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The effect of COVID-19 pandemic on seizure control and self-reported stress on patient with epilepsy.
Alkhotani, Amal; Siddiqui, Muhammad I; Almuntashri, Fahad; Baothman, Renad.
  • Alkhotani A; Department of Medicine, Umm AlQura University, Saudi Arabia. Electronic address: amkhotani@uqu.edu.sa.
  • Siddiqui MI; Department of Community Medicine, Umm AlQura University, Saudi Arabia.
  • Almuntashri F; Umm AlQura University College of Medicine, Saudi Arabia.
  • Baothman R; Umm AlQura University College of Medicine, Saudi Arabia.
Epilepsy Behav ; 112: 107323, 2020 11.
Article in English | MEDLINE | ID: covidwho-642555
Semantic information from SemMedBD (by NLM)
1. Epilepsy PROCESS_OF Patients
Subject
Epilepsy
Predicate
PROCESS_OF
Object
Patients
2. Epilepsy COEXISTS_WITH Stress
Subject
Epilepsy
Predicate
COEXISTS_WITH
Object
Stress
3. Epilepsy COEXISTS_WITH Fit frequency
Subject
Epilepsy
Predicate
COEXISTS_WITH
Object
Fit frequency
4. Stress COEXISTS_WITH COVID-19
Subject
Stress
Predicate
COEXISTS_WITH
Object
COVID-19
5. Fit frequency COEXISTS_WITH COVID-19
Subject
Fit frequency
Predicate
COEXISTS_WITH
Object
COVID-19
6. Epilepsy COEXISTS_WITH Mental disorders
Subject
Epilepsy
Predicate
COEXISTS_WITH
Object
Mental disorders
7. Automated External Defibrillators TREATS Stress
Subject
Automated External Defibrillators
Predicate
TREATS
Object
Stress
8. American College of Cardiology/American Heart Association Lesion Complexity Score C PROCESS_OF Patients
Subject
American College of Cardiology/American Heart Association Lesion Complexity Score C
Predicate
PROCESS_OF
Object
Patients
9. Epilepsy PROCESS_OF Patients
Subject
Epilepsy
Predicate
PROCESS_OF
Object
Patients
10. Epilepsy COEXISTS_WITH Stress
Subject
Epilepsy
Predicate
COEXISTS_WITH
Object
Stress
11. Epilepsy COEXISTS_WITH Fit frequency
Subject
Epilepsy
Predicate
COEXISTS_WITH
Object
Fit frequency
12. Stress COEXISTS_WITH COVID-19
Subject
Stress
Predicate
COEXISTS_WITH
Object
COVID-19
13. Fit frequency COEXISTS_WITH COVID-19
Subject
Fit frequency
Predicate
COEXISTS_WITH
Object
COVID-19
14. Epilepsy COEXISTS_WITH Mental disorders
Subject
Epilepsy
Predicate
COEXISTS_WITH
Object
Mental disorders
15. Automated External Defibrillators TREATS Stress
Subject
Automated External Defibrillators
Predicate
TREATS
Object
Stress
16. American College of Cardiology/American Heart Association Lesion Complexity Score C PROCESS_OF Patients
Subject
American College of Cardiology/American Heart Association Lesion Complexity Score C
Predicate
PROCESS_OF
Object
Patients
ABSTRACT

OBJECTIVES:

The objective of the study was to assess if patients with epilepsy (PWE) experienced an increase in seizure frequency and self-reported stress during the COVID-19 pandemic.

METHODS:

This is a cross-sectional study conducted in Saudi Arabia in April 2020. An electronic self-administered questionnaire was distributed to PWE via their treating neurologist. The variables included were demographic and baseline clinical characteristics (age, gender, living situation, occupational status, type of epilepsy, duration of epilepsy, number of antiepileptic medications (AEDs), presence of known psychiatric illness, and use of psychiatric medications), their seizure control in the month prior to the pandemic, perceived stress during this period of time, sleep changes, compliance changes, and change in seizure control during the pandemic.

RESULTS:

A total of 156 patients completed the questionnaire, with 29.5% reporting an increase in seizure frequency. Additionally, 59.4% reported an increase in self-reported stress and 71.2% experienced a significant change in their sleep during this period. Higher baseline seizure frequency, more AEDs, noncompliance, increase in self-reported stress, and sleep changes are the significant factors associated with increase in seizure frequency during the pandemic.

CONCLUSION:

Identifying high-risk patients for seizure recurrence is important in order to provide them with adequate support to reduce such risk.
Subject(s)
Keywords

Full text: Available Collection: International databases Database: MEDLINE Main subject: Pneumonia, Viral / Sleep Wake Disorders / Stress, Psychological / Coronavirus Infections / Epilepsy / Pandemics / Anticonvulsants Type of study: Experimental Studies / Observational study / Prognostic study / Qualitative research / Randomized controlled trials Limits: Adult / Female / Humans / Male / Middle aged / Young adult Country/Region as subject: Asia Language: English Journal: Epilepsy Behav Journal subject: Behavioral Sciences / Neurology Year: 2020 Document Type: Article

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Pneumonia, Viral / Sleep Wake Disorders / Stress, Psychological / Coronavirus Infections / Epilepsy / Pandemics / Anticonvulsants Type of study: Experimental Studies / Observational study / Prognostic study / Qualitative research / Randomized controlled trials Limits: Adult / Female / Humans / Male / Middle aged / Young adult Country/Region as subject: Asia Language: English Journal: Epilepsy Behav Journal subject: Behavioral Sciences / Neurology Year: 2020 Document Type: Article