Abstract Details

Title Safety ��ɫ�� by Frontline Providers in Pediatric Patients with Suspected Seizures

Topic Child Neurology and Developmental Neurology

Presentation(s) P5 - Poster Session 5 (5:30 PM-6:30 PM)

Poster/Presentation
Number 7-053

Objective To evaluate the seizure safety documentation of patients referred to neurology with suspected seizures from frontline (primary care, emergency medicine or urgent care) providers.

Background Seizures are common in children with up to 10% of the population having an unprovoked seizure in a lifetime, and 30-50% of those developing epilepsy. Patients with epilepsy are at increased risk of fractures, burns, accidental drowning, and car accidents. Given these risks, the ��ɫ��’s practice parameter on treatment of a first time seizure recommends that providers counsel patients and parents about seizure safety. Frontline providers are often the clinicians who evaluate patients after a first-time seizure and therefore have an opportunity to provide basic seizure safety education.

Design/Methods All children referred to Nationwide Children’s Hospital Division of Child Neurology for suspected seizures from September 2016 through September 2017 were collected. Charts were reviewed to identify referrals from a frontline provider with a complete clinical note, seizure safety documentation, and the final diagnosis made by the neurologist after the patient was seen.

Results During the time period reviewed, 1828 referrals for suspected seizures were made. The first 334 were reviewed and 140 charts met criteria. Twenty out of 140 (14%) explicitly documented discussion of seizure safety and precautions with the family. Of the 140 reviewed, 45 were ultimately diagnosed with seizures or seizures were highly suspected by the neurologist, 5 of which were febrile seizures. Eighteen patients were of driving age with only 2 patient charts documenting driving restrictions.

Conclusions Low numbers of providers documented counseling about seizure safety and precautions in children who were referred to child neurology with suspected seizures. Given the importance of safety counseling, these findings highlight a gap in clinical knowledge and an opportunity for improved education about seizures to frontline providers.

Authors/Disclosures
Daniel Freedman, DO (Dell Medical School) PRESENTER	Dr. Freedman has received personal compensation in the range of $500-$4,999 for serving as an Editor, Associate Editor, or Editorial Advisory Board Member for MedStudy. Dr. Freedman has received personal compensation in the range of $500-$4,999 for serving as an Expert Witness for Stoll Keenon Ogden.
Dara V. Albert, DO, FAAN (Nationwide Children's Hospital)	Dr. Albert has nothing to disclose.

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