Alfayez Saud M, Aljafen Bandar N
College of Medicine, King Saud University, Riyadh, Kingdom of Saudi Arabia.
Neurosciences (Riyadh). 2016 Oct;21(4):326-330. doi: 10.17712/nsj.2016.4.20160053.
To assess the epilepsy services and identify the challenges in hospitals without epilepsy monitoring units (EMUs). In addition, comparisons between governmental and private sectors, as well as between regions, are to be performed.
A cross sectional study conducted using an online questionnaire distributed to the secondary and tertiary hospitals without EMUs throughout the Kingdom of Saudi Arabia (KSA). The study was conducted from September 2013 to September 2015 and regular updates from all respondents were constantly made. Items in the questionnaire included the region of the institution, the number of pediatric and adult neurologists and neurosurgeons along with their subspecialties, the number of beds in the Neurology Department, whether they provide educational services and have epilepsy clinics and if they refer patients to an EMU or intend to establish one in the future.
Forty-three institutions throughout the Kingdom responded, representing a response rate of 54%. The majority of hospitals (58.1%) had no adult epileptologists. A complete lack of pediatric epileptologists was observed in 72.1% of hospitals. Around 39.5% were utilizing beds from internal medicine. Hospitals with an epilepsy clinic represented 34.9% across all regions and sectors. Hospitals with no intention of establishing an EMU represented 53.5%. Hospitals that did not refer their epileptic patients to an EMU represented 30.2%.
Epilepsy services in KSA hospitals without EMUs are underdeveloped.
评估癫痫服务情况，并确定没有癫痫监测单元（EMU）的医院所面临的挑战。此外，还要对政府部门和私营部门之间以及不同地区之间进行比较。
采用横断面研究，通过在线问卷对沙特阿拉伯王国（KSA）所有没有EMU的二级和三级医院进行调查。研究于2013年9月至2015年9月进行，并不断从所有受访者那里获取定期更新信息。问卷中的项目包括机构所在地区、儿科和成人神经科医生及神经外科医生的数量及其亚专业、神经科的床位数、是否提供教育服务以及是否设有癫痫诊所，以及是否将患者转诊至EMU或未来是否打算设立一个EMU。
沙特全国有43家机构做出回应，回应率为54%。大多数医院（58.1%）没有成人癫痫专家。72.1%的医院完全没有儿科癫痫专家。约39.5%的医院使用内科床位。设有癫痫诊所的医院在所有地区和部门中占34.9%。无意设立EMU的医院占53.5%。不将癫痫患者转诊至EMU的医院占30.2%。
沙特阿拉伯没有EMU的医院的癫痫服务发展不足。
