尼日利亚北部三级卫生保健设施中癫痫的管理、治疗结果和费用

A. Ipingbemi
{"title":"尼日利亚北部三级卫生保健设施中癫痫的管理、治疗结果和费用","authors":"A. Ipingbemi","doi":"10.4314/IJMU.V10I2.5","DOIUrl":null,"url":null,"abstract":"This study aimed at reviewing the management and treatment outcome, and evaluating economic burden of antiepileptic drugs (AEDs) in Ahmadu Bello University Teaching Hospital, Kaduna (ABUTH). It was a retrospective study involving use of patients’ medical records. Data retrieved from the medical records included demographics, clinic attendance, laboratory investigations, type of seizure diagnosed, effect of seizure on social life, medication use and treatment outcome. Cost of medications for patients who adhered to their therapy consistently between November 2003 and October 2004 was calculated. Data analysis was by descriptive and inferential statistics using SPSS version 16. Epilepsy had negative effects on education and marital life of patients in this study. More than half (59.3%) of the patients were diagnosed as having generalized seizure disorder. Carbamazepine was the most commonly prescribed medication (91.2%). Patients who were less than 2 years of registration in the facility had the highest percentage of those who were not regular in their clinic attendance 2 (64.7%) and low remission rate (9.8%). Chi-square analysis showed that adherence to medications had a significant effect (p 0.05) on attainment of oneyear remission. Average annual cost of AEDs was Nigerian Naira 30, 986.67 ($258.2). There was a strong correlation between clinic attendance and cost of AEDs (r = 0.454, p = 0.006) as cost of AEDs increased with increased in clinic attendance. Correlation analysis (p < 0.05, r = 0.358) also showed that cost of AEDs used by the patients reduced with increased in years since registration at this healthcare facility. Cost of AEDs did not depend on seizure type but increased with increase in clinic attendance and decreased with increase in years since registration in the healthcare facility. KEY WORDS : Epilepsy; Cost; Management; AEDs; Remission","PeriodicalId":14472,"journal":{"name":"Internet Journal of Medical Update - EJOURNAL","volume":"43 1","pages":"25-36"},"PeriodicalIF":0.0000,"publicationDate":"2015-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"8","resultStr":"{\"title\":\"Management, treatment outcome and cost of epilepsy in a tertiary health care facility in northern Nigeria\",\"authors\":\"A. Ipingbemi\",\"doi\":\"10.4314/IJMU.V10I2.5\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"This study aimed at reviewing the management and treatment outcome, and evaluating economic burden of antiepileptic drugs (AEDs) in Ahmadu Bello University Teaching Hospital, Kaduna (ABUTH). It was a retrospective study involving use of patients’ medical records. Data retrieved from the medical records included demographics, clinic attendance, laboratory investigations, type of seizure diagnosed, effect of seizure on social life, medication use and treatment outcome. Cost of medications for patients who adhered to their therapy consistently between November 2003 and October 2004 was calculated. Data analysis was by descriptive and inferential statistics using SPSS version 16. Epilepsy had negative effects on education and marital life of patients in this study. More than half (59.3%) of the patients were diagnosed as having generalized seizure disorder. Carbamazepine was the most commonly prescribed medication (91.2%). Patients who were less than 2 years of registration in the facility had the highest percentage of those who were not regular in their clinic attendance 2 (64.7%) and low remission rate (9.8%). Chi-square analysis showed that adherence to medications had a significant effect (p 0.05) on attainment of oneyear remission. Average annual cost of AEDs was Nigerian Naira 30, 986.67 ($258.2). There was a strong correlation between clinic attendance and cost of AEDs (r = 0.454, p = 0.006) as cost of AEDs increased with increased in clinic attendance. Correlation analysis (p < 0.05, r = 0.358) also showed that cost of AEDs used by the patients reduced with increased in years since registration at this healthcare facility. Cost of AEDs did not depend on seizure type but increased with increase in clinic attendance and decreased with increase in years since registration in the healthcare facility. KEY WORDS : Epilepsy; Cost; Management; AEDs; Remission\",\"PeriodicalId\":14472,\"journal\":{\"name\":\"Internet Journal of Medical Update - EJOURNAL\",\"volume\":\"43 1\",\"pages\":\"25-36\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2015-01-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"8\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Internet Journal of Medical Update - EJOURNAL\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.4314/IJMU.V10I2.5\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"\",\"JCRName\":\"\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Internet Journal of Medical Update - EJOURNAL","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.4314/IJMU.V10I2.5","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 8

摘要

本研究旨在回顾卡杜纳Ahmadu Bello大学教学医院(ABUTH)抗癫痫药物(aed)的管理和治疗结果,并评估其经济负担。这是一项涉及使用患者医疗记录的回顾性研究。从医疗记录中检索的数据包括人口统计数据、诊所就诊人数、实验室调查、诊断出的癫痫发作类型、癫痫发作对社会生活的影响、药物使用和治疗结果。计算了2003年11月至2004年10月期间坚持治疗的患者的药物费用。数据分析采用描述性统计和推断性统计,使用SPSS 16。在本研究中,癫痫对患者的教育和婚姻生活有负面影响。超过一半(59.3%)的患者被诊断为全身性癫痫发作障碍。卡马西平是最常用的处方药(91.2%)。在该机构注册不到2年的患者中,不定期就诊的比例最高(64.7%),缓解率较低(9.8%)。卡方分析显示,坚持服药对达到一年缓解有显著影响(p 0.05)。aed的年平均费用为尼日利亚奈拉30986.67(258.2美元)。就诊次数与aed费用之间存在很强的相关性(r = 0.454, p = 0.006), aed费用随着就诊次数的增加而增加。相关分析(p < 0.05, r = 0.358)还显示,自在该医疗机构登记以来,患者使用aed的费用随年份的增加而减少。抗癫痫药的费用与癫痫发作类型无关,但随着就诊人数的增加而增加,随着在医疗机构注册的年限的增加而下降。关键词:癫痫;成本;管理;aed;缓解
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Management, treatment outcome and cost of epilepsy in a tertiary health care facility in northern Nigeria
This study aimed at reviewing the management and treatment outcome, and evaluating economic burden of antiepileptic drugs (AEDs) in Ahmadu Bello University Teaching Hospital, Kaduna (ABUTH). It was a retrospective study involving use of patients’ medical records. Data retrieved from the medical records included demographics, clinic attendance, laboratory investigations, type of seizure diagnosed, effect of seizure on social life, medication use and treatment outcome. Cost of medications for patients who adhered to their therapy consistently between November 2003 and October 2004 was calculated. Data analysis was by descriptive and inferential statistics using SPSS version 16. Epilepsy had negative effects on education and marital life of patients in this study. More than half (59.3%) of the patients were diagnosed as having generalized seizure disorder. Carbamazepine was the most commonly prescribed medication (91.2%). Patients who were less than 2 years of registration in the facility had the highest percentage of those who were not regular in their clinic attendance 2 (64.7%) and low remission rate (9.8%). Chi-square analysis showed that adherence to medications had a significant effect (p 0.05) on attainment of oneyear remission. Average annual cost of AEDs was Nigerian Naira 30, 986.67 ($258.2). There was a strong correlation between clinic attendance and cost of AEDs (r = 0.454, p = 0.006) as cost of AEDs increased with increased in clinic attendance. Correlation analysis (p < 0.05, r = 0.358) also showed that cost of AEDs used by the patients reduced with increased in years since registration at this healthcare facility. Cost of AEDs did not depend on seizure type but increased with increase in clinic attendance and decreased with increase in years since registration in the healthcare facility. KEY WORDS : Epilepsy; Cost; Management; AEDs; Remission
求助全文
通过发布文献求助,成功后即可免费获取论文全文。 去求助
来源期刊
自引率
0.00%
发文量
0
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
copy
已复制链接
快去分享给好友吧!
我知道了
右上角分享
点击右上角分享
0
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术官方微信