Audit of Epilepsy Clinics in South East Thames Are We NICE英文文献资料.docVIP

Journal of Behavioral and Brain Science, 2011, 1, 75-79 doi:10.4236/jbbs.2011.12010 Published Online May 2011 (/journal/jbbs) Audit of Epilepsy Clinics in South East Thames: Are We NICE? Somnath Banerjee, Sanjay Sahi School and Child Health, Queens House, Kent, UK E-mail: somnath.b@.uk Received March 28, 2011; revised April 14, 2011; accepted April 16, 2011 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% devel- opmental/academic progress was documented. 61% had a written care plan. 70.2% had the copy letter to par- ents/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. Keywords: Epilepsy in Children, Audit, NICE, SETPEG 1. Introduction 2011. The National Institute for Health and Clinical Excellence (NICE) has issued guidelines for diagnosis and manage- ment of epilepsy [1]. NICE was set up as a special health authority for England and Wales in 1999 [2]. It is an in- dependent organisation responsible for providing na- tional guidance on treatments and care in the National Health Service (NHS) in England and Wales. South East Thames Paediatric Epilepsy Group (SETPEG) has also produced guidelines, based on best available evidence for the local clinics run by SETPEG member [3]. There is also guidance from the Joint Epileps