Emergency implementation of telemedicine for epilepsy in Spain: Results of a survey during SARS-CoV-2 pandemic

被引：37

作者：

Conde-Blanco, Estefania ^{[1
]}

Centeno, Maria ^{[1
]}

Tio, Ester ^{[2
]}

Muriana, Desiree ^{[3
]}

Garcia-Penas, Juan Jose ^{[4
]}

Serrano, Pedro ^{[5
]}

Nagel, Antonio Gil ^{[6
]}

Serratosa, Jose ^{[7
]}

Jimenez, Angeles Perez ^{[4
]}

Toledo, Manuel ^{[8
]}

Donaire, Antonio ^{[1
]}

Manzanares, Isabel ^{[1
]}

Betran, Olga ^{[1
]}

Carreno, Mar ^{[1
]}

机构：

[1] Hosp Clin Barcelona, Inst Invest Biomed August Pi & Sunyer IDIBAPS, Epilepsy Study Grp, Catalan Neurol Soc,Spanish Epilepsy Soc,European, Barcelona, Spain

[2] Hosp Univ Parc Tauli, Epilepsy Study Grp, Catalan Neurol Soc, Barcelona, Spain

[3] Hosp Mataro, Epilepsy Study Grp, Catalan Neurol Soc, Barcelona, Spain

[4] Hosp Infantil Univ Nino Jesus, Spanish Epilepsy Soc, Madrid, Spain

[5] Hosp Reg Univ Malaga, Spanish Epilepsy Soc, Malaga, Spain

[6] Hosp Ruber Int, Spanish Epilepsy Soc, Madrid, Spain

[7] Hosp Univ Fdn Jimenez Diaz, Spanish Epilepsy Soc, Madrid, Spain

[8] Hosp Univ Vall dHebron, Spanish Epilepsy Soc, Barcelona, Spain

来源：

EPILEPSY & BEHAVIOR | 2020年 / 111卷

关键词：

Telemedicine; Teleneurology; Epilepsy; Adult; Pediatric; NEUROLOGY; FUTURE;

D O I：

10.1016/j.yebeh.2020.107211

中图分类号：

B84 [心理学]; C [社会科学总论]; Q98 [人类学];

学科分类号：

03 ; 0303 ; 030303 ; 04 ; 0402 ;

摘要：

Teleneurology in Spain had not been implemented so far in clinical practice, except in urgent patients with stroke. Telemedicine was hardly used in epilepsy, and patients and neurologists usually preferred onsite visits. Our goal was to study impressions of adult and pediatric epileptologists about the use of telemedicine after emergent implementation during the new coronavirus 2019 (COVID-19) pandemic. Methods: An online survey was sent to the members of the Spanish Epilepsy Society and the members of the Epilepsy Study Group of the Catalan Neurological Society, inquiring about different aspects of telemedicine in epilepsy during the pandemic lockdown. Results: A total of 66 neurologists responded, mostly adult neurologists (80.3%), the majority with a monographic epilepsy clinic (4 out of 5). Of all respondents, 59.1% reported to attend more than 20 patients with epilepsy (PWE) a week. During the pandemic, respondents handled their epilepsy clinics mainly with telephone calls (88%); only 4.5% used videoconference. Changes in antiseizure medications were performed less frequently than during onsite visits by 66.6% of the epileptologists. Scales were not administered during these visits, and certain types of information such as sudden expected unrelated death in epilepsy (SUDEP) were felt to be more appropriate to discuss in person. More than 4 out of 5 of the neurologists (84.8%) stated that they would be open to perform some telematic visits in the future. Conclusions: In Spain, emergent implantation of teleneurology has shown to be appropriate for the care of many PWE. Technical improvements, extended use of videoconference and patient selection may improve results and patient and physician satisfaction. (C) 2020 Published by Elsevier Inc.

引用

页数：4

共 13 条

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