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Cited by 14Telemedicine and Telehealth ImplementationEpilepsy research and treatmentHealthcare Systems and Technology

The DOI matches its Crossref record; 21 of the 21 references it cites were found in a registry or an index.

Telephone-based follow-up of children with epilepsy: Comparison of accuracy between a specialty nurse and a pediatric neurology fellow

Open access
Gulati, Sheffali, Shruthi, N.M., Panda, Prateek Kumar, Sharawat, Indar Kumar, Josey, Mable, Pandey, Ravindra M.·2020·Seizure
DOI 10.1016/j.seizure.2020.10.002PMC PMC7536121
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Abstract

Background Childhood epilepsy forms a significant burden on the health-care delivery system. Only a few pediatric neurologists available in most of the developing countries and caregivers face a lot of financial and logistic hardships, apart from a long waiting period for initial and follow up visits. Telemedicine is a proposed effective alternative in overcoming this burden.Methods Telephonic consultation by a pediatric neurology fellow was compared with that of a specialty nurse; both against face-to-face consultation (gold standard). Care-givers of children 4 months-18 years with epilepsy were telephonically consulted 24-48 hours before their scheduled hospital appointment by one specialty nurse and one pediatric neurology fellow at least 24 h apart in a random sequence. During the hospital visit, another pediatric neurology fellow blinded to the telephonic consultation, documented the same after Face-to-Face interview.Results In 141 children with epilepsy, 504 critical clinical events were identified. Telephonic consultation by pediatric neurology fellow had a sensitivity of 99 %, 97 %, and 100 % and specificity of 100 % each in detecting whether the child had any breakthrough seizure, any adverse event and whether the drug compliance was adequate or poor respectively, as compared to face-to-face consultation. Telephonic consultation by specialty nurse had a sensitivity of 91 %, 84 %, and 98 % and specificity of 97 %, 99 %, and 81 % in detecting whether the child had any breakthrough seizure, adverse event and whether the drug compliance was adequate or poor respectively. But the specialty nurses fared poorly in identifying atypical seizure semiologies like atonic and myoclonic seizures and documenting an exact number of breakthrough seizures, as well as few subjective adverse effects like behavioral abnormality and scholastic worsening, which was performed excellently by the pediatric neurology fellow.Conclusions Telephonic consultation in childhood epilepsy by pediatric neurology fellow has excellent sensitivity and specificity. A specialty nurse has also acceptable sensitivity and specificity in comparison with a face-to-face consultation.

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Crossref · 10.1016/j.seizure.2020.10.002

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21 of 21 references verified0 citation errors · 0 not checkable

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  • The remaining studies were related to dengue (N=2), cysticercosis (N=1) and trachoma (N=1).

    “The remaining studies were related to the management of dengue (N=2) [18,19], cysticercosis (N=1) [20] and trachoma (N=1) [21].”

    From Telemedicine in the Clinical Care of Neglected Tropical Diseases: A Scoping Review (2025) · cites this paper as [20]

  • Four studies were developed in at least one arm in remote and/or rural areas, three in urban settings, and one did not describe the setting.

    “Four studies were developed at least one of the arms in remote and/or rural areas [2,15–17], three in urban settings [14,18,19] and in one it was not described [20].”

    From Telemedicine in the Clinical Care of Neglected Tropical Diseases: A Scoping Review (2025) · cites this paper as [20]

  • Only three studies investigated real-time synchronous interventions of consultations between remote patients and healthcare providers; two were via ordinary telephone calls and one via videoconference.

    “Only three studies investigated real-time synchronous interventions of consultations between remote patients and healthcare providers, two of which were via ordinary telephone calls [18,20] and only one via videoconference [19].”

    From Telemedicine in the Clinical Care of Neglected Tropical Diseases: A Scoping Review (2025) · cites this paper as [20]

  • Six studies sought to evaluate the applicability of remote telediagnosis of clinical conditions related to NTDs, but only three compared the effectiveness/accuracy of remote diagnosis via telemedicine with in-person medical care as a gold standard.

    “Six studies sought to evaluate the applicability of remote telediagnosis of clinical conditions related to NTD [14,15,17,18,20,21], but only three of them compared the effectiveness/accuracy of remote diagnosis via telemedicine with in-person medical care as a gold standard [14,20,21].”

    From Telemedicine in the Clinical Care of Neglected Tropical Diseases: A Scoping Review (2025) · cites this paper as [20]

  • Konanki et al. found that 95% of critical clinical events in children with neurocysticercosis and seizures after treatment did not require face-to-face consultation.

    “95% of the events did not require face-to-face consultation.”

    From Telemedicine in the Clinical Care of Neglected Tropical Diseases: A Scoping Review (2025) · cites this paper as [20]

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Research works printed but not linked: 1

  1. Argumosa, 2000, [Economic costs of childhood epilepsy in Spain], Rev Neurol, 30, 104

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Metadata

Authors
Gulati, S., Shruthi, N. M., Panda, P. K., Sharawat, I. K., Josey, M., & Pandey, R. M.
Affiliations
  • All India Institute of Medical Sciences (IN)
  • All India Institute of Medical Sciences Rishikesh (IN)
Corresponding author
Gulati, Sheffali
ORCID
Venue
Seizure
Publisher
Elsevier BV
Published
2020-12
Volume
83
Pages
98-103
ISSN
1059-1311 (ISSN-L)
DOI
10.1016/j.seizure.2020.10.002
PMC
PMC7536121
OpenAlex
W3092285761
Cited by
14
References
21
Citations by year
2025: 5 · 2024: 4 · 2023: 3 · 2022: 1 · 2021: 1
FWCI
0.94
Type
journal article
Language
en
Open access
Licence
Locations
  • Seizure (publishedVersion)
  • PubMed Central (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Telemedicine and Telehealth Implementation
  • Health Sciences › Medicine › Clinical Neurology › Epilepsy research and treatment
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Healthcare Systems and Technology
Keywords
pediatric epilepsy, telephone follow-up, telemedicine, breakthrough seizures, adverse drug reactions, medication adherence, diagnostic accuracy, atypical seizures, behavioral abnormalities
MeSH terms
Child, Child, Preschool, Epilepsy, Epilepsies, Myoclonic, Female, Follow-Up Studies, Humans, Male, Referral and Consultation, Seizures, Telephone, Telemedicine

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