https://www.gosh.nhs.uk/health-professionals/telemetry-and-complex-epilepsy-admission-criteria/
Telemetry and complex epilepsy admission criteria
This is a list of patient diagnoses which are admitted to Great Ormond Street Hospital (GOSH) by our Telemetry and Complex Epilepsy team, the timeframe in which they should be treated, and their estimated length of stay (LoS).
Health professionals are reminded that this information is for guidance only.
Telemetry
Children with the following diagnoses should be referred to GOSH via the non-emergency pathway.
| Diagnosis | Estimated Length of Stay (LoS) |
|---|---|
| Characterisation | 1-4 nights |
| Characterisation of sleep for ESES (Electrical status epilepticus during sleep)/CSWS (Continuous spike and wave discharges during sleep) | 1 night |
| Invasive monitoring | 12 days |
| Pre-surgical evaluation with AED (antiepileptic drug) reduction | 4 nights |
| Pre-surgical evaluation + SPECT (single photon emission computed tomography) scan | 4 nights |
| Pre-surgical evaluation | 2-4 nights |
| VNS (Vagus Nerve Stimulation) implant | 1-2 nights |
Complex epilepsy
Urgent admissions/reviews
Children with the following diagnoses should be discussed with GOSH neurology on-call team urgently with a completed clinical query form
| Diagnosis | Estimated LoS |
|---|---|
| Infantile spasms babies will be admitted for next available EEG (electroencephalogram) slot | Day case on the Rapid Aassessment Neurology Unit (RANU) |
| If epilepsy consultant determines need for acute review in RANU, details entered onto RANU robot and discussed with RANU nurses eg for EEG, bloods, urine, review for new onset myolonic epilepsy, suspected non-convulsive seizure (NCS), new onset epilepsy in children <2yrs of age, catastrophic epilepsy, Sturge-Weber, epileptic encephalopathies | Day case on RANU |
| If known patient of epilepsy consultant, accept clinically appropriate. If needs admission in 1-3 days, epilepsy consultant discusses with acute attending consultant who accepts to acute ward waiting list | 1-3 weeks |
| Seizure characterisation - urgent eg NCS, ESES (Electrical status epilepticus during sleep) | 1-4 days |
Elective admissions
Children with the following diagnoses should be referred to GOSH via the non-emergency pathway.
| Diagnosis | Estimated LoS |
|---|---|
| Planned RANU review with EEG/sleep EEG/prolonged EEG (elective not acute) | Day case on RANU |
Reviewed by: Dr Suresh Pujar, Consultant Paediatric Neurologist. October 2022