We describe the largest‐to‐date single‐center implementation of tele‐epilepsy. Beginning in 2017, all patients at a single tertiary care academic epilepsy center were offered the option to complete outpatient follow‐up visits via video‐conferencing using personal devices. A retrospective review of all patients who self‐selected virtual visits over nearly 3 years showed 2140 patients completed 3698 tele‐epilepsy visits, with 41% completing more than one visit during the study period. Based on the distance from the center to the home address, 26.7% of patients were local (≤50 miles), 30.5% were near regional (51‐150 miles), 20.1% were far regional (151‐270 miles), and 22.7% were remote (>270 miles), from 43 different states. An estimated 928 696 miles of travel was prevented, with a median travel distance saved of 124.5 miles (interquartile range = 45.0‐253.0). The mean visit time was 15.7 (±10.4) minutes. More than 90% of patients gave the visit and provider experience the maximum rating, with a nearly 60% response rate on the post‐visit survey. Virtual outpatient follow‐up care provides a convenient way to connect with epilepsy specialists and reduce the burden of care by cutting travel time. Our experience demonstrates that outpatient tele‐epilepsy is feasible, sustainable, and scalable.

中文翻译：

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缩小癫痫护理的差距：3700 次癫痫远程就诊的单中心经验

我们描述了迄今为止最大的远程癫痫单中心实施。从 2017 年开始，一个三级保健学术癫痫中心的所有患者都可以选择使用个人设备通过视频会议完成门诊随访。对近 3 年内自行选择虚拟就诊的所有患者进行的回顾性研究显示，2140 名患者完成了 3698 次远程癫痫就诊，其中 41% 在研究期间完成了不止一次就诊。根据从中心到家庭住址的距离，26.7% 的患者在本地（≤50 英里），30.5% 的患者在近地区（51-150 英里），20.1% 的患者在远地区（151-270 英里），以及 22.7 % 来自 43 个不同州的偏远地区（>270 英里）。估计避免了 928 696 英里的旅行，平均节省了 124 英里的旅行距离。5 英里（四分位距 = 45.0-253.0）。平均访问时间为 15.7 (±10.4) 分钟。超过 90% 的患者对就诊和提供者的体验给予最高评价，在就诊后调查中的响应率接近 60%。虚拟门诊随访护理提供了一种与癫痫专家联系的便捷方式，并通过减少旅行时间来减轻护理负担。我们的经验表明，门诊远程癫痫是可行的、可持续的和可扩展的。