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UDK 616.831-073:364.444.07(497.11) ISSN 0350-2899, 28(2003) 1 p.21-25

Original paper

Requests for electroencephalography in Health Centre Zaječar

Emil Vlajić
Neuropsihijatrijska služba, Zdravstveni centar Zaječar

Electroencephalography (EEG) is an important tool in investigating patients with neurological disorders, particularly epilepsy. It has a range of indications, but its limitations are not well recognized and may lead to unnecessary requests. The objectives of the present study were to analyze the inadequate diagnostic indications for electroencephalographic evaluation and to sketch guidelines for reducing inadequate EEG requests. We retrospectively analyzed the requests for EEGs of 850 patients (139 in- and 711 out-patients) undergoing EEG at the general hospital in Medical centre Zajecar during year 2002. We consider as inadequate request situations where EEG is of no value for diagnostic, managing or organizing treatment. In these conditions we include headaches, dizziness, strokes, rang of psychiatric diagnosis and other non-neurological conditions. In present study there were 30,2% (257/850) of inadequate requests. The neurologists made 42,0% (149/257) inadequate requests, although paediatrics, other specialists and general practitioners did it in less number (33,3% , 35,1% , 36,9% respectively). Epileptologist inappropriate requested 9,2 % EEG-s. By reducing of one-third unnecessary tests each year in one district general hospital, the proportion of requests in patients with epilepsy would increase and, consequently, the overall usefulness of the test would increase. Good bidirectional communication between the referrer and the EEG department is essential to make proper use of the EEG. 
Key words: EEG indications, EEG requests, epilepsy

Correspondence to:
Dr Emil Vlajić
Svetozara Markovića 36/25, 19000 Zaječar
e-mail: vemil@ptt.yu

Received: 18.03.2003
Accepted: 02.04.2003
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