Publication:
Feasibility of Telemedicine for Follow up of Children with Established Seizure Disorder- A Tertiary Care Center Prospective Study

creativeworkseries.issnISSN 1990-7974 eISSN 1990-7982
dc.contributor.authorBajracharya, Luna
dc.contributor.authorShrestha, Merina
dc.date.accessioned2025-10-30T09:42:00Z
dc.date.available2025-10-30T09:42:00Z
dc.date.issued2023
dc.descriptionLuna Bajracharya Assistant Professor, Department of Child Health, Maharajgunj Medical Campus, Institute of Medicine, Maharajgunj Tribhuvan University Teaching Hospital, Kathmandu, Nepal. Merina Shrestha Associate Professor, Department of Child Health, Maharajgunj Medical Campus, Institute of Medicine, Maharajgunj Tribhuvan University Teaching Hospital, Kathmandu, Nepal.
dc.description.abstractAbstract: Introduction: Medical information exchanged via electronic communications to improve a patient’s clinical health status by a physician without in-patient visit is telemedicine. Control of seizures with antiepileptic drugs, reassurance for compliance to drugs, regular monitoring of adverse effects of drugs in patient with established seizure can be possible through telemedicine. The main objective of this study was to evaluate feasibility of telemedicine for follow up of children with established seizure disorder. Methods: This study was conducted among children of age one to 16 years with an established seizure due to any cause presenting to the Paediatric Neurodevelopmental OPD of Tribhuvan University Teaching Hospital (TUTH) between October 1, 2018 and September 30, 2020. Mobile phone as a modality of telemedicine was used to inquire about seizure every month for 12 months and whenever necessary. Results: When parameters as seizure control, total cost and time spent per hospital visit, distance to TUTH were analyzed, more than 75% caregivers were satisfied with telemedicine. Greater age, appropriate development, focal onset of seizure, normal electroencephalogram and seizure adequately controlled by single antiepileptic drug were the favorable factors in better seizure control in children using telemedicine. Conclusions: Telemedicine for follow up of children with established seizure disorder seems to be a feasible and satisfactory option when implemented with caution and proper patient selection as it decreases unnecessary high expenses and time to hospital visit
dc.identifierhttps://doi.org/10.60086/jnps486
dc.identifier.urihttps://hdl.handle.net/20.500.14572/2930
dc.language.isoen_US
dc.publisherNepal Paediatric Society (JNPS)
dc.subjectNepal
dc.subjectseizure
dc.subjecttelemedicine
dc.titleFeasibility of Telemedicine for Follow up of Children with Established Seizure Disorder- A Tertiary Care Center Prospective Study
dc.typeArticle
dspace.entity.typePublication
local.article.typeOriginal Article
oaire.citation.endPage40
oaire.citation.startPage34
relation.isJournalIssueOfPublication4219d666-b677-4efe-b1ea-eed73bb7fb76
relation.isJournalIssueOfPublication.latestForDiscovery4219d666-b677-4efe-b1ea-eed73bb7fb76
relation.isJournalOfPublication6f9be05c-05a9-4a3e-a5b5-a19a15ab042c

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