Counseling on the Need for Folic Acid in Adolescents With Epilepsy

被引:1
作者
Lo, Charmaine B. [1 ,2 ]
Conrad, Bailey [3 ]
Debs, Andrea [4 ,5 ]
Herbst, James [6 ]
Kulkarni, Neil [4 ]
Nelson, Dustin Mark [1 ,7 ]
Wentzel, Evelynne [4 ]
Cohen, Daniel M. [1 ,8 ]
Patel, Anup D. [4 ,8 ,9 ]
机构
[1] Nationwide Childrens Hosp, Div Emergency Med, Columbus, OH 43205 USA
[2] Nationwide Childrens Hosp, Pediat Emergency Med, Abigail Wexner Res Inst, Columbus, OH 43205 USA
[3] Ohio State Univ, Coll Med, Columbus, OH USA
[4] Nationwide Childrens Hosp, Div Neurol, Columbus, OH USA
[5] Cleveland Clin, Endocrinol & Metab Inst, Cleveland, OH USA
[6] Nationwide Childrens Hosp, Dept Pharm, Columbus, OH USA
[7] Lincoln Mem Univ, Debusk Coll Osteopath Med, Knoxville, TN USA
[8] Ohio State Univ, Coll Med, Dept Pediat, Columbus, OH USA
[9] Nationwide Childrens Hosp, Ctr Clin Excellence, Columbus, OH USA
关键词
PREGNANCY-RELATED KNOWLEDGE; NEURAL-TUBE DEFECTS; ANTIEPILEPTIC DRUGS; MANAGEMENT ISSUES; AMERICAN ACADEMY; QUALITY CARE; BLOOD-LEVELS; VITAMIN-K; WOMEN; SUPPLEMENTATION;
D O I
10.1212/CPJ.0000000000200177
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Background and Objectives Folic acid is an important supplement to take for women with epilepsy on antiseizure medications (ASMs). Determination of baseline counseling given to women with epilepsy and the association with folic acid being recommended were evaluated. Factors surrounding the association were reviewed.Methods An exploratory retrospective review of women with epilepsy seen at a large Midwestern pediatric institution was performed between January 2018 and January 2020.Results Patients who received preconception counseling were more likely to be given a recommendation to take folic acid. Patients on more than 1 ASM were likely to receive counseling. Patient age and race were associated with having folic acid recommended.Discussion Providing preconception counseling for women with epilepsy is associated with an increased recommendation and prescription of folic acid. Further evaluation into possible disparities to receiving a folic acid recommendation is needed.
引用
收藏
页数:6
相关论文
共 38 条
[1]  
Dept. of Neurology Hospital RV, 2007, The UK epilepsy & pregnancy register
[2]   Contraception in women with epilepsy: Pharmacokinetic interactions, contraceptive options, and management [J].
Dutton, Caryn ;
Foldvary-Schaefer, Nancy .
EPILEPSY IN WOMEN: THE SCIENTIFIC BASIS FOR CLINICAL MANAGEMENT, 2008, 83 :113-134
[3]   Counseling by epileptologists affects contraceptive choices of women with epilepsy [J].
Espinera, Alyssa R. ;
Gavvala, Jay ;
Bellinski, Irena ;
Kennedy, Jeffrey ;
Macken, Micheal P. ;
Narechania, Aditi ;
Templer, Jessica ;
VanHaerents, Stephen ;
Schuele, Stephan U. ;
Gerard, Elizabeth E. .
EPILEPSY & BEHAVIOR, 2016, 65 :1-6
[4]   Quality improvement in neurology: AAN epilepsy quality measures Report of the Quality Measurement and Reporting Subcommittee of the American Academy of Neurology [J].
Fountain, N. B. ;
Van Ness, P. C. ;
Swain-Eng, R. ;
Tonn, S. ;
Bever, C. T., Jr. .
NEUROLOGY, 2011, 76 (01) :94-99
[5]   Women with epilepsy in childbearing age: Pregnancy-related knowledge, information sources, and antiepileptic drugs [J].
Friedrich, Latica ;
Sruk, Ana ;
Bielen, Ivan .
EPILEPSY & BEHAVIOR, 2018, 80 :122-128
[6]   The use of hormonal contraception among women taking anticonvulsant therapy [J].
Gaffield, Mary E. ;
Culwell, Kelly R. ;
Lee, C. Rhoda .
CONTRACEPTION, 2011, 83 (01) :16-29
[7]   Valproic acid in epilepsy - Pregnancy-related issues [J].
Genton, P ;
Semah, F ;
Trinka, E .
DRUG SAFETY, 2006, 29 (01) :1-21
[8]   Practice Parameter update: Management issues for women with epilepsy-Focus on pregnancy (an evidence-based review): Vitamin K, folic acid, blood levels, and breastfeeding Report of the Quality Standards Subcommittee and Therapeutics and Technology Assessment Subcommittee of the American Academy of Neurology and American Epilepsy Society [J].
Harden, C. L. ;
Pennell, P. B. ;
Koppel, B. S. ;
Hovinga, C. A. ;
Gidal, B. ;
Meador, K. J. ;
Hopp, J. ;
Ting, T. Y. ;
Hauser, W. A. ;
Thurman, D. ;
Kaplan, P. W. ;
Robinson, J. N. ;
French, J. A. ;
Wiebe, S. ;
Wilner, A. N. ;
Vazquez, B. ;
Holmes, L. ;
Krumholz, A. ;
Finnell, R. ;
Shafer, P. O. ;
Le Guen, C. .
NEUROLOGY, 2009, 73 (02) :142-149
[9]   Optimizing therapy of seizures in women who use oral contraceptives [J].
Harden, Cynthia L. ;
Leppik, Ilo .
NEUROLOGY, 2006, 67 (12) :S56-S58
[10]   Management issues for women with epilepsy-Focus on pregnancy (an evidence-based review): III. Vitamin K, folic acid, blood levels, and breast-feeding [J].
Harden, Cynthia L. ;
Pennell, Page B. ;
Koppel, Barbara S. ;
Hovinga, Collin A. ;
Gidal, Barry ;
Meador, Kimford J. ;
Hopp, Jennifer ;
Ting, Tricia Y. ;
Hauser, W. A. ;
Thurman, David ;
Kaplan, Peter W. ;
Robinson, Julian N. ;
French, Jacqueline A. ;
Wiebe, Samuel ;
Wilner, Andrew N. ;
Vazquez, Blanca ;
Holmes, Lewis ;
Krumholz, Allan ;
Finnell, Richard ;
Shafer, Patricia O. ;
Le Guen, Claire L. .
EPILEPSIA, 2009, 50 (05) :1247-1255