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EEG Infrastructure Within the Veterans Administration: A Survey.

Alisa Lu1, Krishna Chandra1, Dmitri Kovalev1,2

  • 1Department of Neurology, Baylor College of Medicine, Houston, Texas.

Journal of Clinical Neurophysiology : Official Publication of the American Electroencephalographic Society
|November 12, 2024
PubMed
Summary
This summary is machine-generated.

Veterans Affairs hospitals show varied Electroencephalography (EEG) infrastructure. Tele-EEG services can improve access and continuity of care for neurological conditions like epilepsy and brain injuries.

Keywords:
ElectroencephalogramInfrastructureNeurophysiology laboratoryStaffingSurveyVeterans administration

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Area of Science:

  • Neurology
  • Medical Infrastructure Assessment
  • Health Services Research

Background:

  • Electroencephalography (EEG) is crucial for diagnosing and managing neurological conditions common in veterans, including seizures, epilepsy, and brain injuries.
  • Assessing the current state of EEG infrastructure within the Veterans Administration (VA) is essential for optimizing patient care.

Purpose of the Study:

  • To evaluate the availability and utilization of EEG infrastructure across VA hospitals.
  • To identify gaps in EEG services and explore potential solutions for improvement.

Main Methods:

  • A cross-sectional survey was administered to 123 VA hospitals via the Research Electronic Data Capture (REDCap) platform.
  • Data collected from June to December 2023 focused on EEG equipment, staffing, and service provision.

Main Results:

  • A 56.9% response rate (70 hospitals) was achieved, with 88.6% offering EEG services, but only 38.7% providing continuous EEG (cEEG).
  • Respondents reported shortages in EEG technologists, machines, and faculty readers compared to ideal levels.
  • Resource availability correlated with service capabilities, including remote access and cEEG; interest in the VA Tele-EEG program was high (59.4%).

Conclusions:

  • Significant variability exists in EEG infrastructure across the VA system.
  • Tele-EEG offers a promising solution to enhance EEG service access and maintain operational continuity, particularly in resource-limited settings.
  • Expanding quantitative, rapid, and tele-EEG services can improve patient management for neurological conditions within the VA.