Emergency implementation of telemedicine for epilepsy in Spain: Results of a survey during SARS-CoV-2 pandemic
Emergency implementation of telemedicine for epilepsy in Spain: Results of a survey during SARS-CoV-2 pandemic
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DOI：
10.1016/j.yebeh.2020.107211
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发表时间：
2020-10-01
影响因子：
2.6
通讯作者：
Carreno, Mar
中科院分区：
文献类型：
--
作者：
Conde-Blanco, Estefania;Centeno, Maria;Carreno, Mar
西班牙的远程神经病学到目前为止还没有在临床实践中实施，除了中风的紧急患者。远程医疗很少用于癫痫，患者和神经科医生通常更喜欢现场访问。我们的目标是研究成人和儿童癫痫专家对在新的冠状病毒2019(新冠肺炎)大流行期间紧急实施远程医疗后使用远程医疗的印象。方法：向西班牙癫痫学会成员和加泰罗尼亚神经学会癫痫研究小组成员发送在线调查，询问大流行封锁期间远程医疗在癫痫中的不同方面。结果：共有66名神经科医生回复，其中大部分是成人神经科医生(80.3%)，大多数是专科癫痫诊所(4/5)。在所有受访者中，59.1%的人报告每周接受超过20名癫痫(PWE)患者的治疗。在大流行期间，受访者主要通过电话处理癫痫诊所(88%)；只有4.5%使用视频会议。66.6%的癫痫专科医生在就诊期间较少更换抗癫痫药物。在这些访问期间没有使用量表，某些类型的信息，如癫痫中的突然预期无关死亡(SUDEP)，被认为更适合当面讨论。超过4/5的神经科医生(84.8%)表示，他们将在未来开放进行远程信息处理访问。结论：在西班牙，紧急植入远程神经病学已被证明适合于许多PWE的护理。技术改进、视频会议的广泛使用和患者选择可能会提高结果以及患者和医生的满意度。(C)Elsevier Inc.出版的2020年。
Teleneurology in Spain had not been implemented so far in clinical practice, except in urgent patients with stroke. Telemedicine was hardly used in epilepsy, and patients and neurologists usually preferred onsite visits. Our goal was to study impressions of adult and pediatric epileptologists about the use of telemedicine after emergent implementation during the new coronavirus 2019 (COVID-19) pandemic.Methods: An online survey was sent to the members of the Spanish Epilepsy Society and the members of the Epilepsy Study Group of the Catalan Neurological Society, inquiring about different aspects of telemedicine in epilepsy during the pandemic lockdown.Results: A total of 66 neurologists responded, mostly adult neurologists (80.3%), the majority with a monographic epilepsy clinic (4 out of 5). Of all respondents, 59.1% reported to attend more than 20 patients with epilepsy (PWE) a week. During the pandemic, respondents handled their epilepsy clinics mainly with telephone calls (88%); only 4.5% used videoconference. Changes in antiseizure medications were performed less frequently than during onsite visits by 66.6% of the epileptologists. Scales were not administered during these visits, and certain types of information such as sudden expected unrelated death in epilepsy (SUDEP) were felt to be more appropriate to discuss in person. More than 4 out of 5 of the neurologists (84.8%) stated that they would be open to perform some telematic visits in the future.Conclusions: In Spain, emergent implantation of teleneurology has shown to be appropriate for the care of many PWE. Technical improvements, extended use of videoconference and patient selection may improve results and patient and physician satisfaction. (C) 2020 Published by Elsevier Inc.