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An accelerated shift in the use of remote systems in epilepsy due to the COVID-19 pandemic.
Kuchenbuch, Mathieu; D'Onofrio, Gianluca; Wirrell, Elaine; Jiang, Yuwu; Dupont, Sophie; Grinspan, Zachary M; Auvin, Stephane; Wilmshurst, Jo M; Arzimanoglou, Alexis; Cross, J Helen; Specchio, Nicola; Nabbout, Rima.
Afiliação
  • Kuchenbuch M; APHP, Reference Centre for Rare Epilepsies, Department of Pediatric Neurology, Hôpital Necker-Enfants Malades, Université de Paris, Paris, France; Laboratory of Translational Research for Neurological Disorders, INSERM UMR 1163, Imagine institute, Université de Paris, France.
  • D'Onofrio G; APHP, Reference Centre for Rare Epilepsies, Department of Pediatric Neurology, Hôpital Necker-Enfants Malades, Université de Paris, Paris, France; Pediatric Residency Program, Department of Women and Child Health, University of Padua, Italy.
  • Wirrell E; Divisions of Child and Adolescent Neurology and Epilepsy, Department of Neurology, Mayo Clinic, Rochester, MN, USA.
  • Jiang Y; Departments of Pediatrics and Pediatric Epilepsy Center, Peking, University First Hospital, Beijing, China.
  • Dupont S; Epilepsy Unit and Rehabilitation Unit, Hôpital de la Pitié-Salpêtrière, AP-HP; Centre de recherche de l'Institut du cerveau et de la moelle épinière (ICM), UMPC-UMR 7225 CNRS-UMRS 975 Inserm, Paris, France; Université Paris Sorbonne, Paris, France.
  • Grinspan ZM; Departments of Population Health Sciences and Pediatrics, Weill Cornell Medicine, New York, NY, USA.
  • Auvin S; APHP, Department of Pediatric Neurology, Hôpital Robert-Debré, Paris, France.
  • Wilmshurst JM; Paediatric Neurology Department, Red Cross War Memorial Children's Hospital, Neuroscience Institute, University of Cape Town, South Africa.
  • Arzimanoglou A; Department of Paediatric Epilepsy, Sleep Disorders and Functional Neurology, University Hospitals of Lyon, Member of the ERN EpiCARE, Lyon, France; Epilepsy Unit, San Juan de Dios Children's Hospital, Universitat de Barcelona, Member of the ERN EpiCARE, Barcelona, Spain.
  • Cross JH; UCL NIHR BRC Great Ormond Street Institute of Child Health, London WC1N 1EH, United Kingdom of Great Britain and Northern Ireland.
  • Specchio N; Rare and Complex Epilepsy Unit, Department of Neuroscience, Bambino Gesu' Children's Hospital, IRCCS, Member of European Reference Network EpiCARE, Rome, Italy.
  • Nabbout R; APHP, Reference Centre for Rare Epilepsies, Department of Pediatric Neurology, Hôpital Necker-Enfants Malades, Université de Paris, Paris, France; Laboratory of Translational Research for Neurological Disorders, INSERM UMR 1163, Imagine institute, Université de Paris, France. Electronic address: rim
Epilepsy Behav ; 112: 107376, 2020 11.
Article em En | MEDLINE | ID: mdl-32882627
PURPOSE: The purpose of the study was to describe epileptologists' opinion on the increased use of remote systems implemented during the COVID-19 pandemic across clinics, education, and scientific meetings activities. METHODS: Between April and May 2020, we conducted a cross-sectional, electronic survey on remote systems use before and during the COVID-19 pandemic through the European reference center for rare and complex epilepsies (EpiCARE) network, the International and the French Leagues Against Epilepsy, and the International and the French Child Neurology Associations. After descriptive statistical analysis, we compared the results of France, China, and Italy. RESULTS: One hundred and seventy-two respondents from 35 countries completed the survey. Prior to the COVID-19 pandemic, 63.4% had experienced remote systems for clinical care. During the pandemic, the use of remote clinics, either institutional or personal, significantly increased (p < 10-4). Eighty-three percent used remote systems with video, either institutional (75%) or personal (25%). During the pandemic, 84.6% of respondents involved in academic activities transformed their courses to online teaching. From February to July 2020, few scientific meetings relevant to epileptologists and routinely attended was adapted to virtual meeting (median: 1 [25th-75th percentile: 0-2]). Responders were quite satisfied with remote systems in all three activity domains. Interestingly, before the COVID-19 pandemic, remote systems were significantly more frequently used in China for clinical activity compared with France or Italy. This difference became less marked during the pandemic. CONCLUSION: The COVID-19 pandemic has dramatically altered how academic epileptologists carry out their core missions of clinical care, medical education, and scientific discovery and dissemination. Close attention to the impact of these changes is merited.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Pneumonia Viral / Atitude do Pessoal de Saúde / Telemedicina / Infecções por Coronavirus / Educação a Distância / Epilepsia / Pandemias / Neurologistas Tipo de estudo: Observational_studies / Prevalence_studies / Risk_factors_studies Limite: Adult / Aged / Female / Humans / Male / Middle aged País/Região como assunto: Africa / America do norte / America do sul / Asia / Europa Idioma: En Revista: Epilepsy Behav Assunto da revista: CIENCIAS DO COMPORTAMENTO / NEUROLOGIA Ano de publicação: 2020 Tipo de documento: Article País de afiliação: França País de publicação: Estados Unidos

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Pneumonia Viral / Atitude do Pessoal de Saúde / Telemedicina / Infecções por Coronavirus / Educação a Distância / Epilepsia / Pandemias / Neurologistas Tipo de estudo: Observational_studies / Prevalence_studies / Risk_factors_studies Limite: Adult / Aged / Female / Humans / Male / Middle aged País/Região como assunto: Africa / America do norte / America do sul / Asia / Europa Idioma: En Revista: Epilepsy Behav Assunto da revista: CIENCIAS DO COMPORTAMENTO / NEUROLOGIA Ano de publicação: 2020 Tipo de documento: Article País de afiliação: França País de publicação: Estados Unidos