Abstract：
BACKGROUND: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. METHODS: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. RESULTS: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 to 53.8% (n = 100/186). The frequency of prescribing vitamin D for patients treated with antiepileptic medications increased among general neurologists (preintervention rate 16%, postintervention rate 51%, P < 0.01) as well as among epileptologists (preintervention rate 45%, postintervention rate 57%, P = 0.04). CONCLUSION:In a relatively short follow-up period, there were significant changes in care patterns regarding screening for bone health in pediatric patients with epilepsy. Further implementation measures are underway to increase bone health screening and care in this population.
journal_name
Pediatr Neuroljournal_title
Pediatric neurologyauthors
Patel AA,An S,Schomer M,Julich K,Elitt C,Heath J,Putman MS,Loddenkemper Tdoi
10.1016/j.pediatrneurol.2019.06.020subject
Has Abstractpub_date
2020-01-01 00:00:00pages
49-55eissn
0887-8994issn
1873-5150pii
S0887-8994(19)30443-6journal_volume
102pub_type
杂志文章abstract：:Obstetrical brachial plexus palsy, one of the most complex peripheral nerve injuries, presents as an injury during the neonatal period. The majority of the children recover with either no deficit or a minor functional deficit, but it is almost certain that some will not regain adequate limb function. These few cases m...
journal_title：Pediatric neurology
pub_type： 杂志文章,评审
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journal_title：Pediatric neurology
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journal_title：Pediatric neurology
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journal_title：Pediatric neurology
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journal_title：Pediatric neurology
pub_type： 杂志文章
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pub_type： 杂志文章
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journal_title：Pediatric neurology
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journal_title：Pediatric neurology
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pub_type： 杂志文章
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journal_title：Pediatric neurology
pub_type： 杂志文章
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journal_title：Pediatric neurology
pub_type： 杂志文章
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journal_title：Pediatric neurology
pub_type： 杂志文章
doi：10.1016/j.pediatrneurol.2008.01.010
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journal_title：Pediatric neurology
pub_type： 杂志文章
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journal_title：Pediatric neurology
pub_type： 杂志文章
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journal_title：Pediatric neurology
pub_type： 杂志文章
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journal_title：Pediatric neurology
pub_type： 杂志文章,评审
doi：10.1016/j.pediatrneurol.2012.06.018
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journal_title：Pediatric neurology
pub_type： 杂志文章
doi：10.1016/j.pediatrneurol.2014.10.012
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journal_title：Pediatric neurology
pub_type： 杂志文章
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journal_title：Pediatric neurology
pub_type： 杂志文章
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pub_type： 杂志文章
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journal_title：Pediatric neurology
pub_type： 杂志文章
doi：10.1016/j.pediatrneurol.2012.12.032
更新日期：2013-05-01 00:00:00
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journal_title：Pediatric neurology
pub_type： 杂志文章
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journal_title：Pediatric neurology
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journal_title：Pediatric neurology
pub_type： 杂志文章
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journal_title：Pediatric neurology
pub_type： 杂志文章
doi：10.1016/j.pediatrneurol.2013.06.003
更新日期：2013-12-01 00:00:00
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journal_title：Pediatric neurology
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journal_title：Pediatric neurology
pub_type： 杂志文章
doi：10.1016/j.pediatrneurol.2009.03.004
更新日期：2009-08-01 00:00:00
abstract：:We present a 5-year survival profile of 42 children and adolescents between 1 to 21 years of age in an immobile minimally conscious state, chronically dependent on supportive ventilation. Data were collected from a 22-bed pediatric unit dedicated to this unique population, within a 350-bed geriatric hospital, between ...
journal_title：Pediatric neurology
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