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Evaluation of adherence to pediatric status epilepticus management guidelines in Saudi Arabia
Bashayer A AlMohaimeed1, Khaled J Hundallah, Fahad A Bashiri
1Division of Pediatric Neurology, Prince Sultan Military Medical City, Riyadh, Kingdom of Saudi Arabia.
Insights
Pediatric emergency physicians in Saudi Arabia show poor adherence to 2017 guidelines for treating convulsive status epilepticus (CSE). A key barrier identified was a lack of awareness regarding the published guidelines.
Area of Science:
- Pediatric Emergency Medicine
- Neurology
- Clinical Practice Guidelines
Background:
- Convulsive status epilepticus (CSE) is a medical emergency in children.
- Standardized management guidelines are crucial for optimal patient outcomes.
- The 2017 Saudi guidelines aimed to standardize CSE treatment in pediatric emergency settings.
Purpose of the Study:
- To evaluate the level of compliance among pediatric emergency physicians in Saudi Arabia with the 2017 CSE management guidelines.
- To identify the primary obstacles hindering adherence to these guidelines.
Main Methods:
- A cross-sectional study was conducted in September 2019.
- An electronic survey was distributed to Pediatric Emergency physicians across the Kingdom of Saudi Arabia (KSA).
- The survey utilized clinical scenarios to assess guideline adherence and identify barriers.
Main Results:
- A response rate of 70% (103 out of 147 physicians) was achieved.
- Only 20% of responding physicians reported full compliance with all four components of the guidelines.
- A significant majority (57%) were unaware of the existence of the published 2017 guidelines.
Conclusions:
- Pediatric emergency physicians in KSA demonstrate low compliance with the 2017 guidelines for managing pediatric convulsive status epilepticus.
- Lack of awareness is a major impediment to the effective implementation of these critical clinical guidelines.
Objective:
To assess compliance with the 2017 Saudi pediatric status epilepticus management guidelines and to printout the main obstacle for adherence to the guidelines.
Methods:
A cross sectional study conducted in September 2019, using electronic survey. The survey sent to all the Pediatric Emergency physicians practicing in Kingdom of Saudi Arabia (KSA) through emails and WhatsApp and the questionnaire based on clinical scenario written in English language.
Results:
One hundred and three (70%) of 147 physicians working in KSA and covering pediatric emergency departments responded to the survey. Only 20% of the physicians reported full compliance to all 4 guideline components; 57% reported that they were not aware of the published guidelines.
Conclusion:
Pediatric emergency physicians reported poor compliance to the 2017 published guidelines for the treatment of children with convulsive status epilepticus in KSA.
