Discussing SUDEP: have we improved?-a retrospective case note analysis

Daniella Ross, Briony Waddell (Lead / Corresponding author), Craig A. Heath

    Research output: Contribution to journalArticle

    5 Citations (Scopus)

    Abstract

    Sudden unexplained death in epilepsy (SUDEP) is the most common cause of death in epilepsy. Controversy surrounds its discussion with patients, with discrepancy between clinical practice and guideline recommendations; a previous audit of local practice in 2012 found that in only 4% of patients' notes was there documented evidence of SUDEP discussion. The aim of this study was to evaluate current clinical practice and to determine whether there had been a change in practice following publication of the initial audit. A retrospective case note review was undertaken on all patients with a diagnosis of epilepsy attending a specialist epilepsy clinic in Tayside from January 1, 2012 to March 31, 2012. A documented discussion regarding SUDEP was recorded in 81 (34%) of 240 patients, an increase from previous review. Documented discussion was more likely to occur in new referrals and in those with ongoing generalized seizures, and conversely less likely to occur in those with a long history of seizures and drug-resistant epilepsy. This repeat audit demonstrates improvement in practice; however, the minority of patients are still being informed, with those at higher risk statistically less likely to be informed.

    Original languageEnglish
    Pages (from-to)e33-e35
    Number of pages3
    JournalEpilepsia
    Volume56
    Issue number4
    Early online date28 Feb 2015
    DOIs
    Publication statusPublished - Apr 2015

    Keywords

    • Patient communication
    • Patient information
    • Sudden unexpected death in epilepsy

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