Epilepsy care and COVID-19: A cross-sectional online survey from Lithuania

Acta Neurol Scand. 2021 Jun;143(6):666-672. doi: 10.1111/ane.13409. Epub 2021 Mar 16.

Abstract

Background: Changes in epilepsy care during the COVID-19 pandemic required to reassess the patient-specialist interaction in the context of telehealth and future vaccination campaigns.

Aims of the study: The aims were to outline changes in neurologists' experience when providing care for patients with epilepsy (PWE) and to investigate how neurologists perceive telehealth and vaccination.

Methods: We conducted an anonymous cross-sectional online survey among members of the Lithuanian Association of Neurology.

Results: We received 104 completed forms by adult (74, 71.15%) and pediatric neurologists (30, 28.85%). A decrease in epilepsy consultations was noted by 76 (73.1%) specialists, and up to 26 (25.0%) could not provide diagnostic tests at a usual rate. Most respondents (99, 95.2%) would recommend the COVID-19 vaccine for patients at risk. Telehealth was valued as a useful tool in epilepsy care, especially if combined with timely diagnostic and treatment options (Kruskal-Wallis chi-square = 10.392, p = .034 and F[4,99] = 3.125, p = .018, respectively). According to 85 (81.7%) respondents, video calls could substitute in-person visits in at least half of all consultations.

Conclusions: Despite disrupted epilepsy care, neurologists may benefit from telehealth when providing services for PWE and become vaccination advocates to mitigate the spread of preventable infections.

Keywords: COVID-19; electroencephalography; epilepsy; lockdown; telehealth; vaccine.

MeSH terms

  • Adult
  • Attitude of Health Personnel*
  • COVID-19 Vaccines*
  • COVID-19* / prevention & control
  • Cross-Sectional Studies
  • Epilepsy / therapy*
  • Female
  • Health Surveys
  • Humans
  • Lithuania
  • Male
  • Neurologists / statistics & numerical data*
  • Telemedicine*

Substances

  • COVID-19 Vaccines