EEG in fitness to drive evaluations in people with epilepsy - Considerable variations across Europe
| Autor: | Anna Kelemen, Ellen Molteberg, Rainer Surges, Margitta Seeck, Rūta Mameniškienė, Edouard Hirsch, Antonio Gil-Nagel, Kristina Malmgren, Hrvoje Hećimović, Rune Markhus, Andreas Schulze-Bonhage, Ioana Mindruta, Caroline Jagella, Petr Marusic, Sylvain Rheims, Barbara Mostacci, Matthew C. Walker, Heinz Krestel, Günter Krämer, Fabienne Picard, Stephan Rüegg, Ákos Újvári, Vasilios K. Kimiskidis, Oana Tarta Arsene, Felix Rosenow, Bernhard J. Steinhoff, Dániel Fabó, Oliver Henning, Reina Roivainen, Morten I. Lossius |
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| Přispěvatelé: | HUS Neurocenter, Department of Neurosciences, Helsinki University Hospital Area |
| Rok vydání: | 2020 |
| Předmět: |
Adult
Male Automobile Driving Attitude of Health Personnel Applied psychology Driving license Electroencephalography 3124 Neurology and psychiatry Driving regulations 03 medical and health sciences Epilepsy Disability Evaluation 0302 clinical medicine Surveys and Questionnaires medicine Humans EEG Neurologists Practice Patterns Physicians' Response rate (survey) medicine.diagnostic_test 3112 Neurosciences General Medicine Middle Aged medicine.disease Directive Epilepsy Driving license EEG Driving regulations ddc:616.8 3. Good health Fitness to drive Test (assessment) Europe SPIKE-WAVE Neurology Female Neurology (clinical) Psychology TRAFFIC ACCIDENTS 030217 neurology & neurosurgery |
| Zdroj: | Seizure, London : W.B. Saunders Ltd, 2020, vol. 79, p. 56-60 Seizure, Vol. 79 (2020) pp. 56-60 |
| ISSN: | 1532-2688 1059-1311 |
| Popis: | Purpose: Epilepsy patients consider driving issues to be one of their most serious concerns. Ideally, decisions regarding fitness to drive should be based upon thorough evaluations by specialists in epilepsy care. In 2009, an EU directive was published aiming to harmonize evaluation practices within European countries, but, despite these recommendations, whether all epileptologists use the same criteria is unclear. We therefore conducted this study to investigate routine practices on how epileptologists at European epilepsy centers evaluate fitness to drive.Methods: A questionnaire was sent to 63 contact persons identified through the European Epi-Care and the E-pilepsy network. The questionnaire addressed how fitness-to-drive evaluations were conducted, the involvement of different professionals, the use and interpretation of EEG, and opinions on existing regulations and guidelines.Results: The questionnaire was completed by 35 participants (56 % response rate). Results showed considerable variation regarding test routines and the emphasis placed on the occurrence and extent of epileptiform discharges revealed by EEG. 82 % of the responders agreed that there was a need for more research on how to better evaluate fitness-to-drive in people with epilepsy, and 89 % agreed that regulations on fitness to drive evaluations should be internationally coordinated.Conclusion: Our survey showed considerable variations among European epileptologists regarding use of EEG and how findings of EEG pathology should be assessed in fitness-to-drive evaluations. There is a clear need for more research on this issue and international guidelines on how such evaluations should be carried out would be of value. |
| Databáze: | OpenAIRE |
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