Detailed Information on Publication Record
2021
Automated seizure detection using wearable devices: A clinical practice guideline of the International League Against Epilepsy and the International Federation of Clinical Neurophysiology
BENICZKY, S., S. WIEBE, J. JEPPESEN, W.O. TATUM, Milan BRÁZDIL et. al.Basic information
Original name
Automated seizure detection using wearable devices: A clinical practice guideline of the International League Against Epilepsy and the International Federation of Clinical Neurophysiology
Authors
BENICZKY, S. (guarantor), S. WIEBE, J. JEPPESEN, W.O. TATUM, Milan BRÁZDIL (203 Czech Republic, belonging to the institution), Y.P. WANG, S.T. HERMAN and P. RYVLIN
Edition
Epilepsia, Hoboken, Wiley-Blackwell, 2021, 0013-9580
Other information
Language
English
Type of outcome
Článek v odborném periodiku
Field of Study
30210 Clinical neurology
Country of publisher
United States of America
Confidentiality degree
není předmětem státního či obchodního tajemství
References:
Impact factor
Impact factor: 6.740
RIV identification code
RIV/00216224:14110/21:00124311
Organization unit
Faculty of Medicine
UT WoS
000625480200007
Keywords in English
algorithms; automated detection; epilepsy; seizure detection; wearable devices
Tags
International impact, Reviewed
Změněno: 19/4/2022 10:24, Mgr. Pavla Foltynová, Ph.D.
Abstract
V originále
The objective of this clinical practice guideline (CPG) is to provide recommendations for healthcare personnel working with patients with epilepsy on the use of wearable devices for automated seizure detection in patients with epilepsy, in outpatient, ambulatory settings. The Working Group of the International League Against Epilepsy (ILAE) and the International Federation of Clinical Neurophysiology (IFCN) developed the CPG according to the methodology proposed by the ILAE Epilepsy Guidelines Working Group. We reviewed the published evidence using The Preferred Reporting Items for Systematic Review and Meta-Analysis (PRISMA) statement and evaluated the evidence and formulated the recommendations following the Grading of Recommendations Assessment, Development and Evaluation (GRADE) system. We found high level of evidence for the accuracy of automated detection of generalized tonic-clonic seizures (GTCS) and focal-to-bilateral tonic-clonic seizures (FBTCS) and recommend the use of wearable automated seizure detection devices for selected patients when accurate detection of GTCS and FBTCS is recommended as a clinical adjunct. We also found a moderate level of evidence for seizure types without GTCS or FBTCS. However, it was uncertain whether the detected alarms resulted in meaningful clinical outcomes for the patients. We recommend using clinically validated devices for automated detection of GTCS and FBTCS, especially in unsupervised patients, where alarms can result in rapid intervention (weak/conditional recommendation). At present, we do not recommend clinical use of the currently available devices for other seizure types (weak/conditional recommendation). Further research and development are needed to improve the performance of automated seizure detection and to document their accuracy and clinical utility.