Quality of care of epilepsy in Italy

A multi-hospital survey of diagnosis and treatment of 1104 epileptic patients

E. Beghi, F. Sasanelli, A. Spagnoli, G. Tognoni

Research output: Contribution to journalArticle

13 Citations (Scopus)

Abstract

We surveyed the treatment of 1104 patients admitted to 27 out of the 46 departments of neurology (64.5%), neurosurgery (23.0%), and child neurology (12.5%) of Lombardy, the largest Italian Region (population, 9,000,000). Our main aim was to assess the penetration of correct diagnostic and clinicopharmacological information into routine practice. A detailed analysis and discussion are given of data concerning reasons for hospital admission (therapeutic adjustment accounting for 27.3%; diagnostic ascertainment, 53.8%); characteristics of the disease, in terms of duration, clinical manifestations, and pattern of seizures; associated disorders; prevalence and criteria for the use of instrumental diagnostic procedures (EEG, brain scan, computed tomography, etc.); pattern of prescriptions of anticonvulsant drugs at admission and at discharge, with particular emphasis on specific drug choices by specialty; prevalence of single-drug therapy (41% at admission and 47.0% at discharge) versus polytherapy; degree of correspondence between recommended and observed dosage regimens (undertreatment being a more common problem than excessive dosing); and reporting of side effects. Although some of the findings of some recent studies are confirmed, this report documents the feasibility of a regular audit program of the performance of an entire health care system in the treatment of epilepsy.

Original languageEnglish
Pages (from-to)133-148
Number of pages16
JournalEpilepsia
Volume23
Issue number2
Publication statusPublished - 1982

Fingerprint

Quality of Health Care
Italy
Epilepsy
Neurology
Prescription Drugs
Neurosurgery
Anticonvulsants
Electroencephalography
Seizures
Therapeutics
Tomography
Delivery of Health Care
Drug Therapy
Brain
Pharmaceutical Preparations
Population
Surveys and Questionnaires

ASJC Scopus subject areas

  • Clinical Neurology
  • Neuroscience(all)

Cite this

Quality of care of epilepsy in Italy : A multi-hospital survey of diagnosis and treatment of 1104 epileptic patients. / Beghi, E.; Sasanelli, F.; Spagnoli, A.; Tognoni, G.

In: Epilepsia, Vol. 23, No. 2, 1982, p. 133-148.

Research output: Contribution to journalArticle

Beghi, E. ; Sasanelli, F. ; Spagnoli, A. ; Tognoni, G. / Quality of care of epilepsy in Italy : A multi-hospital survey of diagnosis and treatment of 1104 epileptic patients. In: Epilepsia. 1982 ; Vol. 23, No. 2. pp. 133-148.
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