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

Publikation: Bidrag til tidsskrift/Konferencebidrag i tidsskrift /Bidrag til avisTidsskriftartikelForskningpeer review

DOI

  • Claire Taylor, University of Liverpool
  • ,
  • Catrin Tudur-Smith, University of Liverpool
  • ,
  • Pete Dixon, University of Liverpool
  • ,
  • Christine Linehan, University College Dublin
  • ,
  • Aleksei Gunko, University College Dublin
  • ,
  • Jakob Christensen
  • Mike Pearson, University of Liverpool
  • ,
  • Torbjorn Tomson, Karolinska Institutet
  • ,
  • Anthony Marson, Karolinska Institutet, University of Liverpool
  • ,
  • ESBACE consortium and EuroNASH collaborators

BACKGROUND AND PURPOSE: This position paper makes recommendations following an audit of care provided to people presenting with a seizure to emergency departments (EDs) in Europe. METHODS: 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. RESULTS: 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. CONCLUSIONS AND RECOMMENDATIONS: 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.

OriginalsprogEngelsk
TidsskriftEuropean Journal of Neurology
Vol/bind29
Nummer7
Sider (fra-til)1873-1884
Antal sider12
ISSN1351-5101
DOI
StatusUdgivet - jul. 2022

Se relationer på Aarhus Universitet Citationsformater

ID: 272740794