Stratus Neuro

Ambulatory EEG testing for seizures – Ambulatory EEG testing for epilepsy – Stratus
Ambulatory EEG testing for seizures – Ambulatory EEG testing for epilepsy – Stratus
Video EEG monitoring – video EEG test at home – VEEG testing – Stratus

Stratus’ video EEG (VEEG) at-home testing delivers quicker turnaround, accurate data, and greater convenience for patients.

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.

Video EEG at home near me – VEEG at home near me – Stratus – EEG test at home

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

Video EEG at home near me – VEEG at home near me – Stratus – EEG test at home

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. A report is provided back to the ordering physician, usually within 72 hours of completion (two business days).

Through an innovative approach that combines cloud-based technology, two HD cameras and intermittent study monitoring, Stratus delivers high-integrity data while lowering patient costs. 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.

Home EEG testing – home EEG test – video EEG at home – VEEG services – Stratus

Inpatient EEG Testing vs. Outpatient Ambulatory EEG Testing

Inpatient Advantages

Intervention:

Inpatient monitoring gives doctors the ability to lower anti-epileptic drugs so that the patient is more likely to have one of their events. Because of the risk of triggering generalized convulsions (or rarely, even status epilepticus), this practice mandates observation and the ability to intervene immediately if necessary (frequent with the use of IV medications); one can only lower drugs safely in the inpatient setting.


Assessment:

The ability to have a skilled observer (nursing staff) directly interact with a patient during the event allows for assessment of orientation, the ability to speak, etc., which might not be evident otherwise.

Inpatient Disadvantages

Long wait times:

Scheduling the inpatient stay may create a significant delay between when the study is ordered and when it is executed.

Higher EEG test cost:

The average in-hospital EEG test cost is up to six times higher than an in-home EEG cost.

Inconvenience:

Admission to the hospital may be difficult for the patient for multiple reasons, including distance to an inpatient facility and family/home obligations. With a worsening shortage of neurologists in the U.S., access is further hampered by the tendency for neurologists to cluster in major metropolitan areas, creating “neurology deserts” over large areas of the country.

Hospital costs:

In addition to a higher cost of an EEG test, other costs are artificially high for services that are either not medically necessary (e.g., 24-hour nursing, vital signs every shift) or needs that are just as well available at home (e.g., bed, meals and medications).

Hospital environment:

The hospital is an artificial environment with little stress for the patient, and their activity is minimized. The result is that patients who may have been having seizures frequently when home may not even have an event recorded. This fact contributes to the need for drug reduction and activation procedures with inpatients in the first place.6

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

3 Benbadis SR, Beniczky S, Bertram S, Moshe S, The role of EEG in patients with suspected epilepsy. Epileptic Disorders. 2020: 22 (2): 143 -55

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.

6Slater JD, Eaddy M, Butts CM, Meltser I, Murty S. 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

Inpatient Advantages

Inpatient monitoring gives doctors the ability to lower anti-epileptic drugs so that the patient is more likely to have one of their events. Because of the risk of triggering generalized convulsions (or rarely, even status epilepticus), this practice mandates observation and the ability to intervene immediately if necessary (frequent with the use of IV medications); one can only lower drugs safely in the inpatient setting.

The ability to have a skilled observer (nursing staff) directly interact with a patient during the event allows for assessment of orientation, the ability to speak, etc., which might not be evident otherwise.

Inpatient Disadvantages

Scheduling the inpatient stay may create a significant delay between when the study is ordered and when it is executed.

The average in-hospital EEG test cost is up to six times higher than an in-home EEG cost.

Admission to the hospital may be difficult for the patient for multiple reasons, including distance to an inpatient facility and family/home obligations. With a worsening shortage of neurologists in the U.S., access is further hampered by the tendency for neurologists to cluster in major metropolitan areas, creating “neurology deserts” over large areas of the country.

In addition to a higher cost of an EEG test, other costs are artificially high for services that are either not medically necessary (e.g., 24-hour nursing, vital signs every shift) or needs that are just as well available at home (e.g., bed, meals and medications).

The hospital is an artificial environment with little stress for the patient, and their activity is minimized. The result is that patients who may have been having seizures frequently when home may not even have an event recorded. This fact contributes to the need for drug reduction and activation procedures with inpatients in the first place.

Outpatient Advantages

The study is performed in the patient’s regular environment with everyday stresses, where the episodes in question generally occur.

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.

The outpatient EEG test cost is generally a fraction of the inpatient EEG cost, as low as 1/6th of the cost for a 72-hour recording.

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

In severe cases, physicians cannot safely lower anti-epileptic drugs during the recording.

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.

Indications for outpatient VEEG recording do not include the withdrawal of AEDs, therefore, no emergency/medical/nursing staff is available at the bedside.

By the Numbers: VEEG at Home

92%

Ambulatory EEG testing for seizures – Ambulatory EEG testing for epilepsy – Stratus

of patients had their first event recorded within 72 hours, compared to 64% at 24 hours.3

12

Ambulatory EEG testing for seizures – Ambulatory EEG testing for epilepsy – Stratus

fewer days from physician referral for in-home VEEG to test completion versus average time to inpatient testing.3

3Slater JD, Eaddy M, Butts CM, Meltser I, Murty S. 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

Let’s Lead the Way Forward, Together

Contact Stratus for more information on in-home VEEG services.
remote heart monitoring - Video EEG at home near me – VEEG at home near me – Stratus – EEG test at home

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We appreciate your message and our neurodiagnostic services pros will be in touch soon.

In the meantime, visit our resources for the latest blog posts and other insights.
You may also reach us via phone at 888.982.8492.