Turkish Archives of Pediatrics
Original Article

Adaptability of Pediatric Residents for the International League Against Epilepsy-2017 Seizure Classification with a Modular Education Program

1.

Department of Pediatrics, Ege University Children’s Hospital, İzmir, Turkey

2.

Division of Pediatric Neurology, Department of Pediatrics, Ege University Children’s Hospital, İzmir, Turkey

Turk Arch Pediatr 2023; 58: 509-514
DOI: 10.5152/TurkArchPediatr.2023.23063
Read: 581 Downloads: 222 Published: 25 August 2023

Objective: The aim of this study was to evaluate the adaptability of pediatric residents to the current seizure classification of the International League Against Epilepsy-2017 (ILAE-2017) using a modular education program (MEP).

Materials and Methods: The MEP design consisted of 8 modules, including 5 modules for the current version of the ILAE-2017 seizure classification and 3 modules for the older ILAE-1981 version. The MEP was implemented with a group of pediatric residents, and it comprised 50 illustrative pediatric seizure videos along with an instruction manual kit that included a seizure determinator. Following a 3-month follow-up period, a posttest was conducted using 58 new videos in the MEP.

Results: The overall success rates of the participants were similar both ILAE-2017 (41%) and ILAE-1981 (38.5%) seizure classifications in the post-MEP test. Regarding the ILAE-2017 mod- ules, the participants demonstrated a higher proficiency in classifying focal nonmotor seizures (56.3%) compared to focal motor seizures (34.9%). However, when it came to generalized seizures, the participants had significantly lower accuracy rates for generalized nonmotor seizures (26%) compared to generalized motor seizures (46%) with the ILAE-2017 classifica- tion. The seizure types that were most commonly misclassified, with an error rate exceeding 50%, were automatisms and myoclonic seizures within the focal seizure modules and atypical absences in generalized seizure modules of ILAE-2017.

Conclusion: The single-day MEP yielded modest results, with a success rate of 41% in terms of the initial adaptability of pediatric residents to the ILAE-2017 seizure classification. However, to ensure successful implementation of the ILAE-2017 classification in clinical practice, additional booster applications of the MEP are required.

Cite this article as: İmanli M, Şimşek E, Dezhakam A, et al. Adaptability of pediatric residents for the International League Against Epilepsy-2017 seizure classification with a modular education program. Turk Arch Pediatr. 2023;58(5):509-514.

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