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Desai D, Madaan P, Dhir P, Devi N, Suthar R, Saini AG, Bansal D, Sankhyan N, Sahu JK. Care of Children with Infantile Epileptic Spasms Syndrome and Applicability of Telemedicine Amidst the COVID-19 Pandemic. Indian J Pediatr 2023; 90:1254-1256. [PMID: 37450249 DOI: 10.1007/s12098-023-04735-1] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/01/2023] [Accepted: 06/13/2023] [Indexed: 07/18/2023]
Abstract
This ambispective, observational study evaluated the impact of the COVID-19 pandemic on managing children with Infantile epileptic spasms syndrome (IESS) and the feasibility of telemedicine-based management for IESS. Caregivers of children with IESS were telephonically interviewed using a structured questionnaire and various relevant indices were compared between the study population and a pre-pandemic cohort from the same center. There was a significant increase in diagnostic lag during the pandemic (p = 0.04). Adrenocorticotropic hormone was the first-line antiseizure medication of choice in both cohorts and the response to treatment was also similar. Telemedicine was utilized by around 80% of caregivers and satisfaction rates with telemedicine were high. However, caregivers continued to rate physical consultations higher in preference.
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Affiliation(s)
- Dev Desai
- Pediatric Neurology Unit, Advanced Pediatric Centre, Postgraduate Institute of Medical Education & Research, Chandigarh, India
| | - Priyanka Madaan
- Pediatric Neurology Unit, Advanced Pediatric Centre, Postgraduate Institute of Medical Education & Research, Chandigarh, India
- Department of Pediatric Neurology, Amrita Institute of Medical Sciences, Faridabad, India
| | - Pooja Dhir
- Pediatric Neurology Unit, Advanced Pediatric Centre, Postgraduate Institute of Medical Education & Research, Chandigarh, India
| | - Nagita Devi
- Department of Pharmacy Practice, National Institute of Pharmaceutical Education and Research (NIPER), S.A.S. Nagar, Mohali, Punjab, India
| | - Renu Suthar
- Pediatric Neurology Unit, Advanced Pediatric Centre, Postgraduate Institute of Medical Education & Research, Chandigarh, India
| | - Arushi Gahlot Saini
- Pediatric Neurology Unit, Advanced Pediatric Centre, Postgraduate Institute of Medical Education & Research, Chandigarh, India
| | - Dipika Bansal
- Department of Pharmacy Practice, National Institute of Pharmaceutical Education and Research (NIPER), S.A.S. Nagar, Mohali, Punjab, India
| | - Naveen Sankhyan
- Pediatric Neurology Unit, Advanced Pediatric Centre, Postgraduate Institute of Medical Education & Research, Chandigarh, India
| | - Jitendra Kumar Sahu
- Pediatric Neurology Unit, Advanced Pediatric Centre, Postgraduate Institute of Medical Education & Research, Chandigarh, India.
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Health-Related Quality-of-Life Tools for Indian Infants and Toddlers. Indian J Pediatr 2023; 90:112-113. [PMID: 36509963 DOI: 10.1007/s12098-022-04418-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/13/2022] [Revised: 11/13/2022] [Accepted: 11/24/2022] [Indexed: 12/15/2022]
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