Epilepsy treatment in The Netherlands. Comparison of two medical centres
| Autor: | D. J. P. Wijsman, Yechiel A. Hekster, M. W. Lammers, Harry Meinardi, Antoine Keyser, H.J.J. van Lier, Willy O. Renier |
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| Rok vydání: | 1993 |
| Předmět: |
Adult
Male Pediatrics medicine.medical_specialty Referral Epilepsy treatment Epilepsy Disability Evaluation medicine Ambulatory Care Humans Quality of care Adverse effect Netherlands Academic Medical Centers Dose-Response Relationship Drug business.industry Seizure types Electroencephalography General Medicine Middle Aged medicine.disease University hospital Pays bas Treatment Outcome Neurology Anticonvulsants Drug Therapy Combination Female Neurology (clinical) business |
| Zdroj: | Acta neurologica Scandinavica. 87(6) |
| ISSN: | 0001-6314 |
| Popis: | In order to test if it is feasible to compare epilepsy treatment policies, a secondary (University Hospital) and a tertiary referral care centre (i.e. an Epilepsy Centre) were compared with respect to their characteristics, the treatment approaches, and the outcome of treatment using clinimetric indexes. At the Epilepsy Centre a greater variety of seizure types was seen than at the University Hospital. At the University Hospital more patients were treated with monotherapy (62.5%) than at the Epilepsy Centre (28.0%). The Composite Index of Impairments (CII), which reflects all treatment related impairments i.e. seizures and adverse events, was significantly higher at the Epilepsy Centre than at the University Hospital. No difference was seen in the groups of patients with a high score of the CII (> 100). Further analysis is needed to obtain an answer as to why differences between the two groups exist. |
| Databáze: | OpenAIRE |
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