Objective: To assess Epilepsy Quality Metrics (EQM) and guideline implementation in new pediatric patients seen in telemedicine. Methods: Multicenter, cross sectional, retrospective analysis. Results: Patients were similar across 3 centers for age, gender, and insurance type. Eighty-one percent presented for spells. One hundred sixty patients with epilepsy formed the EQM cohort. Results: Seizures described: 95%; frequency: 67%, last seizure documented: 81%, epilepsy syndrome documented: 67%; epilepsy diagnosis: 77%, medications reviewed: 56%, adverse events discussed: 73%. Quality of life discussed: 3%. Anticipatory guidance was described as follows: seizure safety, 57%; driving, 47%; SUDEP, 11%; vitamin D discussion, 19%; pregnancy and folic acid counseling, 4% and 10%. Epileptologists were 4 times as likely as generalists in discussing driving safety (odds ratio 3.93, 95% confidence interval 1.7-8.9; P = .001) for all ages. Significance: Performance on EQM and guideline implementation in pediatric epilepsy telemedicine encounters can be improved.

目的：评估远程医疗新儿科患者的癫痫质量指标 (EQM) 和指南实施情况。方法：多中心、横断面、回顾性分析。结果： 3 个中心的患者在年龄、性别和保险类型方面相似。百分之八十一为咒语。160 名癫痫患者组成了 EQM 队列。结果：癫痫发作描述：95%；频率：67%，最后一次癫痫发作记录：81%，癫痫综合征记录：67%；癫痫诊断：77%，药物审查：56%，讨论的不良事件：73%。讨论的生活质量：3%。预期指导描述如下：癫痫发作安全性，57%；驾驶，47%；苏德普，11%；维生素 D 讨论，19%；怀孕和叶酸咨询，4%和10%。在讨论所有年龄段的驾驶安全时，癫痫专家的可能性是通才的 4 倍（优势比 3.93，95% 置信区间 1.7-8.9；P  = .001）。意义：可以提高儿童癫痫远程医疗会诊中 EQM 和指南实施的绩效。