy center characteristics. We summarized using frequency (percentage) for categorical variables and median (inter-quartile range) for continuous variables. We used chi-square or Fisher's exact tests to compare staff responsibilities. Results: The supplemental survey response rate was 100%. Spell classification (39%) and phase 1 testing (28%) were the most common goals of the 91,069 reported admissions. The goal ratio of EEG technologist to beds of 1:4 was the most common during the day (68%) and off-hours (43%). Compared to residents and fellows, advanced practice providers served more roles in the EMU at level 3 or pediatric-only centers. Status epilepticus (SE) was the most common reported complication (1.6% of admissions), while cardiac arrest occurred in 0.1% of admissions. Significance: EMU staffing and safety practices vary across US epilepsy centers. Reported complications in EMUs are rare but could be further reduced, such as with more effective treatment or prevention of SE. These findings have potential implications for improving EMU safety and quality care. Competing Interests: Declaration of competing interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper. (Copyright © 2023 The Authors. Published by Elsevier Inc. All rights reserved.) |
| فهرسة مساهمة: | Keywords: Drug-resistant epilepsy (DRE); Epilepsy surgery; Video electroencephalography (vEEG) |
| تواريخ الأحداث: | Date Created: 20231209 Date Completed: 20240117 Latest Revision: 20240117 |
| رمز التحديث: | 20240118 |
| DOI: | 10.1016/j.yebeh.2023.109571 |
| PMID: | 38070408 |
| قاعدة البيانات: | MEDLINE |
Full Text via ClinicalKey 
Full Text Finder | تدمد: | 1525-5069 |
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| DOI: | 10.1016/j.yebeh.2023.109571 |