% 0期刊文章% Felippe Borlot %一个穆Tellez-Zenteno %安妮塔·艾伦% %丹尼尔·安德拉德% T o .大镰刀刀柄过渡从儿童到成人癫痫患者的护理:考虑从成人(P2.006) % D J神经病学2016% % P P2.006 X % V % 86% N 16补充目的:我们的目的是评估的复杂性癫痫患者三级中心之间的过渡,并评估神经学家的信心在处理儿童癫痫病。首页背景:患有严重慢性癫痫的儿童活得更长,他们最终过渡到成人的卫生保健系统。进一步的研究需要更好的定义被转移的人口和那些假设的资质。方法:18到25岁的患者分为两组:第1组由儿科高等中心的病人;和组2组成社区的病人。临床资料回顾性研究和组比较使用适当的统计数据。我们还创建了一个调查来评估神经学家的诊断和治疗儿童癫痫的信心水平。差异反应进行了比较。结果:第1组包括170名患者,而第二组有132。患者组1早期癫痫发作,癫痫持续时间长(p < 0.001),患者有症状的病因,癫痫性脑病,和认知延迟(p < 0.001)。 Group 1 patients required more referrals to other specialties (p = 0.001). Treatment with polytherapy (p = 0.003), epilepsy surgery (p < 0.001), ketogenic diet (p < 0.001), and vagus nerve stimulator were more common in group 1 (p < 0.001). Our survey applied to adult (n = 86) and pediatric (n = 29) neurologists indicated that adult neurologists have lower levels of confidence in diagnosing and treating severe forms of childhood-onset epilepsies (p < 0.001), as well as epilepsy associated with cognitive delay (p < 0.001). Conclusions: These findings suggest that patients from tertiary centers present more complex health care needs and require more resources than age-matched patients from the community; and that adult neurologists may not feel prepared to diagnose and treat adult patients with some childhood-onset epilepsies.Disclosure: Dr. Borlot has nothing to disclose. Dr. Tellez-Zenteno has nothing to disclose. Dr. Allen has nothing to disclose. Dr. Snead has nothing to disclose. Dr. Andrade has nothing to disclose.Sunday, April 17 2016, 8:30 am-5:30 pm %U

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