Factores de riesgo para incumplimiento terapéutico en pacientes con epilepsias / Risk factors for therapeutic noncompliance of patients with epilepsies
Gac. méd. Méx
;
138(3): 241-246, mayo-jun. 2002.
Artículo
en Español
| LILACS
| ID: lil-333678
ABSTRACT
Inadequate compliance is a major contributor to unsuccessful treatment in epilepsies. To establish risk factors associated with therapeutic non-compliance in patients with epilepsy, we carried out a case-control study, nested into a cohort, with thirteen factors possibly implicated in therapeutic non-compliance. The patient's general characteristics, the illness, and patient-practitioner relationship were studied. Patients were followed during 6 months; during this time, serum levels and pill counts were registered. Of 150 patients, 66 were non-compliers and 84 were compliers. Seven of thirteen factors were statistically different with an odds ratio greater than 3 (p < 0.05). However, after log-lineal regression analysis, only the total number of pills per day and the subject's intellectual level were significant. These two factors increase 3.66 times the risk of non-compliance. We conclude that epileptic patients with a low intellectual level and more than three prescribed pills per day have a 3.66 times greater risk of non-compliance to anti epileptic treatment.
Buscar en Google
Índice:
LILACS (Américas)
Asunto principal:
Cooperación del Paciente
/
Epilepsia
Tipo de estudio:
Estudio diagnóstico
/
Estudio de etiología
/
Estudio observacional
/
Factores de riesgo
Límite:
Adulto
/
Femenino
/
Humanos
/
Masculino
Idioma:
Español
Revista:
Gac. méd. Méx
Asunto de la revista:
Medicina
Año:
2002
Tipo del documento:
Artículo
País de afiliación:
México
Institución/País de afiliación:
Hospital General de México/MX
Similares
MEDLINE
...
LILACS
LIS