Audit of Epilepsy Clinics in South East Thames: Are We NICE? ()
Abstract
Background: NICE has suggested that paediatric epilepsy services should undergo regular audit. An audit was done to gain a snapshot across South East Thames clinics. Method: Audit in South East Thames was conducted in 2010. Results: In 86.5% seizure classification and in 42.8% a syndromic diagnosis was made. cQT interval was calculated in 10.1% cases and 91.8% had an EEG. In 48.5% adverse effects of drugs were communicated. 41.3% were given information leaflets/directed to the appropriate website. In 70.7% developmental/academic progress was documented. 61% had a written care plan. 70.2% had the copy letter to parents/carers whereas it was sent to School & Child Health in 35.1%. 23.1% had access to specialist epilepsy nurse. Conclusions: This audit was a snapshot. The results showed that the care of children with epilepsy is consistent with the NICE guidelines in many aspects but patchy in the UK.
Share and Cite:
Banerjee, S. and Sahi, S. (2011) Audit of Epilepsy Clinics in South East Thames: Are We NICE?.
Journal of Behavioral and Brain Science,
1, 75-79. doi:
10.4236/jbbs.2011.12010.
Conflicts of Interest
The authors declare no conflicts of interest.
References
[1]
|
National Institute of Clinical Excellence, “The Epilepsies: Diagnosis and Management of the Epilepsies in Children and Young People in Primary and Secondary Care,” Clinical Guideline 20, 2004. www.nice.org.uk
|
[2]
|
J. Raftery, “NICE: Faster Access to Modern Treatments? Analysis of Guidance on Health Technologies,” British Medical Journal, Vol. 323, No. 7324, 2001, pp. 300-303.
doi:10.1136/bmj.323.7324.1300
|
[3]
|
E. Hughes and R. Williams, “Epilepsy Guidelines,” South East Paediatric Epilepsy Interest Group, London, 2007.
www.setpeg.co.uk
|
[4]
|
S. Frost, P. Crawford, S. Mera and B. Chappell, “National Statement of Good Practice for the Treatment and Care of People Who Have Epilepsy,” Joint Epilepsy Council, 2002.
|
[5]
|
D. Webb, H. Coleman, A. Fielder and C. Kennedy, “An Audit of Paediatric Epilepsy Care,” Archives of Disease in Childhood, Vol. 79, No. 2, 1998, pp. 145-148.
doi:10.1136/adc.79.2.145
|
[6]
|
A. A. Asadi-Pooya, “Drug Compliance of Children and Adolescents with Epilepsy,” Seizure, Vol. 14, No. 6, 2005, pp. 393-395.
|
[7]
|
Scottish Intercollegiate Guidelines Network, “Diagnosis and Management of Epilepsies in Children and Young People. A National Clinical Guideline 81,” 2005.
www.sign.uk
|