Impact of COVID-19 Pandemic on the Follow up Pattern of Patients with Epilepsy in Western China
Abstract number :
V.105
Submission category :
15. Practice Resources
Year :
2021
Submission ID :
1826466
Source :
www.aesnet.org
Presentation date :
12/9/2021 12:00:00 PM
Published date :
Nov 22, 2021, 06:54 AM
Authors :
Qi Zhang, BS - West China Hospital, Sichuan University; Nanya Hao - Department of Neurology, West China Hospital, Sichuan University; Enzhi Li - Department of Neurology, West China Hospital, West China School of Nursing, Sichuan UniversitySichuan University; Bo Yan - Department of Neurology, West China Hospital, Sichuan University; Xiaoting Hao - Department of Neurology, West China Hospital, Sichuan University, Chengdu, Sichuan Province, China, 610000.
Rationale: To analyze changes of follow up pattern and the clinical characteristics of patients with epilepsy in West China.
Methods: This study is a databased cross-sectional study. The subjects of this study are epileptic patients with long-term regular follow-up in the epilepsy center of West China Hospital. From March 1, 2020 to March 15, 2020, the patients were given questionnaires. The questionnaire is divided into three parts: the first part is the basic demographic information, the second part is the clinical characteristics, and the third part uses Kessler scale (K-6) to evaluate the mental stress 30 days before filling in the questionnaire. The patients were divided into two groups according to whether they visited again. Patients were divided into three subgroups according to the way of follow-up: Online follow-up, offline follow-up, and online and offline combination.
Results: 223 patients were included. There were 118 male patients (52.9%) with an average age of 28.91 years ± 11.939. Follow-up group (n = 100) and not follow-up group (n = 123). There were no significant differences between the two groups in gender, age, marital status, monthly family income, seizure type, epilepsy drug resistance classification, seizure history within 30 days and mental stress. According to the way of follow-up, the patients were divided into 80 cases of telemedicine follow-up, 13 cases of clinic follow-up and 7 cases of telemedicine + clinic combination. There were significant differences among the three groups in the number of seizures within 30 days (P = 0.021), the number of relapses with generalized forced clonus (P = 0.045) and the number of partial seizures (P = 0.028). The average stress score was 4.40 ± In the follow-up, 25 patients had mental stress.
Conclusions: After the outbreak of the epidemic, the treatment mode of epilepsy patients in Western China has rapidly changed from clinic to telemedicine. Patients with high attack frequency and mental stress are more likely to visit clinic.
Funding: Please list any funding that was received in support of this abstract.: none.
Practice Resources