Importance

Epilepsy can be associated with significant morbidity and mortality. Seizure detection devices could be invaluable tools for both people with epilepsy, their caregivers, and clinicians as they could alert caretakers about seizures, reduce the risk of sudden unexpected death in epilepsy, and provide objective and more reliable seizure tracking to guide treatment decisions or monitor outcomes in clinical trials.

Objective

To synthesize the characteristics of commercial seizure detection tools/devices currently available.

Methods

We performed a systematic search utilizing a diverse set of resources to identify commercially available seizure detection products for consumer use. Performance data was obtained through a systematic review on commercially available products.

Observations

We identified 23 products marketed for seizure detection/alerting. Devices utilize a variety of mechanisms to detect seizures, including movement detectors, autonomic change detectors, electroencephalogram (EEG) based detectors, and other mechanisms (audio). The optimal device for a person with epilepsy depends on a variety of factors including the main purpose of the device, their age, seizure type and personal preferences. Only 8 devices have published peer-reviewed performance data and the majority for tonic-clonic seizures. An informed conversation between the clinician and the patient can help guide if a seizure detection device is appropriate.

Conclusions and relevance

Seizure detection devices have a potential to reduce morbidity and mortality for certain people with epilepsy. Clinicians should be familiar with the characteristics of commercially available devices to best counsel their patients on whether a seizure detection device may be beneficial and what the optimal devices may be.

中文翻译：

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市售癫痫检测设备：系统评价

重要性

癫痫可能与显着的发病率和死亡率有关。癫痫发作检测设备对于癫痫患者、他们的护理人员和临床医生来说都是非常宝贵的工具，因为它们可以提醒护理人员癫痫发作，降低癫痫突然意外死亡的风险，并提供客观和更可靠的癫痫发作跟踪以指导治疗决策或监测临床试验的结果。

客观的

综合目前可用的商业缉获检测工具/设备的特征。

方法

我们利用各种资源进行了系统搜索，以确定供消费者使用的市售癫痫检测产品。性能数据是通过对市售产品的系统审查获得的。

观察

我们确定了 23 种销售用于癫痫检测/警报的产品。设备利用各种机制来检测癫痫发作，包括运动检测器、自主变化检测器、基于脑电图 (EEG) 的检测器和其他机制（音频）。癫痫患者的最佳设备取决于多种因素，包括设备的主要用途、年龄、癫痫发作类型和个人偏好。只有 8 台设备发布了经过同行评审的性能数据，其中大部分用于强直阵挛发作。临床医生和患者之间的知情对话可以帮助指导癫痫检测设备是否合适。

结论和相关性

癫痫发作检测设备有可能降低某些癫痫患者的发病率和死亡率。临床医生应该熟悉市售设备的特性，以便就癫痫检测设备是否有益以及最佳设备可能是什么向患者提供最好的咨询。