Two-tier system of epilepsy evaluation: a useful method for developing countries.
Artículo
en Inglés
| IMSEAR
| ID: sea-93966
ABSTRACT
PURPOSE:
To test the usefulness of a simplified and clinically oriented, the Epidemiological Classification (EC), in determination of seizure types and appropriate drug selection in epileptic patients at the primary care level.METHODS:
The EC was applied to all epileptic patients over 5 years then compared with the currently recommended international classifications of seizures and epilepsy (ICES/ICEES).RESULTS:
A total of 1176 patients were enrolled with 21 male preponderance and 88% had onset of disease below 30 years of age. Based on EC, 682 (58%) had partial, 333 (28.3%) had generalized and 161 (13.7%) had undetermined seizures semiology. When ICES was applied, seizure typing was same in 86.2%, 68.5% and 26.7% patients of partial, generalized and unclassified seizures respectively. About 87% patients in generalized and partial seizure semiology had no change in selected antiepileptic drug even after the ICES, but 53.6% patients in undetermined group had change in selected AED. Only, 146 patients (12.5%) found to have symptomatic cause for seizure(s) on applying the EC system. After utilizing the ICEES on 1030 patients (87.5%) of "unknown etiology" cases after the EC system, almost 86.5% patients could be classified to a definite etiological class.CONCLUSION:
The EC was found useful for determination of seizure type and appropriate AEDs selection at the primary care level. The ICES/ICEES works better at the tertiary care level. This "two-tier" system can be more effective for overall epilepsy management in developing countries with limited facilities.
Texto completo:
Disponible
Índice:
IMSEAR (Asia Sudoriental)
Asunto principal:
Planificación de Atención al Paciente
/
Atención Primaria de Salud
/
Índice de Severidad de la Enfermedad
/
Femenino
/
Humanos
/
Masculino
/
Recién Nacido
/
Niño
/
Preescolar
/
Factores de Riesgo
Tipo de estudio:
Estudio de etiología
/
Estudios de evaluación
/
Factores de riesgo
Idioma:
Inglés
Año:
2008
Tipo del documento:
Artículo
Similares
MEDLINE
...
LILACS
LIS