دورية أكاديمية
Current practice and safety measures in epilepsy monitoring units in the Gulf Cooperation Council Countries: A cross-sectional study.
| العنوان: | Current practice and safety measures in epilepsy monitoring units in the Gulf Cooperation Council Countries: A cross-sectional study. |
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| المؤلفون: | Aljafen BN; Neurology Unit, Department of Medicine, College of Medicine, King Saud University, Riyadh, Saudi Arabia., Alneseyan RA; Neurology Unit, Department of Medicine, College of Medicine, King Saud University, Riyadh, Saudi Arabia. Electronic address: ruwa.alneseyan@outlook.com., Bahr MH; Department of Pharmacology, Faculty of Medicine, Ain Shams University, Cairo, Egypt; Department of Basic Medical Sciences, Vision Colleges, Riyadh, Saudi Arabia., Muayqil TA; Neurology Unit, Department of Medicine, College of Medicine, King Saud University, Riyadh, Saudi Arabia., Al-Otaibi F; Neuroscience Center, King Faisal Specialist Hospital & Research Center, Riyadh, Saudi Arabia; Alfaisal University, Riyadh, Saudi Arabia. |
| المصدر: | Epilepsy research [Epilepsy Res] 2024 May; Vol. 202, pp. 107361. Date of Electronic Publication: 2024 Apr 13. |
| نوع المنشور: | Journal Article; Research Support, Non-U.S. Gov't |
| اللغة: | English |
| بيانات الدورية: | Publisher: Elsevier Science Publishers Country of Publication: Netherlands NLM ID: 8703089 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1872-6844 (Electronic) Linking ISSN: 09201211 NLM ISO Abbreviation: Epilepsy Res Subsets: MEDLINE |
| أسماء مطبوعة: | Original Publication: Amsterdam : Elsevier Science Publishers, c1987- |
| مواضيع طبية MeSH: | Epilepsy*/epidemiology, Humans ; Cross-Sectional Studies ; Electroencephalography/methods ; Middle East/epidemiology ; Monitoring, Physiologic/methods ; Surveys and Questionnaires ; Adult ; Seizures/epidemiology ; Anticonvulsants/therapeutic use ; Child ; Male ; Female |
| مستخلص: | Background: An increasing number of Epilepsy Monitoring Units (EMU) display various practices and safety protocols. EMU settings should meet clear, standardized safety protocols to avoid seizure adverse events (SAE). We aim to provide the foundational framework facilitating the establishment of unified evidence-based safety regulations to address the practices and safety measures implemented within the Gulf Cooperation Council (GCC). Methods: In this cross-sectional study, EMU directors in the GCC were contacted directly by phone to personally complete an electronic 37-item questionnaire sent via text messages and email. From January 2021-December 2021. Results: Seventeen EMUs from six GCC countries participated in the study. All EMU directors responded to the study. Twelve (70.6%) EMUs monitored adults and children, five (29.4%) monitored adults, and none monitored children only. The number of certified epileptologists in the EMUs ranged from one to eight per unit. Fifteen (88.2%) EMUs applied a continuous observation pattern, whereas two (11.8%) performed daytime only. The precautions most commonly used in the video Electroencephalogram (EEG) were seizure pads and bedside oxygen in 15 EMUs (88.2%). For invasive EEG, seizure pads were used in 9 EMUs (52.9%), %) and IV access in 8 EMUs (47.1%). The occurrence of adverse events varied among EMUs. The most common conditions were postictal psychosis 10 (58.8%), injuries 7 (41.2%), and status epilepticus 6 (35.3%). Falls were mainly related to missed seizures or delayed recognition by video monitors in 8 EMUs (47.1%). The extended EMU stay was because of an insufficient number of recorded seizures in 16 EMUs (94.1%), poor seizure lateralization and localization in 10 (58.8%), and re-introduction of AEDs in nine (52.9%). All EMUs had written acute seizure and status epilepticus management protocols. A postictal psychosis management protocol was available for 10 (58.8%). Medications were withdrawn before admission in 6 EMUs (35.3%). The specific medication withdrawal speed protocol upon admission was available in 7 EMUs (41.2%). Pre-admission withdrawal of medication demonstrated a shorter length of stay in both video and invasive EEG, which was statistically significant (ρ (15) = -.529, p =.029; ρ (7) = -.694, p =.038; respectively). Conclusion: The practice and safety regulations of EMUs in the GCC vary widely. Each EMU reported the occurrences of SAE and injuries. Precautions, protective measures, and management protocols must be reassessed to minimize the number of SAEs and increase the safety of the EMU. Competing Interests: Competing interests Nothing to disclose among any of the authors. The manuscript is not under consideration for publication in any other journal. (Copyright © 2024 The Authors. Published by Elsevier B.V. All rights reserved.) |
| فهرسة مساهمة: | Keywords: Epilepsy monitoring units (EMU); Gulf cooperation council (GCC); Postictal psychosis; Seizure adverse events (SAE); Standardized safety protocols; Video EEG monitoring |
| المشرفين على المادة: | 0 (Anticonvulsants) |
| تواريخ الأحداث: | Date Created: 20240425 Date Completed: 20240501 Latest Revision: 20240501 |
| رمز التحديث: | 20240502 |
| DOI: | 10.1016/j.eplepsyres.2024.107361 |
| PMID: | 38663354 |
| قاعدة البيانات: | MEDLINE |
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Full Text Finder | تدمد: | 1872-6844 |
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| DOI: | 10.1016/j.eplepsyres.2024.107361 |