Seizure related accidents and injuries in childhood

Buffo, Thais Helena; Guerreiro, Marilisa M.; Tai, Peter; Montenegro, Maria Augusta

doi:10.1590/s0004-282x2008000400003

Cited by 14 publications

(19 citation statements)

References 18 publications

(22 reference statements)

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“…The relationship between higher numbers of AEDs and seizurerelated injuries was also found by Buffo et al [12]. This is not surprising, considering that polytherapy is associated with difficult-to-control seizures and, therefore, increased risk of seizure-related accidents [3,14].…”

Section: Discussionsupporting

confidence: 65%

“…Findings from a population-based study of 247 patients with epilepsy reported 62 seizure-related injuries in 39 people over 2714 patient years (16% with 1 injury every 44 patient years); however, inclusion criteria specified injuries which warranted medical attention [3]. In contrast, Buffo et al's [12] parental questionnaire on seizure-related injuries in children (n= 100, mean age 9 yrs) revealed the closest injury rate of 44%. A significant correlation between early age of seizure onset and seizure-related injury was also reported by Neufeld et al [1].…”

Section: Discussionmentioning

confidence: 99%

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Seizure-related injuries and hospitalizations: Self-report data from the 2010 Australian Epilepsy Longitudinal Survey

Bellon

Walker

Peterson

2013

Epilepsy & Behavior

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Section: Discussionsupporting

confidence: 65%

Section: Discussionmentioning

confidence: 99%

Seizure-related injuries and hospitalizations: Self-report data from the 2010 Australian Epilepsy Longitudinal Survey

Bellon

Walker

Peterson

2013

Epilepsy & Behavior

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“…3 Although several studies have examined injuries in children with epilepsy, 4–19 the majority focused on clinic or hospital-based and often refractory samples. 4,5,8,9,17,19 Even though studies of injuries of children with epilepsy (or including children with epilepsy) have included population-based samples, 6,10,11,13–16,18 a limited number included control samples, some of which only focused on one injury or epilepsy type, and most such studies demonstrated higher rates of injury in children with epilepsy compared with controls. 10,13,15,16,18 …”

mentioning

confidence: 99%

Injuries in Adolescents with Childhood-Onset Epilepsy Compared with Sibling Controls

Baca

Vickrey

Vassar

et al. 2013

The Journal of Pediatrics

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Objective To compare the occurrence of injuries in adolescents with childhood-onset epilepsy and matched sibling controls. Study design Retrospective case-control lifetime injury assessments were obtained from a community-based cohort of adolescents with childhood-onset epilepsy diagnosed 9-years earlier, and their siblings. Children with epilepsy (n=501; mean age 15.3 years) included children with complicated (abnormal neurological exam or IQ<80; n=133) and uncomplicated (normal neurological exam and IQ≥80; n=368) epilepsy. Children with uncomplicated epilepsy were matched to sibling controls (n=210 pairs). Children reported whether they had ever (before and after epilepsy diagnosis) experienced injuries, “serious enough to require medical attention” and the type of treatment required. Results 49.1% of children with epilepsy experienced any injury, of whom 8.9% required surgery/hospitalization and 17.1% had an injury due to a seizure; fewer children with uncomplicated epilepsy had seizure-related injuries versus those with complicated epilepsy (13.6% vs. 27.4%; p≤0.01). The proportion of children with epilepsy with any injury by types (not mutually exclusive) were: 25.2% (n=126) fractures, 24.4% (n=122) head, 10.2% (n=51) other, 8.4% (n=42) dental and 8% (n=40) burns/scalds. A similar proportion of children with uncomplicated epilepsy experienced any injury (overall and by type) compared with matched sibling controls, with the exception that more children with uncomplicated epilepsy had head injuries (30.0% vs. 19.5%; p<0.02). Conclusion With the exception of head injuries, in a representative cohort of children with epilepsy compared with siblings there was no evidence of an increased risk of injury. This may reflect that the sample was not biased to more severe cases or that safety precautions to prevent injury were widely employed.

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“…A recent study did not mention burns among seizure related accidents in epileptic children while contusion, skin laceration, head trauma, broken tooth and bone fracture were listed 18 .…”

Section: Resultsmentioning

confidence: 99%

Accident risk in patients with epilepsy

Souza

Guerreiro

2008

Arq. Neuro-Psiquiatr.

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-Objective: To compare the risk of accidents in patients with uncontrolled seizures, in seizure-free patients, and in patients with chronic headache. Method: This was a prospective longitudinal case-controlled study with interviews. A semi-structured questionnaire was used in the epilepsy and headache outpatient clinics of the Hospital das Clínicas of UNICAMP. Results: Group I was composed of 48 patients with uncontrolled seizures, group II was composed of 24 seizure-free patients and group III was composed of 32 patients with headache. Thirty-nine patients (81%) in group I, 13 (54%) in group II, and 19 (59%) in group III reported accidents in the last two years. In the first group, 649 accidents (89%) were related to epileptic seizures and the average number of accidents not related to seizures was 1.7. The average number of accidents in groups II and III were both 2.4. Conclusion: Epileptic seizure was the most important factor determining the occurrence of accidents in people with epilepsy.KEy words: seizure, accidents, seizure-related injury, epilepsy. Risco de acidentes em pacientes com epilepsiaResumo -Objetivo: Comparar o risco de acidentes em pacientes com crises epilépticas não-controladas, em pacientes com crises epilépticas controladas e em pacientes com cefaléia crônica. Método: Estudo prospectivo longitudinal caso-controle realizado por meio de entrevistas com pacientes dos ambulatórios de epilepsia e cefaléia crônica do HC-UNICAMP. Resultados: o grupo I foi composto por 48 pacientes com crises não-controladas, o grupo II foi composto por 24 pacientes com crises controladas e o grupo III foi composto por 32 pacientes com cefaléia crônica. Trinta e nove pacientes (81%) do grupo I, 13 (54%) do grupo II e 19 (59%) do grupo III relataram acidentes nos últimos dois anos. No primeiro grupo, 649 acidentes (89%) foram relacionados a crises epilépticas. A média do número de acidentes não relacionados a crises por pessoa de cada grupo foi 1,7 para o grupo I e 2,4 para os dois outros grupos. Conclusão: As crises epilépticas foram o principal fator de risco para a ocorrência de acidentes em pacientes com epilepsia.PAlAvrAs-CHAvE: crise epiléptica, epilepsia, acidentes, lesões induzidas por crises epilépticas.

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Seizure related accidents and injuries in childhood

Cited by 14 publications

References 18 publications

Seizure-related injuries and hospitalizations: Self-report data from the 2010 Australian Epilepsy Longitudinal Survey

Seizure-related injuries and hospitalizations: Self-report data from the 2010 Australian Epilepsy Longitudinal Survey

Injuries in Adolescents with Childhood-Onset Epilepsy Compared with Sibling Controls

Accident risk in patients with epilepsy

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