Authors (including presenting author) :
Fung LWE, Yam KM, Yau LYM
Affiliation :
Departmetn of Paediatrics, Prince of Wales Hospital
Introduction :
Unprovoked seizures are common indications for admission. Electroencephalogram (EEG) is indicated in these patients to facilitate diagnosis and prognostication. With limited EEG availability, some of these patients might have to perform EEGs in outpatient sessions and then follow up for results. We attempt to enhance EEG service by performing EEG and then discuss on the results within the same admission.
Objectives :
To evaluate the feasibility of performing early EEG in same emergency admission and review the results and implications in management
Methodology :
From Jun 2015 -May 2018, patients admitted with first episode of seizures or recurrent seizures with EEG indicated were recruited. We performed EEG and discussed the results during the same admission with the resources available. The results of the EEG were analysed.
Result & Outcome :
There were 157 patients recruited with early EEG performed (within 48 hours of admission). The median age of patients was 5.9 years (range from 1 month to 17 years), 69 of them are female. Eighty-six (54%) showed abnormal results. The availability of information in these patients is very helpful in terms of management, finding appropriate treatment choices and counselling the risk of recurrence. We have also saved extra outpatient EEG sessions and follow up sessions for EEG results for patients/ family and physicians Early EEG recording is feasible in the inpatient setting. Adjustment of the workflow arrangement to increase flexibility of the logistics can save time for clinical staff and families/ patients.
