Biondi Andrea, Dursun Eren, Viana Pedro F, Laiou Petroula, Richardson Mark P
Institute of Psychiatry, Psychology and Neuroscience, King's College London, London, UK.
Institute of Psychiatry, Psychology and Neuroscience, King's College London, London, UK.
Epilepsy Behav. 2024 Oct;159:109990. doi: 10.1016/j.yebeh.2024.109990. Epub 2024 Aug 23.
Novel mobile and portable EEG solutions, designed for short and long-term monitoring of individuals with epilepsy have been developed in recent years but, they are underutilized, lacking full integration into clinical routine. Exploring the opinions of hospital-based healthcare professionals regarding their potential application, technical requirements and value would be crucial for future device development and increase their clinical application.
To evaluate professionals' opinions on novel EEG systems, focusing on their potential application in various clinical settings, professionals' interest in non-invasive solutions for ultra-long monitoring of people with epilepsy (PWE) and factors which could increase future use of novel EEG systems.
We conducted an online survey where Hospital-based professionals shared opinions on potential advantages, clinical value, and key features of novel wearable EEG systems in five different clinical settings. Additionally, insights were gathered on the need for future research and, the need for additional information about devices from companies and researchers.
Respondents (n = 40) prioritized high performance, data quality, easy patient mobility, and comfort as crucial features for novel devices. Advantages were highlighted, including more natural settings, reduced application time, earlier epilepsy diagnosis, and decreased support requirements. Novel EEG devices were seen as valuable for epilepsy diagnosis, seizure monitoring, automatic seizure documentation, seizure alarms, and seizure forecasting. Interest in integrating these new systems into clinical practice was high, particularly for supervising drug-resistant epilepsy, reducing SUDEP, and detecting nocturnal seizures. Professionals emphasized the need for more research studies and highlighted the need for increased information from companies and researchers.
Professionals underscore specific technical and practical features, along with potential clinical advantages and value of novel EEG devices that could drive their development. While interest in integrating these solutions in clinical practice exists, further validation studies and enhanced communication between researchers, companies, and clinicians are crucial for overcoming potential scepticism and facilitating widespread adoption.
近年来已开发出用于癫痫患者短期和长期监测的新型移动和便携式脑电图解决方案，但这些方案未得到充分利用，缺乏与临床常规的全面整合。探索医院医疗保健专业人员对其潜在应用、技术要求和价值的看法对于未来设备开发以及增加其临床应用至关重要。
评估专业人员对新型脑电图系统的看法，重点关注其在各种临床环境中的潜在应用、专业人员对癫痫患者超长监测无创解决方案的兴趣以及可能增加新型脑电图系统未来使用的因素。
我们进行了一项在线调查，医院专业人员就新型可穿戴脑电图系统在五种不同临床环境中的潜在优势、临床价值和关键特征发表了意见。此外，还收集了关于未来研究需求以及从公司和研究人员处获取有关设备更多信息的需求的见解。
受访者（n = 40）将高性能、数据质量、患者移动方便和舒适度列为新型设备的关键特征。强调了一些优势，包括更自然的环境、应用时间缩短、癫痫早期诊断以及支持需求减少。新型脑电图设备在癫痫诊断、发作监测、自动发作记录、发作警报和发作预测方面被视为有价值。将这些新系统整合到临床实践中的兴趣很高，特别是用于监督耐药性癫痫、降低癫痫猝死风险和检测夜间发作。专业人员强调需要更多的研究，并突出了从公司和研究人员处获取更多信息的必要性。
专业人员强调了新型脑电图设备的特定技术和实际特征，以及潜在的临床优势和价值，这些可能推动其发展。虽然存在将这些解决方案整合到临床实践中的兴趣，但进一步的验证研究以及研究人员、公司和临床医生之间加强沟通对于克服潜在的怀疑态度和促进广泛采用至关重要。
