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Diet in the Treatment of Epilepsy: What We Know So Far
Communication

Families’ Perception of Classic Ketogenic Diet Management in Acute Medical Conditions: A Web-Based Survey

1
Department of Child Neurology and Psychiatry, IRCCS Mondino Foundation, 27100 Pavia, Italy
2
Department of Brain and Behaviour Neuroscience, University of Pavia, 27100 Pavia, Italy
3
Human Nutrition and Eating Disorder Research Center, Department of Public Health, Experimental and Forensic Medicine, University of Pavia, 27100 Pavia, Italy
4
Department of Biomedical and Clinical Sciences, L. Sacco, University of Milan, 20157 Milan, Italy
5
Department of Child Neurology, V. Buzzi Children’s Hospital, University of Milan, 20154 Milan, Italy
*
Authors to whom correspondence should be addressed.
Member of ERN-EpiCARE.
Nutrients 2020, 12(10), 2920; https://doi.org/10.3390/nu12102920
Received: 29 August 2020 / Revised: 18 September 2020 / Accepted: 22 September 2020 / Published: 24 September 2020
(This article belongs to the Special Issue Diet in the Treatment of Epilepsy: What We Know So Far)
Objective: To describe families’ experiences in managing epileptic patients undergoing ketogenic dietary therapies (KDTs) in acute medical settings. Methods: We conducted a short online survey addressed to the families of patients undergoing a classic ketogenic diet (cKD) for at least three months. The survey was composed of 18 questions exploring the following issues: demographic characteristics, epilepsy diagnosis, ketogenic-diet treatment history, the reason for emergency-ward admission and patient management, surgery-procedure management, and outcomes. Results: A sample of 50 families agreed to participate. Out of 50 patients, 33 (66%) had been undergoing a cKD for more than two years. Fifteen (30%) patients had been admitted at least once to the Emergency Room (ER), and 8.2% had undergone surgical procedures during cKD treatment. The causes of ER admission were the following: seizures, infection, trauma, and gastrointestinal or respiratory problems. In 75% of cases, blood ketonemia was not monitored during ER admission, and according to 46% of responders, the medical staff intervening did not have a basic knowledge of KDTs. Conclusions: According to both our experience and caregivers’ reports, it might be useful to search for standardized specific approaches to patients undergoing KDTs in the emergency setting. View Full-Text
Keywords: drug-resistant epilepsy; ketogenic diet; families’ perception of care; emergency; web-based survey drug-resistant epilepsy; ketogenic diet; families’ perception of care; emergency; web-based survey
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MDPI and ACS Style

Pasca, L.; Varesio, C.; Ferraris, C.; Guglielmetti, M.; Trentani, C.; Tagliabue, A.; Veggiotti, P.; De Giorgis, V. Families’ Perception of Classic Ketogenic Diet Management in Acute Medical Conditions: A Web-Based Survey. Nutrients 2020, 12, 2920. https://doi.org/10.3390/nu12102920

AMA Style

Pasca L, Varesio C, Ferraris C, Guglielmetti M, Trentani C, Tagliabue A, Veggiotti P, De Giorgis V. Families’ Perception of Classic Ketogenic Diet Management in Acute Medical Conditions: A Web-Based Survey. Nutrients. 2020; 12(10):2920. https://doi.org/10.3390/nu12102920

Chicago/Turabian Style

Pasca, Ludovica, Costanza Varesio, Cinzia Ferraris, Monica Guglielmetti, Claudia Trentani, Anna Tagliabue, Pierangelo Veggiotti, and Valentina De Giorgis. 2020. "Families’ Perception of Classic Ketogenic Diet Management in Acute Medical Conditions: A Web-Based Survey" Nutrients 12, no. 10: 2920. https://doi.org/10.3390/nu12102920

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