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.
Article
in Spanish
| LILACS
| ID: lil-333678
Responsible library:
BR1.1
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.
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Collection:
International databases
Database:
LILACS
Main subject:
Patient Compliance
/
Epilepsy
Type of study:
Diagnostic study
/
Etiology study
/
Observational study
/
Risk factors
Limits:
Adult
/
Female
/
Humans
/
Male
Language:
Spanish
Journal:
Gac. méd. Méx
Journal subject:
Medicine
Year:
2002
Document type:
Article
Affiliation country:
Mexico
Institution/Affiliation country:
Hospital General de México/MX