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Análisis de la clínica de epilepsia: aprovechamiento de las herramientas de informes del HCE para caracterizar el
Vanuli Arya1, Arindam Ghosh Mazumder1, Muna Nnamani1
1Departments of Neurology, Neuroscience and Psychiatry & Behavioral Sciences, Baylor College of Medicine, Houston, TX, United States.
Frontiers in neurology
|January 28, 2026
Resumen
Los centros de epilepsia pueden rastrear el volumen y la complejidad de los pacientes utilizando registros electrónicos de salud. Esto ayuda en la asignación de recursos y en la identificación de pacientes para tratamientos avanzados como la cirugía de epilepsia.
Área de la Ciencia:
- Neurología
- Informática de la Salud
- Gestión Sanitaria
Sus antecedentes:
- Los centros de epilepsia manejan poblaciones de pacientes complejas que requieren atención coordinada.
- Se necesitan métricas objetivas para optimizar la asignación de recursos y el manejo de pacientes.
- Los Registros Médicos Electrónicos (HCE) ofrecen potencial para obtener información basada en datos.
Objetivo del estudio:
- Analizar los volúmenes de pacientes y visitas, las prescripciones de medicamentos antiepilépticos (MAE) y el uso de neuromodulación durante 11 años.
- Desarrollar y validar un método para monitorear la complejidad de los pacientes del centro de epilepsia.
- Informar las estrategias de asignación de recursos y manejo de pacientes.
Principales métodos:
- Se utilizó Epic Workbench Reporting para la extracción de datos de 2013 a 2023.
- Se incluyeron fechas de visitas a la clínica, códigos CPT de neuromodulación y prescripciones de MAE.
- Se calculó una puntuación de complejidad de pacientes (PC) anual basada en la frecuencia de visitas y la diversidad de MAE.
Principales resultados:
- Se observó una duplicación del volumen anual de pacientes en 11 años.
- Se notó un aumento en las tasas de politerapia con medicamentos antiepilépticos (MAE) y cambios en los patrones de prescripción.
- Se encontraron puntuaciones de complejidad (PC) más altas en pacientes que usaban neuromodulación o MAE líquidos, con un aumento de la PC promedio con el tiempo.
Conclusiones:
- Un enfoque simple basado en HCE puede rastrear longitudinalmente el volumen y la complejidad de los pacientes del centro de epilepsia.
- Este monitoreo facilita la distribución equitativa de recursos.
- Ayuda a identificar candidatos para la cirugía de epilepsia y la monitorización remota de pacientes.
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