Prevalence and Patterns of Seizure-related Injuries: A Study of People Living with Epilepsy Found in a Community-based Door-to-door Survey in Southeast Nigeria.

IF 0.6 Q3 MEDICINE, GENERAL & INTERNAL

Annals of African Medicine Pub Date : 2024-10-01 Epub Date: 2024-08-13 DOI:10.4103/aam.aam_39_24

Obiora Daniel Anaje, Paul Osemeke Nwani, Maduaburochukwu Cosmas Nwosu, Lasbrey Azuoma Asomugha, Chetanna Chioma Anaje, Ifeoma Adaigwe Amaechi, Olisaeloka Ginikachi Ebeogu, Sunday Onyemaechi Oriji, Chinwe Chioma Ndukwe, Linda Ifunanya Eze, Nnamdi Joseph Morah, Imelda Chinenye Omaga, Adesola Ogunniyi

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引用次数: 0

Abstract

Context: Epileptic seizures and the unpredictable falls resulting from epileptic seizures predispose the people living with epilepsy (PLWE) to various physical injuries as well as postictal cognitive and behavioral changes.

Aims: The aim of the study was to determine the frequency and patterns of seizure-related physical injuries, postictal cognitive impairments, and behavioral changes.

Settings and design: This was a cross-sectional descriptive study in a Southeast Nigeria local government area.

Subjects and methods: PLWE identified during a two-phase door-to-door survey and their caregivers were interviewed using a semi-structured questionnaire.

Statistical analysis used: The Statistical Package for the Social Sciences version 22.0 was used.

Results: There were 56 cases of active convulsive seizures comprising 33 (58.9%) males and 23 (41.1%) females, with a mean age of 32.9 ± 14.2. The lifetime prevalence of seizure-related physical injuries, postictal behavioral changes, and postictal cognitive impairments was 9.8 per 1000 (95% confidence interval [CI]: 9.1-10.0), 8.4 per 1000 (95% CI: 7.2-9.2), and 6.3 per 1000 (95% CI: 4.9-7.5), respectively. Skin/soft-tissue injuries and tongue laceration were the most frequent physical injuries found in 66.1% ( n = 37/56) and 60.7% ( n = 34/56) of cases, respectively. The frequency of soft-tissue injuries was significantly higher (χ 2 = 5.038; P = 0.0248) in the females 78.3% ( n = 18/23) than the males 48.5% ( n = 16/33). About a third of the females 39.1% had burn injuries compared to 18.1% of the males.

Conclusions: Seizure-related injuries are common and have the tendency to increase the burden of epilepsy and epilepsy-related stigma from deformities and the chronic disfiguring scars resulting from such injuries.

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癫痫发作相关伤害的发生率和模式：尼日利亚东南部社区挨家挨户调查发现的癫痫患者。

背景：癫痫发作和癫痫发作导致的不可预知的跌倒使癫痫患者（PLWE）容易遭受各种身体伤害以及发作后认知和行为改变。研究目的：本研究旨在确定与癫痫发作相关的身体伤害、发作后认知障碍和行为改变的频率和模式：这是一项横断面描述性研究，研究地点位于尼日利亚东南部的一个地方政府辖区：采用半结构化问卷调查法，对在两阶段逐户调查中确定的 PLWE 及其照顾者进行访谈：统计分析：使用社会科学统计软件包 22.0 版：结果：56例活动性惊厥发作病例中，男性33例（58.9%），女性23例（41.1%），平均年龄（32.9±14.2）岁。发作相关身体损伤、发作后行为改变和发作后认知障碍的终生患病率分别为 9.8‰（95% 置信区间 [CI]：9.1-10.0）、8.4‰（95% CI：7.2-9.2）和 6.3‰（95% CI：4.9-7.5）。皮肤/软组织损伤和舌裂伤是最常见的身体损伤，分别占病例总数的 66.1%（n = 37/56）和 60.7%（n = 34/56）。女性软组织损伤的发生率为 78.3%（n = 18/23），明显高于男性的 48.5%（n = 16/33）（χ2 = 5.038; P = 0.0248）。约三分之一的女性有烧伤，占 39.1%，而男性为 18.1%：结论：与癫痫发作有关的伤害很常见，而且有增加癫痫负担的趋势，以及因这类伤害导致的畸形和慢性毁容性疤痕而产生的与癫痫有关的耻辱感。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Annals of African Medicine MEDICINE, GENERAL & INTERNAL-

CiteScore

0.90

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0.00%

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期刊介绍： The Annals of African Medicine is published by the Usmanu Danfodiyo University Teaching Hospital, Sokoto, Nigeria and the Annals of African Medicine Society. The Journal is intended to serve as a medium for the publication of research findings in the broad field of Medicine in Africa and other developing countries, and elsewhere which have relevance to Africa. It will serve as a source of information on the state of the art of Medicine in Africa, for continuing education for doctors in Africa and other developing countries, and also for the publication of meetings and conferences. The journal will publish articles I any field of Medicine and other fields which have relevance or implications for Medicine.