Keeping people with epilepsy safe during the COVID-19 pandemic
Keeping people with epilepsy safe during the COVID-19 pandemic
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DOI：
10.1212/wnl.0000000000009632
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发表时间：
2020-06-09
期刊：
影响因子：
9.9
通讯作者：
Cross, J. Helen
中科院分区：
文献类型：
--
作者：
French, Jacqueline A.;Brodie, Martin J.;Cross, J. Helen
ObjectivesTo provide information on the effect of the coronavirus disease of 2019（COVID-19）pandemic on people with epilepsy and provide consensus recommendations on how to provide the best possible care for people with epilepsy while avoiding visits to emergency care facilities and hospitalizations during the novel coronavirus pandemic.MethodsThe authors developed consensus statements in 2 sections.第一个问题是“在COVID-19大流行期间，我们/临床医生应该如何修改癫痫患者的临床护理路径？第二个问题是“在这场危机中，我们应该给癫痫患者什么一般性的建议？”作者们分别对陈述进行评分，评分范围为-10（强烈不同意）到+10（强烈同意）。所有作者在第一轮评分中对11项医生建议中的5项和对个人/家庭的3/5项建议的评分均为7或以上（强烈同意）。随后，举行了一次电话会议，其中有一个缺乏强烈共识的声明进行了修订。ResultsAfter修订，所有共识的建议得到了7分或以上。这些建议的重点是在家中尽可能多地进行护理，使癫痫患者远离可能遇到COVID-19的医疗机构（包括救援治疗策略），以及通过坚持和确保定期供应药物来最大限度地降低癫痫发作加重的风险。我们还提供了有用的链接，为癫痫患者和健康提供者提供更多有用的信息。结论这些建议可能有助于医疗保健专业人员在冠状病毒大流行期间为癫痫患者提供最佳护理。
ObjectivesTo provide information on the effect of the coronavirus disease of 2019 (COVID-19) pandemic on people with epilepsy and provide consensus recommendations on how to provide the best possible care for people with epilepsy while avoiding visits to urgent care facilities and hospitalizations during the novel coronavirus pandemic.MethodsThe authors developed consensus statements in 2 sections. The first was "How should we/clinicians modify our clinical care pathway for people with epilepsy during the COVID-19 pandemic?" The second was "What general advice should we give to people with epilepsy during this crisis? The authors individually scored statements on a scale of -10 (strongly disagree) to +10 (strongly agree). Five of 11 recommendations for physicians and 3/5 recommendations for individuals/families were rated by all the authors as 7 or above (strongly agree) on the first round of rating. Subsequently, a teleconference was held where statements for which there was a lack of strong consensus were revised.ResultsAfter revision, all consensus recommendations received a score of 7 or above. The recommendations focus on administration of as much care as possible at home to keep people with epilepsy out of health care facilities, where they are likely to encounter COVID-19 (including strategies for rescue therapy), as well as minimization of risk of seizure exacerbation through adherence, and through ensuring a regular supply of medication. We also provide helpful links to additional helpful information for people with epilepsy and health providers.ConclusionThese recommendations may help health care professionals provide optimal care to people with epilepsy during the coronavirus pandemic.