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Evaluation of AIIMS Modified INCLEN Tool for Diagnosis of Epilepsy
Priyanka Goyal1, Monika Sharma2, P V Varughese2
1Department of Pediatrics, Christian Medical College, Ludhiana, Punjab. Correspondence to: Dr Priyanka Goyal, Department of Pediatrics, Christian Medical College, Ludhiana, Punjab.
Insights
The AIIMS Modified INCLEN tool demonstrates good accuracy for diagnosing epilepsy in children. This epilepsy diagnostic tool shows high sensitivity and specificity, aiding physicians in accurate assessment.
Area of Science:
- Pediatric Neurology
- Clinical Epidemiology
Background:
- Epilepsy diagnosis in children can be challenging.
- Validated diagnostic tools are essential for accurate and timely intervention.
Purpose of the Study:
- To evaluate the diagnostic accuracy of the AIIMS Modified International Clinical Epidemiology Network (INCLEN) diagnostic tool for epilepsy (AIIMS modified INDT-EPI).
Main Methods:
- A cross-sectional study involving 250 children (1 month to 18 years) with abnormal body movements.
- The AIIMS modified INDT-EPI was administered, and diagnoses were verified by pediatricians or neurologists.
- Key performance metrics including sensitivity, specificity, positive predictive value (PPV), and negative predictive value (NPV) were calculated.
Main Results:
- The AIIMS modified INDT-EPI exhibited a sensitivity of 87.6% and a specificity of 84.0%.
- The positive predictive value (PPV) was 86.8%, and the negative predictive value (NPV) was 84.9%.
Conclusions:
- The AIIMS Modified INCLEN tool possesses favorable psychometric properties for epilepsy diagnosis.
- This tool can effectively aid physicians in the assessment and diagnosis of epilepsy in pediatric patients.
Objectives:
To evaluate the AIIMS Modified INCLEN tool for the diagnosis of epilepsy.
Methods:
This cross-sectional study enrolled 250 children aged 1 month to 18 years presenting with complaints of abnormal body movements to either the pediatric or neurology outpatient departments in our institution between October 1, 2018 and June 30, 2020. The All India Institute of Medical Sciences (AIIMS) modified International Clinical Epidemiology Network (INCLEN) diagnostic tool for epilepsy (AIIMS modified INDT-EPI) was administered and a diagnosis was made, which was further verified by a pediatrician or a neurologist. Specificity, sensitivity, positive predictive value (PPV) and negative predictive value (NPV) were calculated.
Results:
The study tool had a sensitivity of 87.6% and specificity of 84.0%. The PPV and NPV of the study tool were 86.8% and 84.9%, respectively.
Conclusion:
The study tool has good psychometric properties for physician assessment with regard to diagnosis of epilepsy.
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