EEG referral pattern in a tertiary care teaching hospital : a retrospective study
Journal Title: INDIAN JOURNAL OF MENTAL HEALTH - Year 2016, Vol 3, Issue 1
Abstract
Background : EEG is widely available and is an important tool in the diagnosis of many neuropsychiatric disorders. Considering its low sensitivity, appropriate referral for EEG is vital. Methodology : All the EEG requests and reports in a 6-month window from the EEG clinic at a tertiary care teaching hospital were included and analyzed in the study. Published guidelines and expert opinions were used to determine the appropriateness of the referral. Results : The study sample included 499 EEG’s, of which 48% were inappropriately referred. Common inappropriate requests included 1) Rule out epilepsy, 2) evaluate febrile seizures, pseudoseizures, headaches and funny turns and 3) monitoring of disease progression in epilepsy without a change in type of convulsion. Conclusions : Inappropriate EEG referrals are seen at a general hospital. Misconceptions about the diagnostic capabilities of EEG may be the root cause for such referrals. Educating the physicians and residents about EEG’s diagnostic capability and limitations may address this issue.
Authors and Affiliations
Tejas Gayal, Devavrat Harshe, Henal Shah, Ravindra Kamath
Keywords
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- EP ID EP249508
- DOI 10.30877/IJMH.3.1.2016.40-43
- Views 168
- Downloads 0
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