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Arch Dis Child. 1998 Aug; 79(2): 145–148.
PMCID: PMC1717667

An audit of paediatric epilepsy care


Basic standards for the process of paediatric epilepsy care were identified and applied in a clinical audit; findings were presented and the audit repeated. Standards agreed related to quality of correspondence, prescribing practice, appropriateness of drug monitoring, use of neuroimaging, and quality of requests for electroencephalography (EEG). Parent satisfaction with staff courtesy, doctor communication, and clinic visits were also assessed. In the second audit prescribing practice and appropriateness of drug monitoring had improved, but quality of patient correspondence and requests for EEG were unchanged. In both periods of care many parents were dissatisfied with the quality and amount of information provided about epilepsy. Standards of care for the medical management of children with epilepsy can be agreed and used to identify achievable improvements in that care.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.
  • Verity CM, Ross EM, Golding J. Epilepsy in the first 10 years of life: findings of the child health and education study. BMJ. 1992 Oct 10;305(6858):857–861. [PMC free article] [PubMed]
  • Taylor MP. Epilepsy in a Doncaster practice: audit and change over eight years. J R Coll Gen Pract. 1987 Mar;37(296):116–119. [PMC free article] [PubMed]
  • Brown S, Betts T, Chadwick D, Hall B, Shorvon S, Wallace S. An epilepsy needs document. Seizure. 1993 Jun;2(2):91–103. [PubMed]
  • Snead OC, 3rd, Hosey LC. Exacerbation of seizures in children by carbamazepine. N Engl J Med. 1985 Oct 10;313(15):916–921. [PubMed]
  • Yang PJ, Berger PE, Cohen ME, Duffner PK. Computed tomography and childhood seizure disorders. Neurology. 1979 Aug;29(8):1084–1088. [PubMed]
  • Young AC, Costanzi JB, Mohr PD, Forbes WS. Is routine computerised axial tomography in epilepsy worth while? Lancet. 1982 Dec 25;2(8313):1446–1447. [PubMed]
  • Gibbs J, Appleton RE, Carty H, Beirne M, Acomb BA. Focal electroencephalographic abnormalities and computerised tomography findings in children with seizures. J Neurol Neurosurg Psychiatry. 1993 Apr;56(4):369–371. [PMC free article] [PubMed]
  • Theodore WH, Dorwart R, Holmes M, Porter RJ, DiChiro G. Neuroimaging in refractory partial seizures: comparison of PET, CT, and MRI. Neurology. 1986 Jun;36(6):750–759. [PubMed]
  • Cross JH, Jackson GD, Neville BG, Connelly A, Kirkham FJ, Boyd SG, Pitt MC, Gadian DG. Early detection of abnormalities in partial epilepsy using magnetic resonance. Arch Dis Child. 1993 Jul;69(1):104–109. [PMC free article] [PubMed]
  • Fitzpatrick RM, Hopkins AP, Harvard-Watts O. Social dimensions of healing: a longitudinal study of outcomes of medical management of headaches. Soc Sci Med. 1983;17(8):501–510. [PubMed]
  • Hall JA, Dornan MC. What patients like about their medical care and how often they are asked: a meta-analysis of the satisfaction literature. Soc Sci Med. 1988;27(9):935–939. [PubMed]

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