Abstract Details

Title Benefit of Medical Media in a Pediatric Neurology Office

Topic Epilepsy

Presentation(s) (-)

Poster/Presentation
Number 003

Objective

Background The shortage of pediatric neurologists has been called a crisis by both the ��ɫ�� and the Child Neurology Society. Pediatric neurologists are often asked to urgently see patients for questionable episodes. Until today there was no HIPAA compliant platform to share medical videos.

Design/Methods For the purpose of triage, patients were twice dichotomized into urgent vs. non-urgent groups. A child neurologist reviewed primary medical doctor (PMD) referrals and medical records without, and subsequently with, videos of 19 children between the ages of 6 months to 7 years. CaptureProof was the platform used to organize and review the videos. Following a comprehensive history and physical exam a diagnosis was made.

Results Review of PMD referrals and medical record without video resulted in 1 non-urgent patient referred for tics, 18 urgent patients referred to rule out seizures, and 18 pre-appointment EEGs scheduled. The review of medical records with videos resulted in 15 non-urgent patients: (4) gratification disorder, (2) paroxysmal tonic upgaze (PTU), (6) stereotypies, (1) staring, (2) tics; 4 urgent patients: (1) absence seizure, (2) infantile spasms, (1) unclear, and 4 pre-appointment EEGs scheduled.

Conclusions This study demonstrates the usefulness of media when triaging patients in child neurology practices with suspected paroxysmal disorders. It led to better triage and can avoid unnecessary costly tests prior to appointments. Additionally, at the patient's visit, this media platform aids in the differential diagnosis, by allowing observation of these events, as most patients do not have an episode in the office.

Authors/Disclosures
Farhad Sahebkar-Moghaddam, MD (Amgen) PRESENTER	Dr. Sahebkar-Moghaddam has received personal compensation for serving as an employee of Jazz pharmaceuticals. Dr. Sahebkar-Moghaddam has stock in Jazz pharmaceuticals.
Meghan Conroy	No disclosure on file
	No disclosure on file

��ɫ����

��ɫ����

��ɫ��

��ɫ��