Mortality from epilepsy: Brazil (capitals), 1980-2007

Abstract

Objective: To provide data about age, gender, time and space variation by means of mortality statistics from epilepsy in Brazil. Method: It was used demographic and mortality data obtained from the Brazilian Ministry of Health, regarding Brazil (capitals) over the calendar years 1980-2007. For the description of the data it was used Microsoft Office Excel 2007 spreadsheet, and figuring of trends by linear regression, GraphPad Prism 5.0. Results: There is a tendency to elderly mortality, and male mortality in almost age group, although regarding the relative frequency rates by age, 20-39 age strata is more representative. The mortality at home is proportionally predominant at 20-29 years of age, 47.52%. Adjusted death rates/100,000, 2007, do not show clear regional predominance. Conclusion: We can infer that various deaths coded as epilepsy, may be due to an acute symptomatic seizures. Sudden unexplained death in epilepsy (SUDEP) may be misdiagnosed and probably more represented at the group with more deaths at home. Key words: epilepsy, mortality, death certificates.

Epilepsy and Neurocysticercosis in Latin America: A Systematic Review and Meta-analysis

“…Studies in developed countries have reported mortality rates two to three times higher in PWE than in the general population [53]. This increase includes direct and indirect consequences of epilepsy, as well as underlying disorders responsible for secondary epilepsies [54].We found only five eligible papers reporting SMR in LAC (Argentina, Bolivia, Brazil, Chile and Ecuador) ranging from 0.76 in Brazil [44] to 6.3 in Ecuador [55]. These studies presented a prevalent cohort designs that might have underestimate short-term mortality, as patients with more serious disease die earlier and are not included in the observation period.…”

“…The study conducted by da Mota Gomes et al [44] in Brazil was excluded from the meta-analysis because did not provide the denominator (number of PWE), while the study conducted by Devilat Barros et al [45] was excluded because it considered only children. The overall estimate of SMR (table 1) for all the studies included was 1.4 (95% CI 0.01–6.1).…”

Mortalidade por epilepsia e estado de mal epiléptico no Brasil: análise do perfil epidemiológico

“…Conforme mostrado na tabela 1, a população do sexo masculino acumulou a maior quantidade de óbitos por epilepsia e por EME, o equivalente a 64,3%, achado semelhante a outros estudos de caráter epidemiológico realizados no Brasil (Ferreira & Silva, 2009;Gomes, 2011). Ademais, a mortalidade aumentada na população masculina é documentada na literatura, relacionando-se à maior incidência de epilepsias sintomáticas entre os homens, principalmente por lesão cerebral traumática, o que acarreta elevado risco de mortalidade, bem como à mortalidade durante ocupações perigosas que oferecem um risco maior de afogamento, quedas ou outras lesões fatais decorrentes de convulsões (Beghi, 2020;Levira et al, 2017).…”

Perfil Epidemiológico Da Epilepsia E Mal Epiléptico Em Pacientes Menores De 19 Anos No Estado Do Tocantins Entre 2007 a 2017

“…5,6,12 No Brasil, houve uma redução no número de óbitos, porém, em análise das macrorregiões do país, observou-se em algumas regiões o aumento deste número. 13,14 As prevalências mais elevadas são descritas em pacientes nascidos em países em desenvolvimento e em populações rurais. 8 Ao longo do período analisado, obteve-se um aumento do número de internações com pico em 2016.…”