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Do patients need to stay in bed all day in the Epilepsy Monitoring Unit? Safety data from a non-restrictive setting

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Craciun, Laura ; Alving, Jørgen ; Gardella, Elena ; Terney, Daniella ; Meritam, Pirgit ; Cacic Hribljan, Melita ; Beniczky, Sándor. / Do patients need to stay in bed all day in the Epilepsy Monitoring Unit? Safety data from a non-restrictive setting. In: Seizure. 2017 ; Vol. 49. pp. 13-16.

Bibtex

@article{6ac6623903504a309646ba169e61ae47,
title = "Do patients need to stay in bed all day in the Epilepsy Monitoring Unit?: Safety data from a non-restrictive setting",
abstract = "PURPOSE: To assess whether injuries occur more often in an Epilepsy Monitoring Unit (EMU) where portable EEG amplifiers are used, and where patients can freely move within a large area during the monitoring.METHODS: Patients were monitored at the Danish Epilepsy Center, in an EMU specifically designed for this purpose, and they were under continuous surveillance by personnel dedicated to the EMU. Adverse events (AEs) - including injuries, were prospectively noted, as part of the safety policy of the hospital. Other data were retrospectively extracted from the electronic database, for a 5-year period (January 2012-December 2016).RESULTS: 976 patients were admitted to the EMU. Falls occurred in 19 patients (1.9{\%}) but none of them resulted in injury. Only one serious AE occurred: a patient had a convulsive status epilepticus, which did not respond to first-line treatment in the EMU and was transferred to the intensive care unit. The rate of AEs were similar or lower than previously reported by other centers, where the mobility of the patients had been restricted during monitoring.CONCLUSION: In an EMU specially designed for this purpose, where patients are under continuous surveillance by personnel dedicated to the EMU, injuries can be avoided even when the mobility of the patients is not restricted.",
keywords = "Accidental Falls, Adolescent, Adult, Aged, Aged, 80 and over, Child, Child, Preschool, Electroencephalography, Epilepsy, Female, Humans, Infant, Male, Middle Aged, Monitoring, Ambulatory, Monitoring, Physiologic, Patient Safety, Video Recording, Young Adult, Journal Article",
author = "Laura Craciun and J{\o}rgen Alving and Elena Gardella and Daniella Terney and Pirgit Meritam and {Cacic Hribljan}, Melita and S{\'a}ndor Beniczky",
note = "Copyright {\circledC} 2017 British Epilepsy Association. Published by Elsevier Ltd. All rights reserved.",
year = "2017",
doi = "10.1016/j.seizure.2017.05.006",
language = "English",
volume = "49",
pages = "13--16",
journal = "Seizure : the journal of the British Epilepsy Association",
issn = "1059-1311",
publisher = "W.B./Saunders Co. Ltd",

}

RIS

TY - JOUR

T1 - Do patients need to stay in bed all day in the Epilepsy Monitoring Unit?

T2 - Safety data from a non-restrictive setting

AU - Craciun, Laura

AU - Alving, Jørgen

AU - Gardella, Elena

AU - Terney, Daniella

AU - Meritam, Pirgit

AU - Cacic Hribljan, Melita

AU - Beniczky, Sándor

N1 - Copyright © 2017 British Epilepsy Association. Published by Elsevier Ltd. All rights reserved.

PY - 2017

Y1 - 2017

N2 - PURPOSE: To assess whether injuries occur more often in an Epilepsy Monitoring Unit (EMU) where portable EEG amplifiers are used, and where patients can freely move within a large area during the monitoring.METHODS: Patients were monitored at the Danish Epilepsy Center, in an EMU specifically designed for this purpose, and they were under continuous surveillance by personnel dedicated to the EMU. Adverse events (AEs) - including injuries, were prospectively noted, as part of the safety policy of the hospital. Other data were retrospectively extracted from the electronic database, for a 5-year period (January 2012-December 2016).RESULTS: 976 patients were admitted to the EMU. Falls occurred in 19 patients (1.9%) but none of them resulted in injury. Only one serious AE occurred: a patient had a convulsive status epilepticus, which did not respond to first-line treatment in the EMU and was transferred to the intensive care unit. The rate of AEs were similar or lower than previously reported by other centers, where the mobility of the patients had been restricted during monitoring.CONCLUSION: In an EMU specially designed for this purpose, where patients are under continuous surveillance by personnel dedicated to the EMU, injuries can be avoided even when the mobility of the patients is not restricted.

AB - PURPOSE: To assess whether injuries occur more often in an Epilepsy Monitoring Unit (EMU) where portable EEG amplifiers are used, and where patients can freely move within a large area during the monitoring.METHODS: Patients were monitored at the Danish Epilepsy Center, in an EMU specifically designed for this purpose, and they were under continuous surveillance by personnel dedicated to the EMU. Adverse events (AEs) - including injuries, were prospectively noted, as part of the safety policy of the hospital. Other data were retrospectively extracted from the electronic database, for a 5-year period (January 2012-December 2016).RESULTS: 976 patients were admitted to the EMU. Falls occurred in 19 patients (1.9%) but none of them resulted in injury. Only one serious AE occurred: a patient had a convulsive status epilepticus, which did not respond to first-line treatment in the EMU and was transferred to the intensive care unit. The rate of AEs were similar or lower than previously reported by other centers, where the mobility of the patients had been restricted during monitoring.CONCLUSION: In an EMU specially designed for this purpose, where patients are under continuous surveillance by personnel dedicated to the EMU, injuries can be avoided even when the mobility of the patients is not restricted.

KW - Accidental Falls

KW - Adolescent

KW - Adult

KW - Aged

KW - Aged, 80 and over

KW - Child

KW - Child, Preschool

KW - Electroencephalography

KW - Epilepsy

KW - Female

KW - Humans

KW - Infant

KW - Male

KW - Middle Aged

KW - Monitoring, Ambulatory

KW - Monitoring, Physiologic

KW - Patient Safety

KW - Video Recording

KW - Young Adult

KW - Journal Article

U2 - 10.1016/j.seizure.2017.05.006

DO - 10.1016/j.seizure.2017.05.006

M3 - Journal article

VL - 49

SP - 13

EP - 16

JO - Seizure : the journal of the British Epilepsy Association

JF - Seizure : the journal of the British Epilepsy Association

SN - 1059-1311

ER -

ID: 52626120