Proposed Measure for Epilepsy Monitoring Unit Effectiveness
Abstract number :
3.205
Submission category :
4. Clinical Epilepsy / 4B. Clinical Diagnosis
Year :
2021
Submission ID :
1826590
Source :
www.aesnet.org
Presentation date :
12/6/2021 12:00:00 PM
Published date :
Nov 22, 2021, 06:55 AM
Authors :
John Pollard, MD - ChristianaCare; Gregory Coumatos - ChristianaCare Health System; Chloe Hill - University of Michigan; Emily Acton - University of Pennsylvania; Chalita Atallah - ChristianaCare Health System; Susan Craig - ChristianaCare Health System; June Wang - ChristianaCare Health System; Sarah Hinkle - ChristianaCare Health System; Arlene Joyner - ChristianaCare Health System
Rationale: Drawing from published proposed epilepsy monitoring unit (EMU) quality measures, we prospectively collected data after opening the ChristianaCare EMU in 2018 (1). Length of stay (LOS) decreased in the second year of operation. We examined quality measures to see if this finding was associated with changes in the proportion of diagnostic admissions and other metrics.
Methods: Metrics were prospectively collected for quality improvement for all elective EMU admissions from January 2018 through December 2019. LOS was calculated by the EMR. Since the indication for any given EMU admission can change during the admission, the visit was diagnostic if any of the following goals were met: differential diagnosis, classification of focal vs. generalized onset, and presurgical evaluation. Fisher’s exact test was used to assay for an association between the proportion of diagnostic admissions and ordinal categories of LOS (< 8 days vs > 8 days). T-test was used to assess the difference between the continuous variable LOS.
Results: When comparing the first and second years of operation, average LOS declined 5.7+/-2.9 days vs. 4.4 +/- 2.3 days (p< 0.0012). The proportion of patients with diagnostic admissions rose slightly 78/101 (77%) vs. 63/78 (80%).
Clinical Epilepsy