在基于患者的发作文档中,发作周期性报告不足
Andreas Schulze-Bonhage1,2, Mark P Richardson3, Armin Brandt1
1Epilepsy Center, University Medical Center, University of Freiburg, Freiburg, Germany.
Annals of clinical and translational neurology
|August 23, 2023
概括
患者的发作日记显示周期性报告不足,而不是真正的昼夜发作模式. 客观的监测对于精确的管理和风险评估至关重要.
科学领域:
- 的研究研究.
- 时间生物学 时间生物学
- 医疗信息学医学信息学
背景情况:
- 循环和多天性发作周期被认为是它们的生物基础和在发作预测中的潜力.
- 患者报告的发作通常用于追踪发作的发生,但它们关于周期性模式的准确性仍在争论中.
研究的目的:
- 评估患者报告的发作数据的有效性,反映真实的昼夜和多日发作发生模式.
- 为了将患者的通知与客观的视频电脑电图 (EEG) 监测进行比较.
主要方法:
- 追溯分析2003年住院视频EEG监测患者的发作数据.
- 对患者报告的发作通知与监测期间记录的发作进行比较.
主要成果:
- 在超过29,000次记录的发作中,只有24.1%是由患者报告的.
- 观察到显著的周期性报告不足,特别是在夜间,扭曲昼夜发作分布.
- 在焦点 (额叶,叶) 和特定发作类型 (焦点无意识,焦点到双边强力-克隆) 中注意到了偏差.
结论:
- 患者的日记可能表明报告偏差而不是实际的昼夜节律.
- 仅仅依靠患者报告,就可能导致治疗效果不佳,风险被低估,预测不准确.
- 客观措施对于准确监测周期和为临床决策提供信息至关重要.
相关概念视频
Seizures: Classification
411
Epilepsy is primarily characterized by unpredictable seizures, either provoked by an identifiable factor, such as injury or illness, or unprovoked, occurring spontaneously without apparent cause.
Seizures are typically classified into two main categories: focal and generalized seizures.
Focal Seizures
Focal seizures originate from specific regions of the brain. These seizures are further sub-classified into two types:
Seizures are typically classified into two main categories: focal and generalized seizures.
Focal Seizures
Focal seizures originate from specific regions of the brain. These seizures are further sub-classified into two types:
411
Data Reporting and Recording
4.7K
Reporting and recording are crucial in data documentation. The timely, thorough, and accurate documentation of facts is essential when recording patient data. Failure to record findings during an assessment or interpretation of a problem will result in loss of information and make the patient document unreliable. The reader is left with general impressions if the information is not specific. A recording is documenting data of the individual's health information in a traceable, secure, and...
4.7K
Methods of Documentation V: CBE
925
Charting by Exception, or CBE, is a method of documentation used in healthcare, particularly in nursing, that focuses on documenting only significant or abnormal findings rather than recording every detail. This approach aims to streamline the documentation process, improve efficiency, and ensure that healthcare providers can quickly identify deviations from normalcy in patient assessments.
In CBE, healthcare professionals establish predefined standards of practice that define what constitutes...
In CBE, healthcare professionals establish predefined standards of practice that define what constitutes...
925
Arteries of the Lower Limbs
213
Epilepsy is a chronic neurological disease marked by recurrent, unpredictable seizures. These seizures are caused by abnormal electrical discharges in the brain, leading to behavior, sensation, or consciousness alterations. They can also cause transient impairment of awareness, interfering with daily activities.
Various factors can trigger epilepsy, including genetic factors, brain damage, metabolic causes, and unknown etiology. Diagnosis of epilepsy involves electroencephalography (EEG), which...
Various factors can trigger epilepsy, including genetic factors, brain damage, metabolic causes, and unknown etiology. Diagnosis of epilepsy involves electroencephalography (EEG), which...
213
Legal Guidelines for Documentation
1.3K
The legal guidelines for nursing documentation are essential for ensuring accurate, professional, and ethical recording of patient care. The guidelines are discussed here:
1.3K
Guidelines for Nursing Documentation I
1.1K
Quality documentation and reporting share essential characteristics that ensure they are practical and valuable resources for those who use them. These characteristics are:
Factual:
The following points emphasize the significance of upholding accurate and unbiased documentation in healthcare.
Factual:
The following points emphasize the significance of upholding accurate and unbiased documentation in healthcare.
1.1K


