Reliability of patient self-report of cognition, awareness, and consciousness during seizures.

ABSTRACT:

Objective

Clinicians rely on patient self-report of impairment during seizures for decisions including driving eligibility. However, the reliability of patient reports on cognitive and behavioral functions during seizures remains unknown.

Methods

We administered a daily questionnaire to epilepsy patients undergoing continuous video-EEG monitoring, asking about responsiveness, speech, memory, awareness, and consciousness during seizures in the preceding 24 hours. We also administered a questionnaire upon admission about responsiveness, speech, and awareness during seizures. Subjective questionnaire answers were compared with objective behavioral ratings on video review. Criteria for agreement were Cohen's kappa >0.60 and proportions of positive and negative agreement both >0.

SUBMITTER: Zhao CW 

PROVIDER: S-EPMC8791805 | biostudies-literature | 2022 Jan

REPOSITORIES: biostudies-literature