TY - JOUR
T1 - The Efficacy and Use of a Pocket Card Algorithm in Status Epilepticus Treatment
AU - Fesler, Jessica R.
AU - Belcher, Anne E.
AU - Moosa, Ahsan N.
AU - Mays, Mary Ann
AU - Jehi, Lara E.
AU - Pestana Knight, Elia M.
AU - Lachhwani, Deepak K.
AU - Alexopoulos, Andreas V.
AU - Nair, Dileep R.
AU - Punia, Vineet
N1 - Publisher Copyright:
© 2022 American Academy of Neurology.
PY - 2021/10/1
Y1 - 2021/10/1
N2 - ObjectiveTo determine whether a pocket card treatment algorithm improves the early treatment of status epilepticus and to assess its utilization and retention in clinical practice.MethodsMultidisciplinary care teams participated in video-recorded status epilepticus simulation sessions from 2015 to 2019. In this longitudinal cohort study, we examined the sessions recorded before and after introducing an internally developed, guideline-derived pocket card to determine differences in the adequacy or timeliness of rescue benzodiazepine. Simulation participants were queried 9 months later for submission of a differentiating identification number on each card to assess ongoing availability and utilization.ResultsForty-four teams were included (22 before and 22 after the introduction of the pocket card). The time to rescue therapy was shorter for teams with the pocket card available (84 seconds [64-132]) compared with teams before introduction (144 seconds [100-162]) (U = 94; median difference =-46.9, 95% confidence interval [CI]:-75.9 to-21.9). The adequate dosing did not differ with card availability (odds ratio 1.48, 95% CI: 0.43-5.1). At the 9-month follow-up, 32 participants (65%) completed the survey, with 26 (81%) self-reporting having the pocket card available and 11 (34%) confirming ready access with the identification number. All identification numbers submitted corresponded to the hard copy laminated pocket card, and none to the electronic version.ConclusionsA pocket card is a feasible, effective, and worthwhile educational tool to improve the implementation of updated guidelines for the treatment of status epilepticus.
AB - ObjectiveTo determine whether a pocket card treatment algorithm improves the early treatment of status epilepticus and to assess its utilization and retention in clinical practice.MethodsMultidisciplinary care teams participated in video-recorded status epilepticus simulation sessions from 2015 to 2019. In this longitudinal cohort study, we examined the sessions recorded before and after introducing an internally developed, guideline-derived pocket card to determine differences in the adequacy or timeliness of rescue benzodiazepine. Simulation participants were queried 9 months later for submission of a differentiating identification number on each card to assess ongoing availability and utilization.ResultsForty-four teams were included (22 before and 22 after the introduction of the pocket card). The time to rescue therapy was shorter for teams with the pocket card available (84 seconds [64-132]) compared with teams before introduction (144 seconds [100-162]) (U = 94; median difference =-46.9, 95% confidence interval [CI]:-75.9 to-21.9). The adequate dosing did not differ with card availability (odds ratio 1.48, 95% CI: 0.43-5.1). At the 9-month follow-up, 32 participants (65%) completed the survey, with 26 (81%) self-reporting having the pocket card available and 11 (34%) confirming ready access with the identification number. All identification numbers submitted corresponded to the hard copy laminated pocket card, and none to the electronic version.ConclusionsA pocket card is a feasible, effective, and worthwhile educational tool to improve the implementation of updated guidelines for the treatment of status epilepticus.
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U2 - 10.1212/CPJ.0000000000000922
DO - 10.1212/CPJ.0000000000000922
M3 - Article
C2 - 34840867
AN - SCOPUS:85129321158
SN - 2163-0402
VL - 11
SP - 406
EP - 412
JO - Neurology: Clinical Practice
JF - Neurology: Clinical Practice
IS - 5
ER -