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We assessed whether <jats:styled-content style=\"fixed-case\">VM<\/jats:styled-content> resulted in increased identification of seizures that required clinical intervention.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>The unit provides care for 340 individuals with refractory epilepsy and severe learning disabilities. Acoustic detection systems (<jats:styled-content style=\"fixed-case\">ADS<\/jats:styled-content>s) cover all individuals; 37 people also have a bed motion sensor (<jats:styled-content style=\"fixed-case\">BMS<\/jats:styled-content>) and 46 people with possible nocturnal seizures are now monitored by <jats:styled-content style=\"fixed-case\">VM<\/jats:styled-content>. During a 6\u2010month period, in all cases of a suspected seizure we asked the caregivers to specify which device alerted them and to indicate whether this led to an intervention. Staff costs of <jats:styled-content style=\"fixed-case\">VM<\/jats:styled-content> were estimated using payroll information.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>We identified 1,208 seizures in 37 individuals: 4 had no nocturnal seizures and 393 (33%) seizures were seen only on video. In 169 (14%) of 1,208 seizures an intervention was made and this included 39 (10%) of 393 seizures seen only on video. When compared to seizures observed with an <jats:styled-content style=\"fixed-case\">ADS<\/jats:styled-content> or <jats:styled-content style=\"fixed-case\">BMS<\/jats:styled-content>, seizures seen only on video were more often tonic seizures (71% vs. 22%, p &lt; 0.001) and occurred mostly in the beginning or at the end of the night (40% vs. 26%, p &lt; 0.001). The extra staff costs of monitoring was 7,035 euro per seizure seen only on video and leading to an intervention.<\/jats:p><\/jats:sec><jats:sec><jats:title>Significance<\/jats:title><jats:p><jats:styled-content style=\"fixed-case\">VM<\/jats:styled-content> facilitates nocturnal surveillance, but the costs are high. This underscores the need for development of reliable seizure detection devices.<\/jats:p><\/jats:sec>","DOI":"10.1111\/epi.13558","type":"journal-article","created":{"date-parts":[[2016,9,30]],"date-time":"2016-09-30T09:52:51Z","timestamp":1475229171000},"page":"1748-1753","source":"Crossref","is-referenced-by-count":21,"title":["Value of video monitoring for nocturnal seizure detection in a residential setting"],"prefix":"10.1111","volume":"57","author":[{"given":"Marije","family":"van der Lende","sequence":"first","affiliation":[{"name":"Stichting Epilepsie Instellingen Nederland (SEIN) Heemstede The Netherlands"},{"name":"Department of Neurology Leiden University Medical Center (LUMC) Leiden The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fieke M. 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