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Emergency implementation of telemedicine for epilepsy in Spain: Results of a survey during SARS-CoV-2 pandemic.
Conde-Blanco, Estefanía; Centeno, María; Tio, Ester; Muriana, Desiree; García-Peñas, Juan José; Serrano, Pedro; Nagel, Antonio Gil; Serratosa, Jose; Jiménez, Ángeles Pérez; Toledo, Manuel; Donaire, Antonio; Manzanares, Isabel; Betrán, Olga; Carreño, Mar.
  • Conde-Blanco E; Hospital Clínic de Barcelona, Institut d'Investigacions Biomèdiques August Pi i Sunyer (IDIBAPS), Epilepsy Study Group of the Catalan Neurological Society, Spanish Epilepsy Society, European Reference Network (ERN), Spain.
  • Centeno M; Hospital Clínic de Barcelona, Institut d'Investigacions Biomèdiques August Pi i Sunyer (IDIBAPS), Epilepsy Study Group of the Catalan Neurological Society, Spanish Epilepsy Society, European Reference Network (ERN), Spain.
  • Tio E; Hospital Universitari Parc Taulí, Epilepsy Study Group of the Catalan Neurological Society, Spain.
  • Muriana D; Hospital de Mataró, Epilepsy Study Group of the Catalan Neurological Society, Spain.
  • García-Peñas JJ; Hospital Infantil Universitario Niño Jesús, Spanish Epilepsy Society, Spain.
  • Serrano P; Hospital Regional Universitario de Málaga, Spanish Epilepsy Society, Spain.
  • Nagel AG; Hospital Ruber Internacional, Spanish Epilepsy Society, Spain.
  • Serratosa J; Hospital Universitario Fundación Jiménez Díaz, Spanish Epilepsy Society, Spain.
  • Jiménez ÁP; Hospital Infantil Universitario Niño Jesús, Spanish Epilepsy Society, Spain.
  • Toledo M; Hospital Universitario Vall d'Hebron, Spanish Epilepsy Society, Spain.
  • Donaire A; Hospital Clínic de Barcelona, Institut d'Investigacions Biomèdiques August Pi i Sunyer (IDIBAPS), Epilepsy Study Group of the Catalan Neurological Society, Spanish Epilepsy Society, European Reference Network (ERN), Spain.
  • Manzanares I; Hospital Clínic de Barcelona, Institut d'Investigacions Biomèdiques August Pi i Sunyer (IDIBAPS), Epilepsy Study Group of the Catalan Neurological Society, Spanish Epilepsy Society, European Reference Network (ERN), Spain.
  • Betrán O; Hospital Clínic de Barcelona, Institut d'Investigacions Biomèdiques August Pi i Sunyer (IDIBAPS), Epilepsy Study Group of the Catalan Neurological Society, Spanish Epilepsy Society, European Reference Network (ERN), Spain.
  • Carreño M; Hospital Clínic de Barcelona, Institut d'Investigacions Biomèdiques August Pi i Sunyer (IDIBAPS), Epilepsy Study Group of the Catalan Neurological Society, Spanish Epilepsy Society, European Reference Network (ERN), Spain. Electronic address: mcarreno@clinic.cat.
Epilepsy Behav ; 111: 107211, 2020 10.
Article in English | MEDLINE | ID: covidwho-601437
Semantic information from SemMedBD (by NLM)
1. Telemedicine TREATS Epilepsy
Subject
Telemedicine
Predicate
TREATS
Object
Epilepsy
2. Epilepsy COEXISTS_WITH 2019 novel coronavirus
Subject
Epilepsy
Predicate
COEXISTS_WITH
Object
2019 novel coronavirus
3. Cerebrovascular accident PROCESS_OF Patients
Subject
Cerebrovascular accident
Predicate
PROCESS_OF
Object
Patients
4. Satisfaction PROCESS_OF Physicians
Subject
Satisfaction
Predicate
PROCESS_OF
Object
Physicians
5. Telemedicine TREATS Epilepsy
Subject
Telemedicine
Predicate
TREATS
Object
Epilepsy
6. Epilepsy COEXISTS_WITH 2019 novel coronavirus
Subject
Epilepsy
Predicate
COEXISTS_WITH
Object
2019 novel coronavirus
7. Cerebrovascular accident PROCESS_OF Patients
Subject
Cerebrovascular accident
Predicate
PROCESS_OF
Object
Patients
8. Satisfaction PROCESS_OF Physicians
Subject
Satisfaction
Predicate
PROCESS_OF
Object
Physicians
ABSTRACT
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.
Subject(s)
Keywords

Full text: Available Collection: International databases Database: MEDLINE Main subject: Pneumonia, Viral / Telemedicine / Coronavirus Infections / Epilepsy / Pandemics / Betacoronavirus Type of study: Observational study / Prognostic study / Randomized controlled trials Limits: Adult / Humans / Middle aged Country/Region as subject: Europa Language: English Journal: Epilepsy Behav Journal subject: Behavioral Sciences / Neurology Year: 2020 Document Type: Article Affiliation country: J.yebeh.2020.107211

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Pneumonia, Viral / Telemedicine / Coronavirus Infections / Epilepsy / Pandemics / Betacoronavirus Type of study: Observational study / Prognostic study / Randomized controlled trials Limits: Adult / Humans / Middle aged Country/Region as subject: Europa Language: English Journal: Epilepsy Behav Journal subject: Behavioral Sciences / Neurology Year: 2020 Document Type: Article Affiliation country: J.yebeh.2020.107211