An audit of first afebrile seizure management in an Irish tertiary pediatric setting.

Hdl Handle:
http://hdl.handle.net/10147/305285
Title:
An audit of first afebrile seizure management in an Irish tertiary pediatric setting.
Authors:
Boyle, Michael; Chukwu, Joseph; Boyle, Mary; Connolly, Ann; Webb, David
Affiliation:
Department of Paediatric Neurology, The Adelaide and Meath Hospital, Incorporating the National Children's Hospital, Tallaght, Dublin 24, Ireland, mijkboyle@yahoo.com.
Citation:
An audit of first afebrile seizure management in an Irish tertiary pediatric setting. 2013: Eur. J. Pediatr.
Journal:
European journal of pediatrics
Issue Date:
1-Nov-2013
URI:
http://hdl.handle.net/10147/305285
DOI:
10.1007/s00431-013-2180-7
PubMed ID:
24173658
Abstract:
The objective of this study was to compare the first afebrile seizure management with internationally recognized standards in an Irish tertiary pediatric setting. Twenty-one management standards were derived from a combination of British (NICE 2004) and North American (AAN 2003) guidelines. Cases of first afebrile seizure presenting to a pediatric emergency department between July 2007 and June 2010 were assessed against the standards. On completion, the standards developed were presented to the relevant stakeholders, a nurse-developed parental advice sheet was introduced, and a re-audit was performed from July 2010 to June 2011. Forty children were identified in the initial audit period (A1) and 41 over the re-audit (A2). No case achieved full compliance with the devised standards in the audit period. A median compliance score of 15 (range 5-20) was achieved in A1 and 17 (range 11-21) in A2 [mean rank 31.93 versus 49.85; p(1,1) < 0.0001]. Optimal compliance (total score of ≥17) with devised standards was achieved in 6/40 patients in A1 and in 21/41 patients in A2 [χ (2) = 11.95; p(1,1) = 0.001]. Conclusion: We demonstrated an initial lack of compliance with international guidelines on management of a common medical presentation, first afebrile seizure, and demonstrated that improvements can be achieved by identification of appropriate standards and critical appraisal of the compliance with these standards through both formal and informal education.
Item Type:
Article
Keywords:
PAEDIATRICS
Local subject classification:
SEIZURES
ISSN:
1432-1076

Full metadata record

DC FieldValue Language
dc.contributor.authorBoyle, Michaelen_GB
dc.contributor.authorChukwu, Josephen_GB
dc.contributor.authorBoyle, Maryen_GB
dc.contributor.authorConnolly, Annen_GB
dc.contributor.authorWebb, Daviden_GB
dc.date.accessioned2013-11-12T16:50:36Z-
dc.date.available2013-11-12T16:50:36Z-
dc.date.issued2013-11-01-
dc.identifier.citationAn audit of first afebrile seizure management in an Irish tertiary pediatric setting. 2013: Eur. J. Pediatr.en_GB
dc.identifier.issn1432-1076-
dc.identifier.pmid24173658-
dc.identifier.doi10.1007/s00431-013-2180-7-
dc.identifier.urihttp://hdl.handle.net/10147/305285-
dc.description.abstractThe objective of this study was to compare the first afebrile seizure management with internationally recognized standards in an Irish tertiary pediatric setting. Twenty-one management standards were derived from a combination of British (NICE 2004) and North American (AAN 2003) guidelines. Cases of first afebrile seizure presenting to a pediatric emergency department between July 2007 and June 2010 were assessed against the standards. On completion, the standards developed were presented to the relevant stakeholders, a nurse-developed parental advice sheet was introduced, and a re-audit was performed from July 2010 to June 2011. Forty children were identified in the initial audit period (A1) and 41 over the re-audit (A2). No case achieved full compliance with the devised standards in the audit period. A median compliance score of 15 (range 5-20) was achieved in A1 and 17 (range 11-21) in A2 [mean rank 31.93 versus 49.85; p(1,1) < 0.0001]. Optimal compliance (total score of ≥17) with devised standards was achieved in 6/40 patients in A1 and in 21/41 patients in A2 [χ (2) = 11.95; p(1,1) = 0.001]. Conclusion: We demonstrated an initial lack of compliance with international guidelines on management of a common medical presentation, first afebrile seizure, and demonstrated that improvements can be achieved by identification of appropriate standards and critical appraisal of the compliance with these standards through both formal and informal education.en_GB
dc.languageENG-
dc.rightsArchived with thanks to European journal of pediatricsen_GB
dc.subjectPAEDIATRICSen_GB
dc.subject.otherSEIZURESen_GB
dc.titleAn audit of first afebrile seizure management in an Irish tertiary pediatric setting.en_GB
dc.typeArticleen
dc.contributor.departmentDepartment of Paediatric Neurology, The Adelaide and Meath Hospital, Incorporating the National Children's Hospital, Tallaght, Dublin 24, Ireland, mijkboyle@yahoo.com.en_GB
dc.identifier.journalEuropean journal of pediatricsen_GB
dc.description.fundingNo fundingen
dc.description.provinceLeinsteren
dc.description.peer-reviewpeer-reviewen

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