Newly diagnosed seizures assessed at two established first seizure clinics: Clinic characteristics, investigations, and findings over 11 years

Autor: Anne M. McIntosh, K. Meng Tan, Tahir M. Hakami, Mark R. Newton, Patrick W. Carney, Mengjiazhi Yang, Sibel Saya, David J. T. Marco, Piero Perucca, Patrick Kwan, Terence J. O’Brien, Samuel F. Berkovic
Jazyk: angličtina
Rok vydání: 2021
Předmět:
Zdroj: Epilepsia Open, Vol 6, Iss 1, Pp 171-180 (2021)
Druh dokumentu: article
ISSN: 2470-9239
DOI: 10.1002/epi4.12460
Popis: Abstract Objective ‘First seizure’ clinics (FSCs) aim to achieve early expert assessment for individuals with possible new‐onset epilepsy. These clinics also have substantial potential for research into epilepsy evolution, outcomes, and costs. However, a paucity of FSCs details has implications for interpretation and utilization of this research. Methods We reviewed investigation findings over 11 years (2000‐2010) from two established independent FSCs at Austin Health (AH) and Royal Melbourne Hospital (RMH), Australia. These adult clinics are in major public hospitals and operate with similar levels of expertise. Organizational differences include screening and dedicated administration at AH. Included were N = 1555 patients diagnosed with new‐onset unprovoked seizures/epilepsy (AH n = 901, RMH n = 654). Protocol‐driven interviews and investigations had been recorded prospectively and were extracted from medical records for study. Results Median patient age was 37 (IQR 26‐52, range 18‐94) years (AH 34 vs RMH 42 years; P
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