ArticleEpilepsia open2020
Post-acute symptomatic seizure (PASS) clinic: A continuity of care model for patients impacted by continuous EEG monitoring.
Article in Epilepsia open, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.
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Who cites it
11 citing papers in PubMed, 22 citations in OpenAlex.
- NeuroRecovery Clinics: A Survey to Understand the Current Landscape and Opinions of Post-NeuroICU Clinics.Critical care explorations · 2025Article
- Risk of unprovoked seizures after discontinuation of antiseizure medication at discharge following acute symptomatic seizures.Epilepsia · 2025Article
- Management and Outcomes in Confirmed or Suspected Acute Symptomatic Seizure: Role of Structured Outpatient Care.Annals of clinical and translational neurology · 2025Article
- Antiseizure Medication Use and Outcomes After Suspected or Confirmed Acute Symptomatic Seizures.JAMA neurology · 2024Article
- Predictors of follow-up care for critically-ill patients with seizures and epileptiform abnormalities on EEG monitoring.Clinical neurology and neurosurgery · 2024Article
- Characteristics and Attendance of Patients Eligible for the PASS Clinic: A Transition of Care Model After Acute Symptomatic Seizures.Neurology. Clinical practice · 2024Article
- Anti-seizure medication treatment and outcomes in acute ischemic stroke patients undergoing continuous EEG monitoring.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2022Article
- Acute symptomatic seizures and status epilepticus in older adults: A narrative review focusing on management and outcomes.Frontiers in neurology · 2022Review
- Long-term continuation of anti-seizure medications after acute stroke.Annals of clinical and translational neurology · 2021Article
- Long-term electro-clinical profile of sudden cardiac arrest survivors.Epilepsia open · 2021Article
- Post-acute symptomatic seizure (PASS) clinic: A continuity of care model for patients impacted by continuous EEG monitoring.Epilepsia open · 2020Article
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Authors and funding
5 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveWe present a model for the outpatient care of patients undergoing continuous electroencephalography (cEEG) monitoring during a hospitalization, named the post-acute symptomatic seizure (PASS) clinic. We investigated whether establishing this clinic led to improved access to epileptologist care.
methodsAs part of the PASS clinic initiative, electronic health record (EHR) provides an automated alert to the inpatient care team discharging adults on first time antiepileptic drug (AED) after undergoing cEEG monitoring. The alert explains the rationale and facilitates scheduling for a PASS clinic appointment, three-month after discharge, along with a same-day extended (75 minutes) EEG. We compared the initial epilepsy clinic visits by patients undergoing cEEG in 2017, before ("Pre-PASS" period and cohort) and after ("PASS" period and cohort) the alert went live in the EHR.
resultsOf the 170 patients included, 68 (40%) suffered a seizure during the mean follow-up of 20.9 ± 10 months. AEDs were stopped or reduced in 66 out of 148 (44.6%) patients discharged on AEDs. Pre-PASS cohort included 45 patients compared to 145 patients in the PASS cohort, accounting for 5.8% and 9.9% of patients, respectively, who underwent cEEG during the corresponding periods (odds ratio [OR] = 1.8, 95% CI = 1.26-2.54, SIGNIFICANCE: PASS clinic, a unique outpatient transition of care model for managing patients at risk of acute symptomatic seizure led to an almost twofold increase in access to an epileptologist. Future research should address the wide knowledge gap about the best post-hospital discharge management practices for these patients.
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