Bone Health Screening Practices Among Neurologists in Patients on Antiepileptic Drugs: A Quality Improvement Project
作者: Archana A. PatelSookee AnMark SchomerKristina JulichChristopher ElittJamie HeathMelissa S. PutmanTobias Loddenkemper
作者单位: 1Division of Epilepsy and Clinical Neurophysiology, Department of Neurology, Boston Children's Hospital, Harvard Medical School, Boston, Massachusetts
2Department of Neurology, Boston Children's Hospital, Harvard Medical School, Boston, Massachusetts
3Department of Pediatrics and Neurology, Connecticut Children's Medical Center, Hartford, Connecticut
4Department of Neurology, University of Texas Dell Medical School, Austin, Texas
5Division of Endocrinology, Boston Children's Hospital, Boston, Massachusetts
刊名: Pediatric Neurology, 2019
来源数据库: Elsevier Journal
DOI: 10.1016/j.pediatrneurol.2019.06.020
关键词: EpilepsyVitamin DBone healthQuality improvement
英文摘要: Abstract(#br)Background(#br)Pediatric patients with epilepsy are at risk for low vitamin D levels, increasing the risk for bone fractures, yet standardized bone health screening is not part of routine care.(#br)Methods(#br)We surveyed pediatric neurologists (n = 68) at our center regarding screening practices, using an 11-item survey; constructed a bone health treatment algorithm; and developed a training intervention to improve screening rates.(#br)Results(#br)The overall survey response rate was 47%. Among respondents, 64% estimated that they screened for bone health less than 25% of the time. Chart review before the intervention demonstrated an overall screening rate of 25.1% (n = 50/199). One year after implementation of a standardized algorithm, the overall screening rates increased...
全文获取路径: Elsevier  (合作)
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影响因子:1.416 (2012)

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