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- Title
A Multicenter Study of Adherence to Best Practices and Application of Epilepsy Quality Metrics in a Pediatric Telemedicine Encounter.
- Authors
Joshi, Charuta N.; Miller, Joseph S.; Silveira, Lori J.; Nelson, Julie A.; Walleigh, Diana J.; Joshi, Sucheta M.; Patel, Anup D.
- Abstract
Objective: To assess Epilepsy Quality Metrics (EQM) and guideline implementation in new pediatric patients seen in telemedicine. Methods: Multicenter, cross sectional, retrospective analysis. Results: Patients were similar across 3 centers for age, gender, and insurance type. Eighty-one percent presented for spells. One hundred sixty patients with epilepsy formed the EQM cohort. Results: Seizures described: 95%; frequency: 67%, last seizure documented: 81%, epilepsy syndrome documented: 67%; epilepsy diagnosis: 77%, medications reviewed: 56%, adverse events discussed: 73%. Quality of life discussed: 3%. Anticipatory guidance was described as follows: seizure safety, 57%; driving, 47%; SUDEP, 11%; vitamin D discussion, 19%; pregnancy and folic acid counseling, 4% and 10%. Epileptologists were 4 times as likely as generalists in discussing driving safety (odds ratio 3.93, 95% confidence interval 1.7-8.9; P=.001) for all ages. Significance: Performance on EQM and guideline implementation in pediatric epilepsy telemedicine encounters can be improved.
- Subjects
EPILEPSY; BEST practices; TRAFFIC safety; CHILD patients; PEOPLE with epilepsy
- Publication
Journal of Child Neurology, 2022, Vol 37, Issue 8/9, p744
- ISSN
0883-0738
- Publication type
Article
- DOI
10.1177/08830738221099730