title: [Safety study of long-term video-electroencephalogram monitoring].
abstract: BACKGROUND
  The increased morbidity and mortality and poorer quality of life associated with drug-resistant epilepsy justify admitting patients to epilepsy monitoring units (EMU). These units employ methods that promote the occurrence of seizures, which involves a risk of secondary adverse events. The aim of our study is to characterise and quantify these adverse events in a Spanish EMU.
  
  
  METHODS
  A descriptive, longitudinal and retrospective study of patients admitted consecutively to our EMU. Patients admitted due to status epilepticus, clusters of seizures, or as participants in a clinical trial were excluded.
  
  
  RESULTS
  We included 175 patients, of whom 92.1% (161) did not suffer any adverse events. Status epilepticus was present in 3.4% (6); 1.7% (3) had traumatic injury, 1.7% (3) had interictal or postictal psychosis, and 1.1% (2) had cardiorespiratory impairment. There were no risk factors associated with these adverse events.
  
  
  CONCLUSIONS
  The most frequently-identified adverse events were status epilepticus, traumatic injury, interictal or postictal psychosis, and cardiorespiratory disorders. The frequency of these adverse events was similar to that seen in international literature. The complications detected do not contraindicate VEEGM.
authors.affiliation: Unidad de Monitorización de Epilepsia, Servicio de Neurología, Hospital del Mar, Parc de Salut Mar, Barcelona, España. Electronic address: 99151@parcdesalutmar.cat.
authors.forename: M
authors.initials: M
authors.lastname: Ley
authors.affiliation: Unidad de Monitorización de Epilepsia, Servicio de Neurología, Hospital del Mar, Parc de Salut Mar, Barcelona, España.
authors.forename: R
authors.initials: R
authors.lastname: Vivanco
authors.affiliation: Unidad de Monitorización de Epilepsia, Servicio de Neurología, Hospital del Mar, Parc de Salut Mar, Barcelona, España.
authors.forename: A
authors.initials: A
authors.lastname: Massot
authors.affiliation: Unidad de Monitorización de Epilepsia, Servicio de Neurología, Hospital del Mar, Parc de Salut Mar, Barcelona, España.
authors.forename: J
authors.initials: J
authors.lastname: Jiménez
authors.affiliation: Unidad de Monitorización de Epilepsia, Servicio de Neurología, Hospital del Mar, Parc de Salut Mar, Barcelona, España.
authors.forename: J
authors.initials: J
authors.lastname: Roquer
authors.affiliation: Unidad de Monitorización de Epilepsia, Servicio de Neurología, Hospital del Mar, Parc de Salut Mar, Barcelona, España.
authors.forename: R
authors.initials: R
authors.lastname: Rocamora
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002648:Child; D002675:Child, Preschool; D004569:Electroencephalography / Q000009:adverse effects*; D004827:Epilepsy / Q000175:diagnosis* / Q000503:physiopathology; D005260:Female; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D008137:Longitudinal Studies; D008297:Male; D008875:Middle Aged; D008991:Monitoring, Physiologic; D061214:Patient Safety; D012189:Retrospective Studies; D012640:Seizures / Q000175:diagnosis; D055815:Young Adult
keywords: Adverse event; Complicaciones; Complications; Epilepsia; Epilepsy; Fenómeno adverso; Lesión traumática; Muerte súbita en epilepsia; Safety; Seguridad; Status epilepticus; Sudden unexpected death in epilepsy; Traumatic injury; Video-electroencephalogram; Vídeo-electroencefalograma