The adaptability of new trainees in pediatrics for the current epileptic seizure classification (ILAE-2017) with a modular education program
Diğer yayınlar > Diğer · 2023
Yazarlar: Maharram Imanli, ERDEM ŞİMŞEK, Afshin Dezhakam, Seda KANMAZ, Ipek Dokurel, Hepsen Mine SERİN, Sanem KESKİN YILMAZ, GÜL AKTAN, Hasan TEKGÜL
Diğer, Uluslararası, 2023,
Özet
Abstract Objective. To evaluate the adaptability of trainees in pediatrics for the current seizure classification of the International League Against Epilepsy (ILAE-2017) with a modular education program (MEP) to provide a common language between neurologists and pediatricians. Methods. An MEP consisting of five modules for the current version of the ILAE-2017 seizure classification and three modules for the older ILAE-1981 version were applied to new-generation trainees in pediatrics. The MEP consisted of 50 illustrative pediatric seizure videos and an instruction manual kit including a seizure determinator. A post-test with 58 new videos was performed during the three-month follow-up period. Results. The overall success rate of the participants was slightly higher for ILAE-2017 than for ILAE-1981 in the post-MEP test (42% vs. 38%). Within the ILAE-2017 modules, similar success rates were defined for focal seizures (44%) and generalized seizures (39%). However, the participants more easily classified focal non-motor seizures (56.3%) than focal motor seizures (34.9%). Contrary, the participants had significantly lower correct rates for generalized non-motor seizures (26%) compared to generalized non-motor seizures (46%). The most miss-matched seizure types (> 50%) were automatisms and myoclonic seizures in focal seizures and atypical absences in generalized seizures for ILAE 2017 classification modules. Conclusion. The presented MEP provided considerable yields for ILAE-2017 seizure classification in pediatric trainees. However, booster applications of the MEP are needed for a better seizure classification with ILAE-2017 seizure nomenclature in clinical practice.