A Prospective Study on the Cost-Effective Utilization of Long-Term Inpatient Video-EEG Monitoring in a Developing Country

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dc.contributorChemmanam, Thomas
dc.contributorRadhakrishnan, Ashalatha
dc.contributorSarma, Sankara P.
dc.contributorRadhakrishnan, Kurupath
dc.date.accessioned2012-12-04T11:43:13Z
dc.date.available2012-12-04T11:43:13Z
dc.date.issued2009
dc.description.abstractTo investigate diagnostic value, therapeutic benefit and cost-effective utilization of video-EEG monitoring (VEM) in a comprehensive epilepsy program in a developing country, The authors prospectively recruited all patients who underwent long-term (>= 3 hours) inpatient VEM during a 10-month period. The cohort was followed to gather information about the proportion of patients in whom long-term management was altered by VEM and resultant impact on direct health care costs. Out of 143 study subjects (median age 22 years), 102 (71.3%) were referred for presurgical evaluation. The median duration of VEM was 61 hours, and median number of events recorded per patient was 3. Video-EEG monitoring helped to clarify the epilepsy syndromic diagnosis in 123 of 132 (93.2%) patients referred with the diagnosis of epileptic seizures. Video-EEG monitoring confirmed coexistent complex partial seizures in 4 of 11 (36.4%) patients with a referral diagnosis of psychogenic nonepileptic events. During mean follow-up period of 2.2 years, 48 patients (33.6%) underwent epilepsy Surgery. A significant decrease in antiepileptic drug polytherapy, and minimization in recurring direct medical and nonmedical costs occurred. In addition to immediate diagnostic usefulness, VEM contributes significantly to long-term therapeutic and economic benefits for patients with difficult to diagnose and treat paroxysmal events.
dc.identifier.citationJOURNAL OF CLINICAL NEUROPHYSIOLOGY. 26; 2; 123-128en_US
dc.identifier.urihttp://www.ncbi.nlm.nih.gov/pubmed/19279502
dc.identifier.urihttps://dspace.sctimst.ac.in/handle/123456789/31
dc.publisherJOURNAL OF CLINICAL NEUROPHYSIOLOGY
dc.subjectNeurology
dc.titleA Prospective Study on the Cost-Effective Utilization of Long-Term Inpatient Video-EEG Monitoring in a Developing Country
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