Can we reduce emergency department presentations in pediatric epilepsy?

Takeaway

  • Targeted quality improvement (QI) measures were able to reduce the burden of emergency department (ED) visits in pediatric epilepsy patients. Measures focused on patient/caregiver education on epilepsy and seizure care, barriers to adherence to daily treatment, caregiver anxiety, and school preparation and understanding of seizure care.

Why this matters

  • Epilepsy and seizures are the most frequent neurological presentations in ED, primarily in children below the age of 5 years. However, seizure-related ED visits may be felt unnecessary by patients, caregivers, and/or providers.

  • Several studies have investigated risk factors associated with ED visits in epilepsy patients. However, there is limited data about how QI methods can be used to address modifiable factors in epilepsy ED use.

  • Since 2016, a multi-disciplinary team (MDT) at the Nationwide Children’s Hospital in Columbus, Ohio has been working to implement and measure the impact of successive QI measures in this space.