Al-Jashami Firas, Berglund Måns, Bergström Lisa, Bäärnhielm Maria, Eriksson Hanna, Kumlien Eva, Melin Sara, Vall Victor, Zelano Johan
specialistläkare, stroke- och neuro-logisektionen, medi-cinkliniken, Västman-lands sjukhus, Västerås.
ST-läkare, Neuro- huvud-halscentrum, Norrlands universitetssjukhus, Umeå.
Lakartidningen. 2020 Apr 22;117:FXFP.
Six Swedish hospitals (four university hospitals and two regional hospitals) participated in a pan-European quality assurance project regarding acute management of seizures. Three hundred consecutive emergency department (ED) visits for unprovoked epileptic seizure were assessed (50 per participating hospital). Patients were generally seen by a physician in a timely manner and the quality of the medical care was good. Eyewitness statements were sought in 72% of visits after a first seizure. There is room for improvement regarding documentation of exposure to alcohol or illicit drugs and information about driving of motor vehicles, which was only documented in a minority of cases. Only 56% of patients with known epilepsy had seen a neurologist in the year before their ED visit, indicating shortcomings in the provision of epilepsy care.
六家瑞典医院（四家大学医院和两家地区医院）参与了一项关于癫痫急性处理的泛欧质量保证项目。对连续300例因不明原因癫痫发作而到急诊科就诊的患者进行了评估（每家参与医院50例）。患者通常能及时得到医生诊治，医疗质量良好。首次发作后，72%的就诊病例获取了目击者陈述。在酒精或非法药物接触情况以及机动车驾驶信息的记录方面仍有改进空间，这些信息仅在少数病例中有所记录。在因癫痫发作到急诊科就诊前一年，只有56%的已知癫痫患者看过神经科医生，这表明癫痫护理服务存在不足。
