The unforeseen future: Impacts of the COVID‐19 pandemic on home video‐EEG telemetry

Abstract The coronavirus disease 2019 (COVID‐19) pandemic had widespread impact on health care systems globally—particularly services arranged around elective admission and attendance such as epilepsy monitoring units and home video‐EEG telemetry (HVET). Here, we review the ongoing impacts of the pandemic on HVET services among several different providers who used different initial models of HVET. We discuss the features of HVET that led to success in providing continued diagnostic services to patients with epilepsy and related disorders and through retrospective audit of our services demonstrate the high diagnostic yield of HVET. We reflect on this unforeseen future and its implications for other diagnostic techniques and approaches.

[1]  K. D. Slater,et al.  Water-soluble adhesive for stable long-term ambulatory EEG recordings , 2022, Clinical Neurophysiology.

[2]  P. Kwan,et al.  Automated seizure detection with noninvasive wearable devices: A systematic review and meta‐analysis , 2022, Epilepsia.

[3]  D. Terney,et al.  Semiautomated classification of nocturnal seizures using video recordings , 2022, Epilepsia.

[4]  W. Tatum,et al.  Ambulatory EEG: Crossing the divide during a pandemic , 2021, Epilepsy & Behavior Reports.

[5]  S. Burgess,et al.  Home (Level 2) polysomnography is feasible in children with suspected sleep disorders. , 2021, Sleep medicine.

[6]  M. Seeck,et al.  Importance of access to epilepsy monitoring units during the COVID‐19 pandemic: consensus statement of the International League Against Epilepsy and the International Federation of Clinical Neurophysiology , 2021, Epileptic disorders : international epilepsy journal with videotape.

[7]  A. Stern,et al.  Remote Patient Monitoring - Overdue or Overused? , 2021, The New England journal of medicine.

[8]  V. Shivamurthy,et al.  Post-COVID-19 paediatric inflammatory multisystem syndrome: association of ethnicity, key worker and socioeconomic status with risk and severity , 2021, Archives of Disease in Childhood.

[9]  J. McHugh,et al.  Measuring the effects of pre-test probability on out-patient first EEG investigation in children – A guide to evidence-based EEG triage in a pandemic , 2021, Seizure.

[10]  Jukka Peltola,et al.  An integrative method to quantitatively detect nocturnal motor seizures , 2020, Epilepsy Research.

[11]  J. H. Cross,et al.  An accelerated shift in the use of remote systems in epilepsy due to the COVID-19 pandemic , 2020, Epilepsy & Behavior.

[12]  Dean R Freestone,et al.  Past, Present and Future of Home video‐electroencephalographic telemetry: A review of the development of in‐home video‐electroencephalographic recordings , 2020, Epilepsia.

[13]  Devin M Mann,et al.  COVID-19 transforms health care through telemedicine: Evidence from the field , 2020, J. Am. Medical Informatics Assoc..

[14]  M. Agha,et al.  The socio-economic implications of the coronavirus pandemic (COVID-19): A review , 2020, International Journal of Surgery.

[15]  C. Propper,et al.  The Wider Impacts of the Coronavirus Pandemic on the NHS , 2020, Fiscal studies.

[16]  Jonas Duun-Henriksen,et al.  Ultra‐long‐term subcutaneous home monitoring of epilepsy—490 days of EEG from nine patients , 2019, Epilepsia.

[17]  Jeremy D. Slater,et al.  The real-world economic impact of home-based video electroencephalography: the payer perspective , 2019, Journal of medical economics.

[18]  Rupert A. Page,et al.  Technology-enabled seizure detection and reporting: The epilepsy network project , 2019, Epilepsy Research.

[19]  W. Tatum.  Editorial: Outcome of ambulatory video-EEG monitoring in a ˜10,000 patient nationwide cohort , 2019, Seizure.

[20]  M. Koubeissi,et al.  Outcome of ambulatory video-EEG monitoring in a ˜10,000 patient nationwide cohort , 2019, Seizure.

[21]  A. Ponnusamy,et al.  Video ambulatory EEG: A good alternative to inpatient video telemetry? , 2017, Seizure.

[22]  Franz Brunnhuber,et al.  Home Video Telemetry vs inpatient telemetry: A comparative study looking at video quality , 2016, Clinical neurophysiology practice.

[23]  S. Benbadis.  What type of EEG (or EEG-video) does your patient need? , 2015, Expert review of neurotherapeutics.

[24]  David M. Himes,et al.  Prediction of seizure likelihood with a long-term, implanted seizure advisory system in patients with drug-resistant epilepsy: a first-in-man study , 2013, The Lancet Neurology.

[25]  P. Uldall,et al.  The misdiagnosis of epilepsy in children admitted to a tertiary epilepsy centre with paroxysmal events , 2006, Archives of Disease in Childhood.