好色先生

好色先生

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Abstract Details

Standardizing Evaluation of First Time Nonfebrile Seizure in Children at Children's Hospital Boston Based on Evidenced Based Guidelines
Epilepsy
P05 - (-)
094
BACKGROUND: While child neurologists frequently manage children with first time non-febrile seizures, knowledge and application of evidenced based guidelines for management of these children may be lacking. This study aims to assess adherence to 好色先生 (AAN) practice parameters on children with first non-febrile seizure amongst Boston Children's Hospital(BCH) child neurologists.
DESIGN/METHODS: 35 child neurologists at BCH were surveyed on knowledge based and case based questions related to the AAN Practice Parameters on children with first time non-febrile seizures. Results were analyzed using a Fisher's exact test.
RESULTS: 83% of the child neurologists were aware of the practice parameters. 43% of child neurologists followed all of the parameters in clinical practice and 50% followed some of the practice parameters. On knowledge based questions, all child neurologists scored highly (80-100% correct) on appropriate ordering of diagnostic toxicology screen, MRI brain, EEG, lumbar puncture, prolactin, and CK as suggested by the AAN guidelines. However, child neurologists scored low on the appropriate ordering of an emergent head CT scan (59% correct). Child neurologists also scored low on appropriate ordering of routine electrolyte laboratory tests (54% correct). On 3 case based questions, variability on appropriate imaging and laboratory tests was similarly seen, whereas all child neurologists ordered an EEG appropriately.
CONCLUSIONS: Child neurologists have knowledge of AAN practice parameters on children with first non-febrile seizure, but knowledge of appropriate neuroimaging and electrolyte tests based on AAN recommendations varies amongst physicians. This study highlights the need to translate practice guidelines of a first time non-febrile seizure in children into clinical practice in a more standardized algorithm.
Authors/Disclosures
Arnold J. Sansevere, MD (Children's National Hospital)
PRESENTER 		Dr. Sansevere has nothing to disclose.
Lauren D. Strauss, DO (Wake Forest Univrsity Baptist Medical Center) Dr. Strauss has a non-compensated relationship as a Secretary with Southern Headache Society that is relevant to AAN interests or activities.
Jennifer Avallone, DO No disclosure on file
Nicole T. Baumer, MD (Neurology At Simmons BCH3433 Childrens Hospital Boston Neurology) No disclosure on file
No disclosure on file
Archana A. Patel, MD, MPH, MSc Dr. Patel has received research support from NIH/NINDS.
Niyati P. Mehta, MD (Floating Hospital for Children At Tufts Medical Center) No disclosure on file
Anna L. Pinto, MD Dr. Pinto has nothing to disclose.
Tobias Loddenkemper, MD, FAAN No disclosure on file
Olga Ciccarelli, MD, PhD, FRCP (UCL Institute of Neurology) Prof. Ciccarelli has received personal compensation in the range of $0-$499 for serving as a Consultant for Lundebeck. Prof. Ciccarelli has received personal compensation in the range of $5,000-$9,999 for serving on a Scientific Advisory or Data Safety Monitoring board for Novartis. Prof. Ciccarelli has received personal compensation in the range of $500-$4,999 for serving on a Scientific Advisory or Data Safety Monitoring board for Biogen. Prof. Ciccarelli has received personal compensation in the range of $0-$499 for serving on a Speakers Bureau for Merck. Prof. Ciccarelli has received personal compensation in the range of $10,000-$49,999 for serving as an Editor, Associate Editor, or Editorial Advisory Board Member for NEUROLOGY Journal.