Requests for electroencephalography in a district general hospital: retrospective and prospective audit

BMJ : British Medical Journal
D SmithB M Tedman

Abstract

To determine the number of inappropriate requests for electroencephalography (EEG) and whether guidelines on use could reduce this number. Audit with retrospective and prospective components. EEG department in district general hospital and centre for neurology and neurosurgery. Retrospective: 368 at the general hospital and 143 patients at the neurology centre. Prospective: 241 patients undergoing EEG at the general hospital. Guidelines for EEG issued to users of service at the general hospital. Retrospective: differences in requesting practice, result in different clinical scenarios, relative roles of procedure, clinical acumen in establishing diagnosis, usefulness of procedure. Prospective: change of requesting practice, impact on use. There were considerable differences in requesting practice. Non-specialists seem to use EEG as a diagnostic tool, especially in patients with "funny turns," when it is much more likely to yield potentially misleading than clinically useful information. The overall proportion of procedures considered to influence management, to be justifiable, and to be inappropriate were 16% (59), 28.3% (104), and 55.7% (205), respectively. In the prospective study the total number of requests was significantly...Continue Reading

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Citations

Feb 22, 2008·Epilepsia·Stephen Perrig, Pierre Jallon
Mar 2, 2002·BMJ : British Medical Journal·David Chadwick, David Smith
Oct 28, 2006·Postgraduate Medical Journal·Sanjiv PetkarAdam P Fitzpatrick
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Nov 29, 2013·The Journal of the American Osteopathic Association·Laura A HarmonDonald M Loveman

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