Early onset epilepsy is associated with increased mortality: A population-based study

被引:30
作者
Moseley, Brian D. [1 ,2 ]
Wirrell, Elaine C. [1 ,3 ]
Wong-Kisiel, Lily C. [1 ,3 ]
Nickels, Katherine [1 ,3 ]
机构
[1] Univ Calif Los Angeles, Dept Neurol, Div Epilepsy, Los Angeles, CA 90024 USA
[2] Univ Calif Los Angeles, Dept Neurol, Div Clin Neurophysiol, Los Angeles, CA 90024 USA
[3] Mayo Clin, Div Child & Adolescent Neurol, Dept Neurol, Rochester, MN USA
关键词
Pediatric epilepsy; Mortality; Early onset epilepsy; Neonatal onset epilepsy; ROCHESTER EPIDEMIOLOGY PROJECT; LONG-TERM; CHILDHOOD; CHILDREN; SEIZURES; COHORT; DEATH; DUTCH; ILAE;
D O I
10.1016/j.eplepsyres.2013.03.002
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
We examined mortality in early onset (age <12 months) epilepsy in a population-based group of children. Children with early onset epilepsy were significantly more likely to die (case fatality, CF 8/60 versus 8/407, p<0.001; mortality rate, MR 14.5/1000 versus 2/1000 person years; standardized mortality ratio, SMR 22.25 versus 5.67). Mortality was greater in children with malignant neonatal (age < 1 month) epilepsy (CF 4/12 versus 12/450, p < 0.001; MR 54/1000 person years versus 2.7/1000 person year; SMR 46.55 versus 7.22). Given that only 1/8 early onset epilepsy deaths was seizure-related, mortality appears to be more affected by underlying etiology. (C) 2013 Elsevier B.V. All rights reserved.
引用
收藏
页码:410 / 414
页数:5
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