Do patients need to stay in bed all day in the Epilepsy Monitoring Unit? Safety data from a non-restrictive setting

Autor: Laura Craciun, Melita Cacic Hribljan, Elena Gardella, Daniella Terney, Pirgit Meritam, Sándor Beniczky, Jørgen Alving
Rok vydání: 2017
Předmět:
0301 basic medicine
Male
Video Recording
Injury
GUIDELINES
law.invention
Epilepsy
0302 clinical medicine
law
immune system diseases
hemic and lymphatic diseases
Medicine
Child
Mobility
UTILITY
Aged
80 and over
OUTCOMES
Electroencephalography
General Medicine
Middle Aged
Intensive care unit
Neurology
Child
Preschool
Epilepsy monitoring
Female
Medical emergency
Patient Safety
Safety
VIDEO
Adult
Adolescent
Monitoring
Ambulatory
Unit (housing)
03 medical and health sciences
Young Adult
QUALITY
Humans
Adverse effect
Aged
Monitoring
Physiologic
business.industry
Convulsive status epilepticus
Portable amplifier
Infant
SERVICES
medicine.disease
Safety policy
030104 developmental biology
Adverse events
Epilepsy Monitoring Unit
SEIZURES
Accidental Falls
Neurology (clinical)
Electronic database
business
CONSENSUS
030217 neurology & neurosurgery
Zdroj: Craciun, L, Alving, J, Gardella, E, Terney, D, Meritam, P, Hribljan, M C & Beniczky, S 2017, ' Do patients need to stay in bed all day in the Epilepsy Monitoring Unit? Safety data from a non-restrictive setting ', Seizure-European Journal of Epilepsy, vol. 49, pp. 13-16 . https://doi.org/10.1016/j.seizure.2017.05.006
Craciun, L, Alving, J, Gardella, E, Terney, D, Meritam, P, Cacic Hribljan, M & Beniczky, S 2017, ' Do patients need to stay in bed all day in the Epilepsy Monitoring Unit? Safety data from a non-restrictive setting ', Seizure, vol. 49, pp. 13-16 . https://doi.org/10.1016/j.seizure.2017.05.006
ISSN: 1532-2688
DOI: 10.1016/j.seizure.2017.05.006
Popis: Purpose: To assess whether injuries occur more often in an Epilepsy Monitoring Unit (EMU) where portable EEG amplifiers are used, and where patients can freely move within a large area during the monitoring.Methods: Patients were monitored at the Danish Epilepsy Center, in an EMU specifically designed for this purpose, and they were under continuous surveillance by personnel dedicated to the EMU. Adverse events (AEs) - including injuries, were prospectively noted, as part of the safety policy of the hospital. Other data were retrospectively extracted from the electronic database, for a 5-year period (January 2012-December 2016).Results: 976 patients were admitted to the EMU. Falls occurred in 19 patients (1.9%) but none of them resulted in injury. Only one serious AE occurred: a patient had a convulsive status epilepticus, which did not respond to first-line treatment in the EMU and was transferred to the intensive care unit. The rate of AEs were similar or lower than previously reported by other centers, where the mobility of the patients had been restricted during monitoring.Conclusion: In an EMU specially designed for this,purpose, where patients are under continuous surveillance by personnel dedicated to the EMU, injuries can be avoided even when the mobility of the patients is not restricted. (C) 2017 British Epilepsy Association. Published by Elsevier Ltd. All rights reserved.
Databáze: OpenAIRE
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