ID-5184 Wonca Abstracts supplement A-K 13-10-23 - Flipbook - Page 193
WONCA 2023 Supplement 1: WONCA 2023 abstracts (A–K)
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Current norms and practices in using a seizure diary for
managing epilepsy: A scoping review
Dr Chika Egenasi1, Anandan Moodley2, Wilhelm Steinberg1, Anthonio Adefuye1
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University of The Free State, 2University of KwaZulu-Natal
Background
Epilepsy is a chronic and debilitating neurological condition affecting people of all ages globally.
A seizure diary is one method used to track patients’ seizures.
Aim
This scoping review sought to identify current norms and practices for using seizure diaries to
manage epilepsy.
Methods
A scoping review was done by screening relevant studies and identifying themes, categories
and subcategories.
Results
In all, 1125 articles were identified from the database; 46 full-text articles were evaluated for eligibility,
of which 23 were selected. The majority (48%) of the studies were prospective studies, most (65%) of
which were conducted in the US. The identified themes were types of seizure diaries used in clinical
practice, the contents and structure of a standardised seizure diary, the use and efficacy of seizure
diaries in medicine and challenges relating to using a seizure diary for patient management.
Conclusion
The study revealed that a seizure diary remains a relevant tool in epilepsy management. The two forms
of diaries in use are electronic and paper-based diaries. The high cost of data and the expensive
devices required to access electronic diaries make them unsuitable in a resource-limited setting.
Notwithstanding its disadvantages, imperfections and inadequacies, the paper-based diary is still
relevant for managing patients with epilepsy in resource-limited settings.
Goal
This study reviewed the literature to determine the current norms and practices in using seizure diaries.
The benefits of the various formats were highlighted.
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