Investment in epilepsy monitoring units improves epilepsy care-experience in a regional neuroscience centre

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dc.contributor.author McGinty, Ronan N.
dc.contributor.author Costello, Daniel J.
dc.contributor.author McNamara, Brian
dc.contributor.author Kinirons, Peter
dc.contributor.author Sweeney, Bernard J.
dc.date.accessioned 2017-12-14T12:31:01Z
dc.date.available 2017-12-14T12:31:01Z
dc.date.issued 2017-08
dc.identifier.citation McGinty, R. N., Costello, D. J., McNamara, B., Kinirons, P. and Sweeney, B. J. (2017) 'Investment in epilepsy monitoring units improves epilepsy care-experience in a regional neuroscience centre', Irish Medical Journal, 110(7), 601 (5pp). en
dc.identifier.volume 110 en
dc.identifier.issued 7 en
dc.identifier.issn 0332-3102
dc.identifier.uri http://hdl.handle.net/10468/5176
dc.description.abstract An evaluation of the clinical yield of inpatient long-term video-EEG (vEEG) in a new epilepsy monitoring unit (EMU) was undertaken, with findings compared to the centre's prior method of bedside vEEG recording in a standard neurology ward, as reported in 2004. A retrospective analysis of neurophysiology reports for all adults who underwent elective vEEG monitoring in the EMU at Cork University Hospital between January 2015 and July 2016 was conducted. Of 115 vEEG studies in the EMU, 100 (87.0%) were deemed diagnostically conclusive, 14 (12.2%) failed to catch any clinical events and showed normal EEG throughout, and one (0.9%) captured spells of unclear clinical significanceâ the corresponding figures reported in 2004 for bedside vEEGs were 21.3%, 77% and 1.6%, respectively. The EMU offers a more effective method of recording inpatient vEEG, which aids decision-making and improves clinical outcomes. Some evidence-based measures which could further enhance diagnostic yield are discussed. en
dc.format.mimetype application/pdf en
dc.language.iso en en
dc.publisher Irish Medical Organisation en
dc.relation.uri http://imj.ie/imj-julyaugust-2017-vol-110-no-7/
dc.rights © 2017, Irish Medical Journal. All rights reserved. en
dc.subject Video-EEG en
dc.subject Epilepsy monitoring unit en
dc.title Investment in epilepsy monitoring units improves epilepsy care-experience in a regional neuroscience centre en
dc.type Article (peer-reviewed) en
dc.internal.authorcontactother Daniel Costello, Medicine, University College Cork, Cork, Ireland. +353-21-490-3000 Email: daniel.costello@hse.ie en
dc.internal.availability Full text available en
dc.date.updated 2017-12-07T10:04:40Z
dc.description.version Published Version en
dc.internal.rssid 419941393
dc.description.status Peer reviewed en
dc.identifier.journaltitle Irish Medical Journal en
dc.internal.copyrightchecked Yes en
dc.internal.licenseacceptance Yes en
dc.internal.IRISemailaddress Daniel.Costello@hse.ie en
dc.identifier.articleid 601


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