Telephone based follow-up of children with West syndrome (after 12wks of ACTH/ Steroid/ Vigabatrin therapy) and Lennox-Gestaut Syndrome aged 4 months to 7 yrs : How accurate is it to identify critical clinical events req

19^th International Conference on Clinical & Medical Case Reports

April 17-18, 2024 | Paris, France

Dr Manoj Singh

Prof. Sheffali Gulati

Scientific Tracks Abstracts: Clin Med Case Rep

Abstract :

The use of telemedicine is fast expanding in Neurology. Telephone follow-up by specialists after the initial evaluation can significantly reduce the hospital visit-related costs in children with West Syndrome (WS) and Lennox Gestaut Syndrome (LGS). The present study was conducted to evaluate the diagnostic accuracy of telephone consultation to accurately identify critical clinical events in children with WS and LGS. Children aged 4 months to 7 years with WS and LGS were enrolled. The parents were contacted by a Pediatric Neurology Senior Resident on telephone 24-48 hours prior to the scheduled hospital appointment. Subsequently, at the scheduled visit, the children were seen by another Pediatric Neurology Senior Resident(Face-to-face consultation) who was blinded to the telephone consultation. The information related to critical clinical events (seizures, drug compliance and drug adverse events) was collected in a structured questionnaire on both occasions. The diagnostic accuracy of telephone consultation was estimated by comparison with face-to-face consultation as the gold standard. A total of 78 consecutive eligible children were enrolled. Telephone consultation has a good sensitivity of 93.94.%, excellent specificity (100%) and negative predictive value (98.40%), and very low negative likelihood ratio (0.06). The positive predictive value was 100%. The Pediatric Neurologist-initiated telephone consultation has high sensitivity, excellent specificity and low negative likelihood ratio, to accurately identify critical events that need face-to-face consultation among children with WS and LGS. With its excellent negative predictive value and very high positive likelihood ratio it can accurately identify the children who do not require face-to-face consultation and thus can be followed up on telephone.

Biography :

Dr. Manoj Kumar Singh did M.B.B.S, M.D.(Paediatrics) and D.M.(Child Neurology) from All India Institute of Medical Sciences (AIIMS) New Delhi India. He had Worked as Senior Child Neurologist and Aso.Prof.at Asia prestigious public hospital with tertiary level paediatric care New Delhi India for around 16 years . He have served as Child Neurologist at Medcare Hospital Dubai, Aster Hospital Dubai, Zulekha Hospital Dubai and Sharjah . At present working as Consultant Paediatric Neurologist at Alzahra Hospital(now NMCRH) Sharjah and NMC Hospital Dubai since June 2020. He was Guide and Examiner for MD, DNB paediatrics Students of India. He have many National and International publications and Chapters .