TITLE

Safety of Long-term Video-Electroencephalographic Monitoring for Evaluation of Epilepsy

AUTHOR(S)
Noe, Katherine H.; Drazkowski, Joseph F.
PUB. DATE
June 2009
SOURCE
Mayo Clinic Proceedings;Jun2009, Vol. 84 Issue 6, p495
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
OBJECTIVE: To determine the rate of medical complications from long-term video-electroencephalographic (EEG) monitoring for epilepsy. PATIENTS AND METHODS: We reviewed the medical records of 428 consecutive adult patients with epilepsy who were admitted for diagnostic scalp video-EEG monitoring at Mayo Clinic's site in Arizona from January 1, 2005, to December 31, 2006; 149 met inclusion criteria for the Study. Seizure number and type as well as timing and presence of seizure-related adverse outcomes were noted. RESULTS: Of the 149 adult patients included in the study, seizure clusters occurred in 35 (23%); 752 seizures were recorded. The mean time to first seizure was 2 days, with a mean length of stay of 5 days. Among these patients, there was 1 episode of status epilepticus, 3 potentially serious electrocardiographic abnormalities, 2 cases of postictal psychosis, and 4 vertebral compression fractures during a generalized convulsion, representing 11% of patients with a recorded generalized tonic-clonic seizure. No deaths, transfers to the intensive care unit, fails, dental injuries, or pulmonary complications were recorded. An adverse event requiring intervention or interfering with normal activity occurred in 21% of these patients. Length of stay was not affected by occurrence of adverse events. CONCLUSION: Prolonged video-EEG monitoring is an acceptably safe procedure. Adverse events occur but need not result in substantial morbidity or increase length of hospitalization. Appropriate precautions must be in place to prevent falls and promptly detect and treat seizure clusters, status epilepticus, serious electrocardiographic abnormalities, psychosis, and fractures.
ACCESSION #
41526571

 

Related Articles

  • SURVEY ON THE LENGTH OF STAY FOR THE PATIENTS WITH CHRONIC OBSTRUCTIVE PULMONARY DISEASE: AN APPLICATION ON ATATURK CHEST DISEASE HOSPITAL. Esto&gcaron;lu, Afsun Ezel; Bozat, Songül // Journal of Ankara Medical School;Dec2002, Vol. 24 Issue 4, p165 

    Presents the results of a survey on the length of stay for the patients with chronic obstructive pulmonary disease in Ataturk Chest Disease Hospital in Turkey. Relations between the average length of stay and educational level; Existence of complication and reasons for complication; Factors...

  • Pre-Admission Clinical Factors Affect Length of Stay in the Epilepsy Monitoring Unit. Lampe, Emily; Forster, Jeri; Herbst, Emily; Spitz, Mark; Frey, Lauren // Neurodiagnostic Journal (ASET - The Neurodiagnostic Society);Jun2014, Vol. 54 Issue 2, p138 

    Objective: Video-EEG monitoring in the epilepsy monitoring unit (EMU) is a limited clinical resource. Knowledge of the predicting factors for length of stay (LOS) in the EMU may allow providers to more efficiently utilize EMU bed space. Methods: The records for all consecutive admissions to the...

  • EB68 Implementation of an Early Mobility Program by Using the Comprehensive Unit-Based Safety Program Model. Stroud, Shalan; Foss, Michelle; Buse, Shelly // Critical Care Nurse;Apr2015, Vol. 35 Issue 2, pe32 

    An abstract of the article "Implementation of an Early Mobility Program by Using the Comprehensive Unit-Based Safety Program Model" by Shalan Stroud, Michelle Foss and Shelly Buse is presented.

  • Body temperature alterations in the critically ill. Peres Bota, Daliana; Lopes Ferreira, Flavio; Mélot, Christian; Vincent, Jean Louis; Mélot, Christian // Intensive Care Medicine;May2004, Vol. 30 Issue 5, p811 

    Objective: To determine the incidence of body temperature (BT) alterations in critically ill patients, and their relationship with infection and outcome.Design: Prospective, observational study. SETTING. Thirty-one bed, medico-surgical department of intensive...

  • Gastriontestinal Complications Following Infrarenal Endovascular Aneurysm Repair. Malinzak, Lauren E.; Long, Graham W.; Bove, Paul G.; William Brown, O.; Romano, William; Shaley, Charles J.; Zelenock, Gerald B.; Bendick, Phillip J.; Oak, Royal // Vascular & Endovascular Surgery;Mar/Apr2004, Vol. 38 Issue 2, p137 

    Evaluates gastrointestinal complications after infrarenal endovascular aneurysm repair. Exploratory laparotomy for small bowel obstruction; Operative repair of an incarcerated inguinal hernia; Association of complications with longer hospital length of stay; Absence of colonic ischemia,...

  • 'Let's Just Wait One More Day': Impact of Timing on Surgical Outcome in the Treatment of Adhesion-Related Small Bowel Obstruction. JOSEPH, SIGI P.; SIMONSON, MIKE; EDWARDS, CHRISTOPHER // American Surgeon;Feb2013, Vol. 79 Issue 2, p175 

    Controversy exists but most surgeons agree that surgical treatment for failed conservative management of adhesion-related small bowel obstruction (SBO) should be within 48 hours. However, many find themselves delaying definitive treatment in the hopes of resolution. Our aim was to determine what...

  • Condición clínica a la hospitalización y relación con el ingreso a terapia intensiva pediátrica. Rodríguez-Jáuregui, Eva Karina; Blanco-Montero, Andrés; Iglesias-Leboreiro, José; Bernárdez-Zapata, Isabel; Rendón-Macías, Mario Enrique // Revista Medica del IMSS;may/jun2014, Vol. 52 Issue 3, p290 

    Background: The admission to a pediatric intensive care unit (PICU) depends on several factors, but the chances of recovery of the patient are the main cause. Most of the patients are admitted from urgency or surgery room, and a minority from hospitalization areas. The aim of this study was to...

  • Diabetes and chronic kidney disease: a complex combination. Marchant, Karen // British Journal of Nursing;3/27/2008, Vol. 17 Issue 6, p356 

    Diabetes and chronic kidney disease (CKD) are two disease processes that remain with patients from diagnosis to the end of their lives. Both are destructive conditions that must be diagnosed early to prevent longer-term complications, such as retinopathy and neuropathy. Diabetes remains the...

  • Reducing variation in total knee replacements. Saver, Cynthia // OR Manager;Aug2012, Vol. 28 Issue 8, p1 

    The article focuses on variation in care in several hospitals related to total knee replacement (TKR). Several factors related to variation include discharge time, length of stay (LOS) and complication rates. Several practices like reduction of in-hospital complication rates and involvement of...

Share

Read the Article

Courtesy of VIRGINIA BEACH PUBLIC LIBRARY AND SYSTEM

Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics