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| Predicate | Object |
|---|---|
| rdf:type | |
| lifeskim:mentions | |
| pubmed:issue |
2
|
| pubmed:dateCreated |
1982-7-22
|
| pubmed:abstractText |
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 to 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.
|
| pubmed:language |
eng
|
| pubmed:journal | |
| pubmed:citationSubset |
IM
|
| pubmed:chemical | |
| pubmed:status |
MEDLINE
|
| pubmed:month |
Apr
|
| pubmed:issn |
0013-9580
|
| pubmed:author | |
| pubmed:issnType |
Print
|
| pubmed:volume |
23
|
| pubmed:owner |
NLM
|
| pubmed:authorsComplete |
Y
|
| pubmed:pagination |
133-48
|
| pubmed:dateRevised |
2006-11-15
|
| pubmed:meshHeading |
pubmed-meshheading:7075569-Adolescent,
pubmed-meshheading:7075569-Adult,
pubmed-meshheading:7075569-Aged,
pubmed-meshheading:7075569-Anticonvulsants,
pubmed-meshheading:7075569-Child,
pubmed-meshheading:7075569-Child, Preschool,
pubmed-meshheading:7075569-Epilepsy,
pubmed-meshheading:7075569-Female,
pubmed-meshheading:7075569-Health Surveys,
pubmed-meshheading:7075569-Hospitals,
pubmed-meshheading:7075569-Hospitals, University,
pubmed-meshheading:7075569-Humans,
pubmed-meshheading:7075569-Infant,
pubmed-meshheading:7075569-Italy,
pubmed-meshheading:7075569-Male,
pubmed-meshheading:7075569-Middle Aged,
pubmed-meshheading:7075569-Phenobarbital,
pubmed-meshheading:7075569-Phenytoin,
pubmed-meshheading:7075569-Quality of Health Care
|
| pubmed:year |
1982
|
| pubmed:articleTitle |
Quality of care of epilepsy in Italy: multi-hospital survey of diagnosis and treatment of 1104 epileptic patients.
|
| pubmed:publicationType |
Journal Article,
Research Support, Non-U.S. Gov't
|