% 0期刊文章% Rizvi赛义德·%的莉兹白Hernandez-Ronquillo %加里猎人%的法扎德Moien Afshari %一个穆Tellez-Zenteno凯伦·沃特豪斯% % T单一癫痫临床模型:工作吗?对等待时间和病人的影响结果(S6.005) % D J神经病学2015% % P S6.005 % V 84% N % X 1首页4补充目的:比较专业的有效性urgent-access单没收诊所(SSC)与标准治疗。背景:照顾患者癫痫发作是支离破碎的。未知的专业诊所改善病人的治疗结果是否需要检查癫痫(s)。没有高质量的证据来描述SSC有效性。设计/方法:前瞻性研究200例患者被称为我们的SSC首次发作评估。人口统计学、临床和paraclinicial变量对历史进行分析控制。二元逻辑回归分析预测进行一分为二的影响变量在预测癫痫。结果:意味着病人年龄为42.1岁(范围14 - 88)。推荐来源主要是急诊科和家庭医生。 A diagnosis was established at first contact in 80.9[percnt] of cases. 16.1[percnt] of patients required a second a visit. 0.5[percnt] of patients required three consultations. 82/200 (41[percnt]) patients were diagnosed with epilepsy. Syncope was found in 24.5[percnt], single unprovoked seizure in 14.4[percnt], and alcohol withdrawal seizures in 4.6[percnt]. Mean wait-time for first assessment was reduced by 71[percnt] (23.6 SSC versus 80.1 days standard care). Mean wait-time for an EEG was 4.0 days (37.1 days standard care). In 134/200 cases a CT scan had been performed. The wait-time for an MRI requested by the SSC was 44.9 days (81.3 days standard care). 63 patients were started on anti-epileptic drugs, with 63.50[percnt] starting lamotrigine, 7[percnt] levetiracetam, 5[percnt] phenytoin, and 5[percnt] topiramate. Presence of generalized spike-wave discharges (odds-ratio (OR)=12.8;CI:5.3-30.7;p<0.00) or focal spike-wave (OR=6.8;CI:1.9-23.6;p=0.003), tongue trauma (OR=6.3;CI:2.9-13.9;p<0.001), and pre-assessment stratification as high risk for seizure recurrence (OR=4.3;CI:1.7-10.9;p=0.002) strongly predicted epilepsy. SSC physicians were 17.1 more likely to accurately diagnose epilepsy versus nurses; there was a non-significant correlation between physician and nurse diagnoses. CONCLUSIONS: The SSC reflects an effective platform for single point-of-access care for seizure workup. This model reduces wait-times, improves patient access,and streamlines care.Disclosure: Dr. Syed has nothing to disclose. Dr. Hernandez-Ronquillo has nothing to disclose. Dr. Hunter has nothing to disclose. Dr. Moien Afshari has nothing to disclose. Dr. Waterhouse has nothing to disclose. Dr. Tellez Zenteno has received research support from the Ralston Brothers Research Trust.Tuesday, April 21 2015, 1:00 pm-2:45 pm %U