Comparison of a dedicated children's seizure clinic to mixed general paediatric clinics.
BACKGROUND: In the light of recent recommendations regarding the current management of children with possible epilepsy in the UK, different models of care are compared using an existing validated audit tool. METHODS: The initial clinical assessment process, investigation, management and communicatio...
| Publicado en: | Child: Care, Health & Development Vol. 31; no. 5; pp. 597 - 603 |
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| Autores principales: | , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Wiley-Blackwell
Sep2005
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=106381940&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 106381940 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 03051862 6NX jtl: Child: Care, Health & Development issn: 03051862 maglogo: Y pubinfo: dt: Sep2005 vid: 31 iid: 5 pid: 480 pub: Wiley-Blackwell place: Malden, Massachusetts artinfo: ui: 106381940 106381940 2009058579 10.1111/j.1365-2214.2005.00536.x NLM16101656 106381940 ppf: 597 ppct: 6 formats: fmt: @attributes: type: P tig: atl: Comparison of a dedicated children's seizure clinic to mixed general paediatric clinics. aug: au: Mar S Dunkley C Al-Ansari I Whitehouse WP affil: Department of Neurology and Pediatrics, Albert Einstein College of Medicine, Bronx, New York sug: subj: Child Health Services Evaluation Epilepsy Therapy Audit Chi Square Test Child Child, Preschool Comparative Studies Descriptive Statistics Female Fisher's Exact Test Health Services Research Hospitals, Pediatric Male Outpatient Service Research Instruments Retrospective Design United Kingdom Human Child: 6-12 years Child, Preschool: 2-5 years Female Male ab: BACKGROUND: In the light of recent recommendations regarding the current management of children with possible epilepsy in the UK, different models of care are compared using an existing validated audit tool. METHODS: The initial clinical assessment process, investigation, management and communication regarding children referred with suspected epilepsy to general paediatric clinics or a paediatric seizure clinic was compared using the British Paediatric Neurology Association (BPNA) audit tool. Results Ninety-three children were included in the comparison. The history and description of the episodes was better documented in the Seizure Clinic (SC). Children's early development (79% vs. 50%) and school performance (86% vs. 42%) were better documented in the SC. Documentation of possible side effects relating to newly prescribed anti-epileptic drugs was poor in both groups (33% vs. 15%). CONCLUSIONS: Differences between models of epilepsy care can be detected using audit tools although there are some methodological limitations of this particular study. Future similar studies as well as informing local practice can add to the debate on the appropriate way forward in improving the care for children with epilepsy. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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