Children's Hospital Colorado, Anschutz Medical Campus, 2932University of Colorado, Denver, CO, USA.
Ohio University Heritage College of Osteopathic Medicine, 43973Ohio University, Athens, OH, USA.
J Child Neurol. 2022 Aug;37(8-9):744-748. doi: 10.1177/08830738221099730. Epub 2022 Jun 3.
To assess Epilepsy Quality Metrics (EQM) and guideline implementation in new pediatric patients seen in telemedicine. Multicenter, cross sectional, retrospective analysis. Patients were similar across 3 centers for age, gender, and insurance type. Eighty-one percent presented for spells. One hundred sixty patients with epilepsy formed the EQM cohort. Seizures described: 95%; frequency: 67%, last seizure documented: 81%, epilepsy syndrome documented: 67%; epilepsy diagnosis: 77%, medications reviewed: 56%, adverse events discussed: 73%. Quality of life discussed: 3%. Anticipatory guidance was described as follows: seizure safety, 57%; driving, 47%; SUDEP, 11%; vitamin D discussion, 19%; pregnancy and folic acid counseling, 4% and 10%. Epileptologists were 4 times as likely as generalists in discussing driving safety (odds ratio 3.93, 95% confidence interval 1.7-8.9; = .001) for all ages. Significance: Performance on EQM and guideline implementation in pediatric epilepsy telemedicine encounters can be improved.
评估新儿科患者远程医疗中癫痫质量指标 (EQM) 和指南实施情况。多中心、横断面、回顾性分析。三个中心的患者在年龄、性别和保险类型方面相似。81%的患者因发作就诊。160 名癫痫患者组成 EQM 队列。描述的发作：95%；频率：67%，最近一次发作记录：81%，癫痫综合征记录：67%；癫痫诊断：77%，药物审查：56%，不良事件讨论：73%。讨论了生活质量：3%。以下是预期指导：发作安全性，57%；驾驶，47%；SUDEP，11%；维生素 D 讨论，19%；妊娠和叶酸咨询，4%和 10%。癫痫专家比全科医生更有可能讨论所有年龄段的驾驶安全性（比值比 3.93，95%置信区间 1.7-8.9；=0.001）。意义：可以提高儿科癫痫远程医疗中 EQM 和指南实施的绩效。
