The revolving door of epilepsy emergencies

Abstract

This thesis explores the revolving doors of epilepsy emergencies, focusing on the key factors that contribute to repeated attendances at emergency departments (ED) following seizures. The study is based on five peer-reviewed journal articles that provide a comprehensive review of current evidence, risk factors for ED attendance, clinicians' perspectives, and the use of technology in epilepsy management. The research identifies several critical factors influencing ED attendances, including mental health issues, medication adherence, and social determinants such as deprivation and homelessness. The findings highlight the need for integrated care pathways, improved communication between healthcare providers, and targeted interventions for vulnerable populations. An example of this has been provided from an evaluation of a novel technology (Nelli) determining acceptability for a particularly underserved community of people with epilepsy; those with intellectual disability. The thesis aims to enhance the understanding of epilepsy emergencies and propose practical solutions to reduce unnecessary ED attendances, ultimately improving the quality of life for people with epilepsy.

Date of Award	2025
Original language	English
Awarding Institution	University of Plymouth
Supervisor	Lisa Bunn (Director of Studies (First Supervisor)), Rohit Shankar (Other Supervisor) & Rosi Raine (Other Supervisor)