Landscape of childhood epilepsies – A multi-ethnic population-based study

<h3>Objective </h3><p dir="ltr">To describe the clinical features of childhood epilepsy in Qatar. Methods A retrospective cross-sectional chart review analysis was conducted at the only tertiary pediatric hospital in Qatar in 1422 patients with epilepsy followed between N...

وصف كامل

محفوظ في:
التفاصيل البيبلوغرافية
المؤلف الرئيسي: Ruba Benini (17563083) (author)
مؤلفون آخرون: Nadine Asir (17563086) (author), Ahmad Yasin (17563089) (author), Ali M. Mohamedzain (17563092) (author), Faisal Hadid (17563095) (author), Dhanya M. Vasudeva (17563098) (author), Amira Saeed (14152857) (author), Khaled Zamel (17563101) (author), Husam Kayyali (17563104) (author), Sami Elestwani (17563107) (author)
منشور في: 2022
الموضوعات:
الوسوم: إضافة وسم
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_version_ 1864513536158334976
author Ruba Benini (17563083)
author2 Nadine Asir (17563086)
Ahmad Yasin (17563089)
Ali M. Mohamedzain (17563092)
Faisal Hadid (17563095)
Dhanya M. Vasudeva (17563098)
Amira Saeed (14152857)
Khaled Zamel (17563101)
Husam Kayyali (17563104)
Sami Elestwani (17563107)
author2_role author
author
author
author
author
author
author
author
author
author_facet Ruba Benini (17563083)
Nadine Asir (17563086)
Ahmad Yasin (17563089)
Ali M. Mohamedzain (17563092)
Faisal Hadid (17563095)
Dhanya M. Vasudeva (17563098)
Amira Saeed (14152857)
Khaled Zamel (17563101)
Husam Kayyali (17563104)
Sami Elestwani (17563107)
author_role author
dc.creator.none.fl_str_mv Ruba Benini (17563083)
Nadine Asir (17563086)
Ahmad Yasin (17563089)
Ali M. Mohamedzain (17563092)
Faisal Hadid (17563095)
Dhanya M. Vasudeva (17563098)
Amira Saeed (14152857)
Khaled Zamel (17563101)
Husam Kayyali (17563104)
Sami Elestwani (17563107)
dc.date.none.fl_str_mv 2022-07-01T00:00:00Z
dc.identifier.none.fl_str_mv 10.1016/j.eplepsyres.2022.106936
dc.relation.none.fl_str_mv https://figshare.com/articles/journal_contribution/Landscape_of_childhood_epilepsies_A_multi-ethnic_population-based_study/24745647
dc.rights.none.fl_str_mv CC BY 4.0
info:eu-repo/semantics/openAccess
dc.subject.none.fl_str_mv Biomedical and clinical sciences
Neurosciences
Paediatrics
Pediatric epilepsy
Qatar
Etiology
Risk factors
dc.title.none.fl_str_mv Landscape of childhood epilepsies – A multi-ethnic population-based study
dc.type.none.fl_str_mv Text
Journal contribution
info:eu-repo/semantics/publishedVersion
text
contribution to journal
description <h3>Objective </h3><p dir="ltr">To describe the clinical features of childhood epilepsy in Qatar. Methods A retrospective cross-sectional chart review analysis was conducted at the only tertiary pediatric hospital in Qatar in 1422 patients with epilepsy followed between November 2016 and October 2019. </p><h3>Results </h3><p dir="ltr">55% (781) were males and 70% were non-Qatari. Age of epilepsy onset was in the neonatal period in 9% (114/1207 patients). In the non-neonatal cohort, mean age of onset was 4 yrs 9mos ( ± 1.4mos). Focal epilepsy was the predominant epilepsy type in 45% (594/1314 patients) versus generalized epilepsy in 37% and combined focal/generalized epilepsy in 12%. Etiology was unknown in most children (782/1363, 57%) whereas structural and genetic causes represented 23% and 11% of cases respectively. No differences in epilepsy type and etiology were found between different ethnic groups. Children with genetic or structural epilepsies had an earlier epilepsy onset compared to those with unknown etiologies. At the last follow up, only 36% of patients were seizure-free and 12% (170/1422) had a history of status epilepticus. Medically refractory epilepsy was found in 37% (527/1407) of patients, with the most common etiologies being unknown (36%) and structural (37%). Neurodevelopmental co-morbidities were present in most patients (62%), with global developmental delay (47%) and learning/school difficulties (22%) being the most prevalent. 94% of patients with somatic co-morbidities had concomitant neurodevelopmental co-morbidities. Risk factors associated with an increased risk of co-morbidities and intractable epilepsy included early age of epilepsy onset (< 2 years of age); etiology; antenatal risk factors; history of previous central nervous system infection; history of status epilepticus and a family history of consanguinity and epilepsy. </p><h3>Significance </h3><p dir="ltr">This large multi-ethnic population-based study confirms that the prevalence, incidence and clinical features of epilepsy in Qatar is in accordance with other epidemiologic studies and highlights risk factors for the development of co-morbidities and medically-intractable epilepsy.</p><h2>Other Information</h2><p dir="ltr">Published in: Epilepsy Research<br>License: <a href="http://creativecommons.org/licenses/by/4.0/" target="_blank">http://creativecommons.org/licenses/by/4.0/</a><br>See article on publisher's website: <a href="https://dx.doi.org/10.1016/j.eplepsyres.2022.106936" target="_blank">https://dx.doi.org/10.1016/j.eplepsyres.2022.106936</a></p>
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identifier_str_mv 10.1016/j.eplepsyres.2022.106936
network_acronym_str Manara2
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oai_identifier_str oai:figshare.com:article/24745647
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spelling Landscape of childhood epilepsies – A multi-ethnic population-based studyRuba Benini (17563083)Nadine Asir (17563086)Ahmad Yasin (17563089)Ali M. Mohamedzain (17563092)Faisal Hadid (17563095)Dhanya M. Vasudeva (17563098)Amira Saeed (14152857)Khaled Zamel (17563101)Husam Kayyali (17563104)Sami Elestwani (17563107)Biomedical and clinical sciencesNeurosciencesPaediatricsPediatric epilepsyQatarEtiologyRisk factors<h3>Objective </h3><p dir="ltr">To describe the clinical features of childhood epilepsy in Qatar. Methods A retrospective cross-sectional chart review analysis was conducted at the only tertiary pediatric hospital in Qatar in 1422 patients with epilepsy followed between November 2016 and October 2019. </p><h3>Results </h3><p dir="ltr">55% (781) were males and 70% were non-Qatari. Age of epilepsy onset was in the neonatal period in 9% (114/1207 patients). In the non-neonatal cohort, mean age of onset was 4 yrs 9mos ( ± 1.4mos). Focal epilepsy was the predominant epilepsy type in 45% (594/1314 patients) versus generalized epilepsy in 37% and combined focal/generalized epilepsy in 12%. Etiology was unknown in most children (782/1363, 57%) whereas structural and genetic causes represented 23% and 11% of cases respectively. No differences in epilepsy type and etiology were found between different ethnic groups. Children with genetic or structural epilepsies had an earlier epilepsy onset compared to those with unknown etiologies. At the last follow up, only 36% of patients were seizure-free and 12% (170/1422) had a history of status epilepticus. Medically refractory epilepsy was found in 37% (527/1407) of patients, with the most common etiologies being unknown (36%) and structural (37%). Neurodevelopmental co-morbidities were present in most patients (62%), with global developmental delay (47%) and learning/school difficulties (22%) being the most prevalent. 94% of patients with somatic co-morbidities had concomitant neurodevelopmental co-morbidities. Risk factors associated with an increased risk of co-morbidities and intractable epilepsy included early age of epilepsy onset (< 2 years of age); etiology; antenatal risk factors; history of previous central nervous system infection; history of status epilepticus and a family history of consanguinity and epilepsy. </p><h3>Significance </h3><p dir="ltr">This large multi-ethnic population-based study confirms that the prevalence, incidence and clinical features of epilepsy in Qatar is in accordance with other epidemiologic studies and highlights risk factors for the development of co-morbidities and medically-intractable epilepsy.</p><h2>Other Information</h2><p dir="ltr">Published in: Epilepsy Research<br>License: <a href="http://creativecommons.org/licenses/by/4.0/" target="_blank">http://creativecommons.org/licenses/by/4.0/</a><br>See article on publisher's website: <a href="https://dx.doi.org/10.1016/j.eplepsyres.2022.106936" target="_blank">https://dx.doi.org/10.1016/j.eplepsyres.2022.106936</a></p>2022-07-01T00:00:00ZTextJournal contributioninfo:eu-repo/semantics/publishedVersiontextcontribution to journal10.1016/j.eplepsyres.2022.106936https://figshare.com/articles/journal_contribution/Landscape_of_childhood_epilepsies_A_multi-ethnic_population-based_study/24745647CC BY 4.0info:eu-repo/semantics/openAccessoai:figshare.com:article/247456472022-07-01T00:00:00Z
spellingShingle Landscape of childhood epilepsies – A multi-ethnic population-based study
Ruba Benini (17563083)
Biomedical and clinical sciences
Neurosciences
Paediatrics
Pediatric epilepsy
Qatar
Etiology
Risk factors
status_str publishedVersion
title Landscape of childhood epilepsies – A multi-ethnic population-based study
title_full Landscape of childhood epilepsies – A multi-ethnic population-based study
title_fullStr Landscape of childhood epilepsies – A multi-ethnic population-based study
title_full_unstemmed Landscape of childhood epilepsies – A multi-ethnic population-based study
title_short Landscape of childhood epilepsies – A multi-ethnic population-based study
title_sort Landscape of childhood epilepsies – A multi-ethnic population-based study
topic Biomedical and clinical sciences
Neurosciences
Paediatrics
Pediatric epilepsy
Qatar
Etiology
Risk factors