skip to main content
Language:
Search Limited to: Search Limited to: Resource type Show Results with: Show Results with: Search type Index

048 The indications and utility of electroencephalogram, an audit of hospital practices

BMJ neurology open, 2021-08, Vol.3 (Suppl 1), p.A18-A18 [Peer Reviewed Journal]

Author(s) (or their employer(s)) 2021. No commercial re-use. See rights and permissions. Published by BMJ. ;2021 Author(s) (or their employer(s)) 2021. No commercial re-use. See rights and permissions. Published by BMJ. ;EISSN: 2632-6140 ;DOI: 10.1136/bmjno-2021-ANZAN.48

Full text available

Citations Cited by
  • Title:
    048 The indications and utility of electroencephalogram, an audit of hospital practices
  • Author: Halliwell, Nicholas F ; Zhang, Lucy ; Golja, Stephan ; Skacel, Ellie ; Pope, Renee ; Coventry, Callan A ; Thilagarajan, Chinthuran ; Dixson, Georgie CJ ; Schutz, Anna
  • Subjects: Audits ; Electroencephalography
  • Is Part Of: BMJ neurology open, 2021-08, Vol.3 (Suppl 1), p.A18-A18
  • Description: ObjectivesThe MBS taskforce recommends discouraging use of electroencephalogram (EEG) investigations for low yield indications without neurological specialty input. This study aimed to examine the indications and utility of electroencephalogram within a hospital setting.MethodsA retrospective audit was undertaken over a 3 month period across two hospitals of adult inpatient EEGs ordered by services other than neurology.ResultsData was collected on 236 EEG encounters. 11% of EEGs performed had a definitive diagnosis of seizures on discharge, of these EEGs the report documented; a normal EEG in 7%, epileptiform activity in 19%, and non-specific slowing in 74%. 17% of Adult EEGs were performed for low yield indications. None of these EEGs resulted in change of management nor a diagnosis of seizures. An additional 14% were performed as part of a ‘falls work up,’ none of the EEGs for this indication resulted in a diagnosis of seizure on the discharge summary.ConclusionThis audit supports previous findings that EEGs have a low sensitivity and can not be exclusively used to attain a diagnosis. Low yield indications were common within this audit and the EEG was not clinically significant in this group. EEG should not be used to rule out seizures when the clinical suspicion for seizures is near zero and this audit identified an additional low yield category within the hospital setting as part of a ‘falls work up.’ This study supports the conservative use of EEG in line with the MBS funding taskforce protocol.
  • Publisher: London: BMJ Publishing Group LTD
  • Language: English
  • Identifier: EISSN: 2632-6140
    DOI: 10.1136/bmjno-2021-ANZAN.48
  • Source: PubMed Central
    ProQuest Central
    DOAJ Directory of Open Access Journals
Back to results list
INSPIRE LIBRARY - TON DUC THANG UNIVERSITY (84-028) 37 755 057 Feedback
19 Nguyen Huu Tho St. Dist.7, HCM thuvien@tdtu.edu.vn

Copyright © 2017 INSPIRE LIBRARY - TON DUC THANG UNIVERSITY

Searching Remote Databases, Please Wait