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How Seizure Detection by Continuous Electroencephalographic Monitoring Affects the Prescribing of Antiepileptic Medications

How Seizure Detection by Continuous Electroencephalographic Monitoring Affects the Prescribing of... ORIGINAL CONTRIBUTION How Seizure Detection by Continuous Electroencephalographic Monitoring Affects the Prescribing of Antiepileptic Medications Ronan D. Kilbride, MD, MRCPI; Daniel J. Costello, MD, MRCPI; Keith H. Chiappa, MD Objectives: To assess the effect of continuous electro- leptic drug (AED) therapy based on the electroen- encephalographic monitoring on the decision to treat sei- cephalographic findings. zures in the inpatient setting, particularly in the inten- Results: The findings from the continuous electroen- sive care unit. cephalographic monitoring led to a change in AED pre- scribing in 52% of all studies with initiation of an AED Design: Retrospective cohort study. therapy in 14%, modification of AED therapy in 33%, and discontinuation of AED therapy in 5% of all studies. Spe- Setting: Medical and neuroscience intensive care units cifically, the detection of electrographic seizures led to a and neurological wards. change in AED therapy in 28% of all studies. Patients: Three hundred consecutive nonelective con- Conclusions: The findings of continuous electroen- tinuous electroencephalographic monitoring studies, cephalographic monitoring resulted in a change in AED performed on 287 individual inpatients over a 27- prescribing during or after half of the studies per- month period. formed. Most AED changes were made as a result of http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png JAMA Neurology American Medical Association

How Seizure Detection by Continuous Electroencephalographic Monitoring Affects the Prescribing of Antiepileptic Medications

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Publisher
American Medical Association
Copyright
Copyright 2009 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Restrictions Apply to Government Use.
ISSN
2168-6149
eISSN
2168-6157
DOI
10.1001/archneurol.2009.100
pmid
19506131
Publisher site
See Article on Publisher Site

Abstract

ORIGINAL CONTRIBUTION How Seizure Detection by Continuous Electroencephalographic Monitoring Affects the Prescribing of Antiepileptic Medications Ronan D. Kilbride, MD, MRCPI; Daniel J. Costello, MD, MRCPI; Keith H. Chiappa, MD Objectives: To assess the effect of continuous electro- leptic drug (AED) therapy based on the electroen- encephalographic monitoring on the decision to treat sei- cephalographic findings. zures in the inpatient setting, particularly in the inten- Results: The findings from the continuous electroen- sive care unit. cephalographic monitoring led to a change in AED pre- scribing in 52% of all studies with initiation of an AED Design: Retrospective cohort study. therapy in 14%, modification of AED therapy in 33%, and discontinuation of AED therapy in 5% of all studies. Spe- Setting: Medical and neuroscience intensive care units cifically, the detection of electrographic seizures led to a and neurological wards. change in AED therapy in 28% of all studies. Patients: Three hundred consecutive nonelective con- Conclusions: The findings of continuous electroen- tinuous electroencephalographic monitoring studies, cephalographic monitoring resulted in a change in AED performed on 287 individual inpatients over a 27- prescribing during or after half of the studies per- month period. formed. Most AED changes were made as a result of

Journal

JAMA NeurologyAmerican Medical Association

Published: Jun 1, 2009

References