The objective of this clinical practice guideline (CPG) is to provide recommendations for healthcare personnel working with patients with epilepsy, on the use of wearable devices for automated seizure detection in patients with epilepsy, in outpatient, ambulatory settings. The Working Group of the International League Against Epilepsy and the International Federation of Clinical Neurophysiology developed the CPG according to the methodology proposed by the ILAE Epilepsy Guidelines Working Group. We reviewed the published evidence using The Preferred Reporting Items for Systematic Review and Meta-Analysis (PRISMA) statement and evaluated the evidence and formulated the recommendations following the Grading of Recommendations Assessment, Development and Evaluation (GRADE) system. We found high level of evidence for the accuracy of automated detection of generalized tonic-clonic seizures (GTCS) and focal-to-bilateral tonic-clonic seizures (FBTCS) and recommend use of wearable automated seizure detection devices for selected patients when accurate detection of GTCS and FBTCS is recommended as a clinical adjunct. We also found moderate level of evidence for seizure types without GTCs or FBTCs. However, it was uncertain whether the detected alarms resulted in meaningful clinical outcomes for the patients. We recommend using clinically validated devices for automated detection of GTCS and FBTCS, especially in unsupervised patients, where alarms can result in rapid intervention (weak/conditional recommendation). At present, we do not recommend clinical use of the currently available devices for other seizure types (weak/conditional recommendation). Further research and development are needed to improve the performance of automated seizure detection and to document their accuracy and clinical utility.

• MeSH
• Epilepsy diagnosis   MeSH
• Consensus Development Conferences as Topic MeSH
• Humans MeSH
• Neurophysiological Monitoring instrumentation   methods   standards   MeSH
• Wearable Electronic Devices standards   MeSH
• Practice Guidelines as Topic * MeSH
• Societies, Medical MeSH
• Seizures diagnosis   MeSH
• Check Tag
• Humans MeSH
• Publication type
• Journal Article MeSH
• Review MeSH

• Keywords
• monitorace somatosenzomotoricých odpovědí,
• MeSH
• Anesthetics classification   therapeutic use   MeSH
• Anesthesia methods   MeSH
• Child MeSH
• Electric Stimulation methods   instrumentation   MeSH
• Electrodiagnosis * classification   MeSH
• Intraoperative Neurophysiological Monitoring * MeSH
• Humans MeSH
• Evoked Potentials, Motor MeSH
• Central Nervous System Diseases diagnostic imaging   MeSH
• Neurophysiological Monitoring methods   instrumentation   MeSH
• Vestibular Evoked Myogenic Potentials MeSH
• Check Tag
• Child MeSH
• Humans MeSH

• MeSH
• Biofeedback, Psychology * physiology   classification   methods   MeSH
• Biomedical Technology * methods   instrumentation   trends   MeSH
• Electroencephalography methods   trends   utilization   MeSH
• Electromyography methods   trends   utilization   MeSH
• Galvanic Skin Response physiology   MeSH
• Humans MeSH
• Neurofeedback * physiology   classification   methods   MeSH
• Neurophysiological Monitoring methods   instrumentation   utilization   MeSH
• Thermography methods   trends   utilization   MeSH
• Check Tag
• Humans MeSH

• MeSH
• Electroencephalography methods   instrumentation   MeSH
• Intracranial Pressure physiology   MeSH
• Humans MeSH
• Brain physiology   MeSH
• Brain Diseases diagnostic imaging   MeSH
• Neurophysiological Monitoring * methods   instrumentation   MeSH
• Oximetry methods   instrumentation   MeSH
• Perfusion methods   instrumentation   MeSH
• Check Tag
• Humans MeSH
• Publication type
• Review MeSH

• MeSH
• Bipolar Disorder prevention & control   therapy   MeSH
• Depressive Disorder diagnosis   prevention & control   therapy   MeSH
• Mental Disorders * prevention & control   therapy   MeSH
• Electric Stimulation methods   instrumentation   adverse effects   MeSH
• Electroconvulsive Therapy methods   instrumentation   trends   MeSH
• Physical Stimulation methods   instrumentation   adverse effects   MeSH
• Technology Assessment, Biomedical * methods   trends   utilization   MeSH
• Humans MeSH
• Meta-Analysis as Topic MeSH
• International Agencies standards   trends   utilization   MeSH
• Neurophysiological Monitoring methods   instrumentation   utilization   MeSH
• Schizophrenia prevention & control   therapy   MeSH
• Statistics as Topic MeSH
• Transcranial Magnetic Stimulation * history   methods   utilization   MeSH
• Anxiety Disorders prevention & control   therapy   MeSH
• Check Tag
• Humans MeSH