Current practices in long-term video-EEG monitoring services: A survey among partners of the E-PILEPSY pilot network of reference for refractory epilepsy and epilepsy surgery

被引：61

作者：

Kobulashvili, Teia ^{[1
,2
]}

Hoefler, Julia ^{[1
,2
]}

Dobesberger, Judith ^{[1
,2
]}

Ernst, Florian ^{[1
,2
]}

Ryvlin, Philippe ^{[3
,32
]}

Cross, J. Helen ^{[4
]}

Braun, Kees ^{[5
]}

Dimova, Petia ^{[6
]}

Francione, Stefano ^{[7
]}

Hecimovic, Hrvoje ^{[8
]}

Helmstaedter, Christoph ^{[9
]}

Kimiskidis, Vasilios K. ^{[10
]}

Lossius, Morten Ingvar ^{[11
]}

Malmgren, Kristina ^{[12
]}

Marusic, Petr ^{[13
]}

Steinhoff, Bernhard J. ^{[14
,32
]}

Boon, Paul ^{[15
]}

Craiu, Dana ^{[16
,17
]}

Delanty, Norman ^{[18
,19
]}

Fabo, Daniel ^{[20
]}

Gil-Nagel, Antonio ^{[21
]}

Guekht, Alla ^{[22
,23
]}

Hirsch, Edouard ^{[24
]}

Kalviainen, Reetta ^{[25
,26
]}

Mameniskiene, Ruta ^{[27
,28
]}

Ozkara, Cigdem ^{[29
]}

Seeck, Margitta ^{[30
,31
]}

Rubboli, Guido ^{[32
,33
,34
]}

Krsek, Pavel ^{[35
]}

Rheims, Sylvain ^{[36
]}

Trinka, Eugen ^{[1
,32
]}

机构：

[1] Paracelsus Med Univ, Dept Neurol, Christian Doppler Klin, Ignaz Harrer Str 79, A-5020 Salzburg, Austria

[2] Ctr Cognit Neurosci, Ignaz Harrer Str 79, A-5020 Salzburg, Austria

[3] CHU Vaudois, Dept Clin Neurosci, Rue Bugnon 46, CH-1011 Lausanne, Switzerland

[4] UCL, Inst Child Hlth, Great Ormond St Hosp Children NHS Fdn Trust, London, England

[5] Univ Med Ctr, Dept Child Neurol, NL-3508 AB Utrecht, Netherlands

[6] St Ivan Rilski Univ Hosp, Epilepsy Surg Ctr, Dept Neurosurg, Sofia, Bulgaria

[7] Osped Niguarda Ca Granda, Claudio Munari Epilepsy Surg Ctr, Piazza Osped Maggiore 3, I-20162 Milan, Italy

[8] Univ Hosp, Dept Neurol, Zagreb Epilepsy Ctr, Vinogradska Cesta 29, Zagreb 10000, Croatia

[9] Univ Bonn, Dept Epileptol, Univ Med Ctr, Sigmund Freud Str 25, D-53105 Bonn, Germany

[10] Aristotle Univ Thessaloniki, Sch Med, Clin Neurophysiol Lab, Thessaloniki 54124, Greece

[11] Oslo Univ Hosp, Dept Complex Epilepsy, Natl Ctr Epilepsy SSE, Oslo, Norway

[12] Univ Gothenburg, Dept Clin Neurosci & Rehabil, Inst Neurosci & Physiol, Sahlgrenska Acad, Gothenburg, Sweden

[13] Charles Univ Prague, Motol Univ Hosp, Fac Med 2, Dept Neurol, V Uvalu 84, CZ-15006 Prague 5, Czech Republic

[14] Epilepsiezentrum Kork, Landstr 1, D-77694 Kehl, Germany

[15] Gehnt Univ Hosp, Inst Neurosci, Reference Ctr Refractory Epilepsy, Ghent, Belgium

[16] Carola Davila Univ Med Bucharest, Sos Berceni 10-12,Sect 4, Bucharest, Romania

[17] Alexandru Obregia Clin Psychiat Hosp, Pediat Neurol Clin, Sos Berceni 10-12,Sect 4, Bucharest, Romania

[18] Royal Coll Surgeons Ireland, Dept Mol & Cellular Therapeut, Dublin 2, Ireland

[19] Beaumont Hosp, Dept Neurol, Dublin 9, Ireland

[20] Natl Inst Clin Neurosci, Amerikai Ut 57, H-1145 Budapest, Hungary

[21] Hosp Ruber Int, Dept Neurol, La Maso 38, Madrid 28034, Spain

[22] Moscow Res & Clin Ctr Neuropsychiat, Healthcare Dept, Ul Donskaya 43, Moscow 115419, Russia

[23] Russian Natl Res Med Univ, Dept Neurol & Neurosurg, Leninsky Pr T 8-8, Moscow 119049, Russia

[24] Dept Neurol, 1 Pl Hop, F-67091 Strasbourg, France

[25] Kuopio Univ Hosp, Dept Neurol, SF-70210 Kuopio, Finland

[26] Univ Eastern Finland, Sch Med, Kuopio, Finland

[27] Vilnius State Univ, Fac Med, Clin Neurol & Neurosurg, Vilnius, Lithuania

[28] Vilnius State Univ, Hosp Santariskiu Klin, Dept Neurol, Epilepsy Ctr, Vilnius, Lithuania

[29] Istanbul Univ, Cerrahpasa Med Fac, Dept Neurol, Div Clin Electroneurophysiol, TR-34098 Istanbul, Turkey

[30] Univ Hosp Geneva, Presurg Epilepsy Evaluat Unit, Funct Neurol & Neurosurg Program, CH-1211 Geneva 14, Switzerland

[31] Univ Lausanne Hosp, Presurg Epilepsy Evaluat Unit, Funct Neurol & Neurosurg Program, CH-1211 Geneva 14, Switzerland

[32] European Epilepsy Monitoring Unit Assoc EEMA, Paris, France

[33] Filadelfia Univ Copenhagen, Danish Epilepsy Ctr, Kolonivej 1, DK-4293 Dianalund, Denmark

[34] Bellaria Hosp, IRCCS Inst Neurol Sci, Bologna, Italy

[35] Charles Univ Prague, Motol Univ Hosp, Fac Med 2, Dept Pediat Neurol, V Uvalu 84, CZ-15006 Prague 5, Czech Republic

[36] Hosp Civils Lyon, Dept Funct Neurol & Epileptol, Lyon, France

来源：

SEIZURE-EUROPEAN JOURNAL OF EPILEPSY | 2016年 / 38卷

关键词：

Epilepsy; Video-EEG monitoring; Long-term monitoring; Epilepsy monitoring unit; Presurgical evaluation; Safety; ADVERSE EVENTS; AMBULATORY EEG; SAFETY; UNITS; RISK; COMPLICATIONS; ELECTRODES; TELEMETRY; UTILITY;

D O I：

10.1016/j.seizure.2016.03.009

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

Purpose: The European Union-funded E-PILEPSY network aims to improve awareness of, and accessibility to, epilepsy surgery across Europe. In this study we assessed current clinical practices in epilepsy monitoring units (EMUs) in the participating centers. Method: A 60-item web-based survey was distributed to 25 centers (27 EMUs) of the E-PILEPSY network across 22 European countries. The questionnaire was designed to evaluate the characteristics of EMUs, including organizational aspects, admission, and observation of patients, procedures performed, safety issues, cost, and reimbursement. Results: Complete responses were received from all (100%) EMUs surveyed. Continuous observation of patients was performed in 22 (81%) EMUs during regular working hours, and in 17 EMUs (63%) outside of regular working hours. Fifteen (56%) EMUs requested a signed informed consent before admission. All EMUs performed tapering/withdrawal of antiepileptic drugs, 14 (52%) prior to admission to an EMU. Specific protocols on antiepileptic drugs (AED) tapering were available in four (15%) EMUs. Standardized Operating Procedures (SOP) for the treatment of seizure clusters and status epilepticus were available in 16 (59%). Safety measures implemented by EMUs were: alarm seizure buttons in 21 (78%), restricted patient's ambulation in 19 (70%), guard rails in 16 (59%), and specially designated bathrooms in 7 (26%). Average costs for one inpatient day in EMU ranged between 100 and 2200 Euros. Conclusion: This study shows a considerable diversity in the organization and practice patterns across European epilepsy monitoring units. The collected data may contribute to the development and implementation of evidence-based recommended practices in LTM services across Europe. (C) 2016 The Authors. Published by Elsevier Ltd. on behalf of British Epilepsy Association.

引用

页码：38 / 45

页数：8

共 24 条

[1]

American Clinical Neurophysiology Society, 2008, Am J Electroneurodiagnostic Technol, V48, P265

[2] Adverse events related to extraoperative invasive EEG monitoring with subdural grid electrodes: A systematic review and meta-analysis [J].

Arya, Ravindra ;

Mangano, Francesco T. ;

Horn, Paul S. ;

Holland, Katherine D. ;

Rose, Douglas F. ;

Glauser, Tracy A. .

EPILEPSIA, 2013, 54 (05) :828-839

[3] Ictal hypoxemia in localization-related epilepsy: analysis of incidence, severity and risk factors [J].

Bateman, Lisa M. ;

Li, Chin-Shang ;

Seyal, Masud .

BRAIN, 2008, 131 :3239-3245

[4] Development, evaluation and implementation of video-EEG telemetry at home [J].

Brunnhuber, Franz ;

Amin, Devyani ;

Yan Nguyen ;

Goyal, Sushma ;

Richardson, Mark P. .

SEIZURE-EUROPEAN JOURNAL OF EPILEPSY, 2014, 23 (05) :338-343

[5] A description of current practice in epilepsy monitoring units [J].

Buelow, Janice M. ;

Privitera, Michael ;

Levisohn, Paul ;

Barkley, Gregory L. .

EPILEPSY & BEHAVIOR, 2009, 15 (03) :308-313

[6] Ambulatory EEG: a cost-effective alternative to inpatient video-EEG in adult patients [J].

Dash, Dianne ;

Hernandez-Ronquillo, Lizbeth ;

Moien-Afshari, Farzad ;

Tellez-Zenteno, Jose F. .

EPILEPTIC DISORDERS, 2012, 14 (03) :290-297

[7] Video-EEG monitoring: Safety and adverse events in 507 consecutive patients [J].

Dobesberger, Judith ;

Walser, Gerald ;

Unterberger, Iris ;

Seppi, Klaus ;

Kuchukhidze, Giorgi ;

Larch, Julia ;

Bauer, Gerhard ;

Bodner, Thomas ;

Falkenstetter, Tina ;

Ortler, Martin ;

Luef, Gerhard ;

Trinka, Eugen .

EPILEPSIA, 2011, 52 (03) :443-452

[8] Evaluating the utility of inpatient video-EEG monitoring [J].

Ghougassian, DF ;

d'Souza, W ;

Cook, MJ ;

O'Brien, LJ .

EPILEPSIA, 2004, 45 (08) :928-932

[9] The value of home video with ambulatory EEG: A prospective service review [J].

Goodwin, Emma ;

Kandler, Rosalind H. ;

Alix, James J. P. .

SEIZURE-EUROPEAN JOURNAL OF EPILEPSY, 2014, 23 (06) :480-482

[10] Complications to invasive epilepsy surgery workup with subdural and depth electrodes: a prospective population-based observational study [J].

Hedegard, Emelie ;

Bjellvi, Johan ;

Edelvik, Anna ;

Rydenhag, Bertil ;

Flink, Roland ;

Malmgren, Kristina .

JOURNAL OF NEUROLOGY NEUROSURGERY AND PSYCHIATRY, 2014, 85 (07) :716-720

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