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More Accurate Data Helps Change Lives for the Better
At Stratus, we saw a unique opportunity to redefine EEG testing for the better. One in 26 people will develop epilepsy or recurrent seizures during their lifetime. At Stratus, we knew that with accurate data, quicker turnaround, and convenient in-home testing, countless lives might be improved. Ambulatory video EEG testing at home monitors patients in their every-day environment, which retains the environments that may likely contribute to seizures or other neurological symptoms. That means more accurate data to support diagnoses, empowering physicians to create treatment plans that are better for everyone.
Our industry-leading record of experience means that physicians can feel confident in the quality of the results. Patients can also feel comfortable knowing that they can avoid the exposure to bacteria and viruses that are contained in facility settings. This means patients are more likely to follow their doctor’s orders and follow through with the testing quickly.
Empowering Physicians with High-Quality Data
We boldly lead the way forward by delivering extraordinary value for patients. The quality and accuracy of an in-home video EEG (VEEG) test rivals an inpatient EMU evaluation, without a costly hospital visit. Through a retrospective review of data, only 0.3% of Stratus’ in-home VEEG tests were eliminated due to excessive artifact, meaning you receive high-quality data that’s easily accessible.5
Home testing delivers valuable insight into what environmental triggers may contribute to the episodes experienced by your patient. Published, peer reviewed studies have demonstrated comparable quality and diagnostic efficacy of a test performed in the home when compared to an inpatient EMU, and significantly lower cost for the payor and patient.
5 Syed TU, LaFrance WC, Loddenkemper T, Benbadis S, Slater JD, El-Atrache R., et al. Outcome of ambulatory video-EEG monitoring in a ~10,000 patient nationwide cohort. Seizure. 2019; 66: 104-111. doi:10.1016/j.seizure.2019.01.018
A Quicker Timeline to Diagnosis
Stratus makes the process more efficient. With one day to one week scheduling, patients no longer need to wait for facility availability, creating a faster path to wellness. When performed for the appropriate indications, an in-home ambulatory video EEG test’s quality and diagnostic accuracy equal an inpatient EMU evaluation. Not only do we monitor, but we also provide 24/7 technical assistance. When an issue arises, we tackle it via phone or send a technician to resolve it.
Through an innovative approach that combines cloud-based technology, multiple HD cameras, and intermittent study monitoring, Stratus’ proprietary software delivers high-integrity data securely on any internet connected device . A pruned report is provided back to the ordering physician, usually within 72 hours of completion and can be reviewed and annotated online using Stratus EEG™ software.
Outpatient Ambulatory EEG Testing
Outpatient Advantages
Home environment:
The study is performed in the patient’s regular environment with everyday stresses, where the episodes in question generally occur.
Lower wait times:
The study can generally be scheduled and executed much more quickly than inpatient studies. Stratus, in most cases, has “next-day” and “next-week” availability, resulting in a much higher level of patient compliance with completion of the testing and a much faster turnaround of the final report to the ordering physician.
Lower EEG test costs:
The outpatient EEG test cost is generally a fraction of the inpatient EEG cost, as low as 1/3rd of the cost for a 72-hour recording.3
3Slater JD, et al. The real-world economic impact of home-based video electroencephalography: the payer perspective. J Med Econ. 2019; 22(10): 1030-1040. Doi: 10.1080/13696998.2019.1636382
Convenience: Patients can stay in the privacy and comfort of their own home and do not have to travel to stay in an EMU (with the distances in some cases being significant). This results in less time off from work and away from family.Outpatient Disadvantages
On-site supervision:
In severe cases, physicians cannot safely lower anti-epileptic drugs during the recording6.
Live events:
Studies that have evaluated the value of home video EEG monitoring in the past have also noted a decreased likelihood of the patient being on camera at the time of an event, and the inability to fix technical problems with the recording.
With the advent of technology that allows for frequent web-based monitoring of the recordings, and the ability to either call the home (to fix patient position or pan/tilt/zoom the camera position) or dispatch a technician to the home to fix technical problems, these are lessening concerns. The web-based software allows for remote real-time review of the study, so that the monitoring technologist no longer needs to be on-site, but is still able to contact medical or technical staff to intervene on a timely basis.
Emergency intervention:
Indications for outpatient VEEG recording do not include the withdrawal of AEDs, therefore, no emergency/medical/nursing staff is available at the bedside.
6Benbadis SR, Beniczky S, Bertram S, Moshe S, The role of EEG in patients with suspected epilepsy. Epileptic Disorders. 2020: 22 (2): 143 -55
By the Numbers: VEEG at Home
99%
99.5% of pediatric patients had their first event recorded within 72 hours, compared to 97.5% at 48 hours and 84.3% at 24 hours*.
12
Twelve fewer days from physician referral for in-home VEEG to test completion versus average time to inpatient testing.3
99%
99.1% of adult patients had their first event recorded within 72 hours, compared to 92.5% at 48 hours and 76.4% at 24 hours*.
*Stratus internal data, publication in preparation
3 Slater JD, et al. The real-world economic impact of home-based video electroencephalography: the payer perspective. J Med Econ. 2019; 22(10): 1030-1040. Doi: 10.1080/13696998.2019.1636382
Accredited by The Joint Commission
Alliance Neurodiagnostics LLC, d/b/a Stratus, located at 4545 Fuller Dr., Suite 100, Irving, Texas is accredited by The Joint Commission.
Let’s Lead the Way Forward, Together
Contact Stratus for more information on in-home VEEG services.
