> Detailanzeige

Taylor, Claire; Tudur‐Smith, Catrin; Dixon, Pete; Linehan, Christine; Gunko, Aleksei; Christensen, Jakob; Pearson, Mike; Tomson, Torbjorn; Marson, Anthony

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

Literatur-
verwaltung

Zur
Merkliste

Lösche von
Merkliste

Per Whatsapp teilen

Schließen

Merkliste



Sie können Bookmarks mittels Listen verwalten, loggen Sie sich dafür bitte in Ihr SLUB Benutzerkonto ein.
  • Medientyp: E-Artikel
  • Titel: 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
  • Beteiligte: Taylor, Claire; Tudur‐Smith, Catrin; Dixon, Pete; Linehan, Christine; Gunko, Aleksei; Christensen, Jakob; Pearson, Mike; Tomson, Torbjorn; Marson, Anthony
  • Erschienen: Wiley, 2022
  • Erschienen in: European Journal of Neurology
  • Sprache: Englisch
  • DOI: 10.1111/ene.15336
  • ISSN: 1351-5101; 1468-1331
  • Schlagwörter: Neurology (clinical) ; Neurology
  • Entstehung:
  • Anmerkungen:
  • Beschreibung: <jats:title>Abstract</jats:title><jats:sec><jats:title>Background and purpose</jats:title><jats:p>This position paper makes recommendations following an audit of care provided to people presenting with a seizure to emergency departments (EDs) in Europe.</jats:p></jats:sec><jats:sec><jats:title>Methods</jats:title><jats:p>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.</jats:p></jats:sec><jats:sec><jats:title>Results</jats:title><jats:p>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.</jats:p></jats:sec><jats:sec><jats:title>Conclusions and recommendations</jats:title><jats:p>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.</jats:p></jats:sec>