Care in Europe after presenting to the emergency department with a seizure; position paper and insights from the European Audit of Seizure Management in Hospitals.

Autor: Taylor, Claire, Tudur‐Smith, Catrin, Dixon, Pete, Linehan, Christine, Gunko, Aleksei, Christensen, Jakob, Pearson, Mike, Tomson, Torbjorn, Marson, Anthony, Trinka, Eugen, Visee, Helene, Depondt, Chantal, Santos, Susana Ferrao, Van Dycke, Annelies, Van Paesschen, Wim, Conway, Cara, O'Rourke, Geraldine, Flynn, Cora, McCarthy, Allan, Cunningham, Denise
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Zdroj: European Journal of Neurology; Jul2022, Vol. 29 Issue 7, p1873-1884, 12p
Abstrakt: Background and purpose: This position paper makes recommendations following an audit of care provided to people presenting with a seizure to emergency departments (EDs) in Europe. Methods: Participating countries were asked to include five hospitals agreeing to identify 50 consecutive seizure patients presenting to their ED between 1 August 2016 and 31 August 2017. Anonymous data were collected to a web database. Where quoted, percentages are mean site values and ranges are the 10th–90th centile. Results: Data were collected on 2204 ED visits (47 sites, up to six per country, across 15 countries): 1270 (58%) known epilepsy, 299 (14%) previous blackouts but no epilepsy diagnosis, 634 (29%) with a first seizure. Wide variability was identified for most variables. Of those with known epilepsy, 41.2% (range 26.2%–59.6%) attended the ED in the previous 12 months, but only 64.7% (range 37.2%–79.8%) had seen an epilepsy specialist in the previous 12 months. 67.7% (range 34.0%–100%) were admitted, 53.1% to a neurology ward (range 0.0%–88.9%). Only 37.5% first seizure patients (range 0.0%–71.4%) were given advice about driving. Conclusions and recommendations: It is recommended that in Europe guidance is agreed on the management and onward referral of those presenting to the ED with a seizure; a referral process is created that can be easily implemented; it is ensured that the seizure services receive referrals and see the patients within a short time period; and a simple system is developed and implemented to allow continuous monitoring of key indices of epilepsy care. [ABSTRACT FROM AUTHOR]
Databáze: Complementary Index
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