Effect of Inpatient Electroencephalography on Clinical Decision Making: EEG Is More Valuable Than Findings Suggest
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Viroj Wiwanitkit
To the Editor:
I found the recent report by Harmon and colleagues on inpatient electroencephalography (EEG) very interesting.1 The authors concluded that “inpatient EEGs rarely contributed to clinical decision making and in no case resulted in a change in diagnosis or management.”1 Thus, the question that remains is whether inpatient EEG is useless. In fact, the study was retrospective, and there are many factors that could not be controlled. I believe it is important to consider the rational use of investigation.2 In other words, similar to any investigation in medicine, the inpatient EEG should be used only if there is indication. Harmon and colleagues1 did not determine whether all cases had fulfilled indication. The inpatient EEG can be very useful—if the physician has been well educated on proper procedures and indications.
References
1 Harmon LA Craddock M Jones E Spellman CW Loveman DM . Effect of inpatient electroencephalography on clinical decision making. J Am Osteopath Assoc.2013;113(12):891-896. doi:10.7556/jaoa.2013.067.10.7556/jaoa.2013.067Search in Google Scholar PubMed
2 Wiwanitkit V . Rational use of laboratory test and patient compliance. Chula Med J.1999;43(6):353-360.Search in Google Scholar
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Articles in the same Issue
- In My View
- Shorter Training Is No Solution for Building the Primary Care Physician Workforce
- A New Model for Educating Our Nation's Primary Care Physicians
- Letters
- Effect of Inpatient Electroencephalography on Clinical Decision Making: EEG Is More Valuable Than Findings Suggest
- Effect of Inpatient Electroencephalography on Clinical Decision Making: EEG Is More Valuable Than Findings Suggest
- Response
- AOA Communication
- Official Call (Reprint)
- Proposed Amendments to the AOA Constitution, Bylaws, and Code of Ethics
- Original Contribution
- Effect of Osteopathic Manipulative Treatment on Middle Ear Effusion Following Acute Otitis Media in Young Children: A Pilot Study
- Osteopathic Manipulative Treatment for Inpatients With Pulmonary Exacerbations of Cystic Fibrosis: Effects on Spirometry Findings and Patient Assessments of Breathing, Anxiety, and Pain
- Assessing Palpation Thresholds of Osteopathic Medical Students Using Static Models of the Lumbar Spine
- Review
- Effectiveness of Osteopathic Manipulative Therapy for Managing Symptoms of Irritable Bowel Syndrome: A Systematic Review
- Medical Education
- Predictive Relationship of Osteopathic Manual Medicine Grades and COMLEX-USA Level 1 Total Scores and Osteopathic Principles and Practice Subscores
- Special Communication
- From “Doctor of Osteopathy” to “Doctor of Osteopathic Medicine”: A Title Change in the Push for Equality
- Case Report
- Osteopathic Approach to Sacroiliac Dysfunction in a Patient With Steroid Myopathy: Case Report and Literature Review
- Clinical Images
- Hepatic Cystic Echinococcosis
