Morbidity and mortality of childhood- and adolescent-onset epilepsy: A controlled national study
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Morbidity and mortality of childhood- and adolescent-onset epilepsy : A controlled national study. / Jennum, Poul; Pickering, Line; Christensen, Jakob; Ibsen, Rikke; Kjellberg, Jakob.
I: Epilepsy & Behavior, Bind 66, 01.2017, s. 80-85.Publikation: Bidrag til tidsskrift › Tidsskriftartikel › Forskning › fagfællebedømt
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TY - JOUR
T1 - Morbidity and mortality of childhood- and adolescent-onset epilepsy
T2 - A controlled national study
AU - Jennum, Poul
AU - Pickering, Line
AU - Christensen, Jakob
AU - Ibsen, Rikke
AU - Kjellberg, Jakob
N1 - Copyright © 2016 Elsevier Inc. All rights reserved.
PY - 2017/1
Y1 - 2017/1
N2 - PURPOSE: Epilepsy is associated with significant morbidities and mortality. We aimed to evaluate the 30-year morbidities and mortality in a national group of patients after a first diagnosis of epilepsy.METHODS: From the Danish National Patient Registry (NPR), in total, 3123 patients with epilepsy aged 0-5years and 5018 patients aged 6-20years diagnosed in 1998-2002 were identified and compared with, respectively, 6246 and 10,036 persons matched for age, gender, and place of living with randomly chosen citizens from the Danish Civil Registration System Statistics. In the NPR, all morbidities in the following 30years were grouped into major WHO disease classes.KEY FINDINGS: Patients with epilepsy had significantly higher rates of comorbidities including almost all health-related comorbidities compared with controls. Mortality rates were elevated: the hazard ratio (5%; 95% CI) was 14.46 (11.8; 17.7, p<0.001) and 5.58 (4.9; 6.4, P<0.001) for patients aged 0-5years and 6-20years at first diagnosis of epilepsy, respectively.SIGNIFICANCE: Epilepsy is associated with significant comorbidities and mortality including all health care domains, especially among persons who were young at the onset of epilepsy.
AB - PURPOSE: Epilepsy is associated with significant morbidities and mortality. We aimed to evaluate the 30-year morbidities and mortality in a national group of patients after a first diagnosis of epilepsy.METHODS: From the Danish National Patient Registry (NPR), in total, 3123 patients with epilepsy aged 0-5years and 5018 patients aged 6-20years diagnosed in 1998-2002 were identified and compared with, respectively, 6246 and 10,036 persons matched for age, gender, and place of living with randomly chosen citizens from the Danish Civil Registration System Statistics. In the NPR, all morbidities in the following 30years were grouped into major WHO disease classes.KEY FINDINGS: Patients with epilepsy had significantly higher rates of comorbidities including almost all health-related comorbidities compared with controls. Mortality rates were elevated: the hazard ratio (5%; 95% CI) was 14.46 (11.8; 17.7, p<0.001) and 5.58 (4.9; 6.4, P<0.001) for patients aged 0-5years and 6-20years at first diagnosis of epilepsy, respectively.SIGNIFICANCE: Epilepsy is associated with significant comorbidities and mortality including all health care domains, especially among persons who were young at the onset of epilepsy.
KW - Adolescent
KW - Child
KW - Child, Preschool
KW - Denmark/epidemiology
KW - Epilepsy/diagnosis
KW - Female
KW - Humans
KW - Infant
KW - Infant, Newborn
KW - Male
KW - Morbidity
KW - Mortality/trends
KW - Registries
KW - Young Adult
U2 - 10.1016/j.yebeh.2016.10.023
DO - 10.1016/j.yebeh.2016.10.023
M3 - Journal article
C2 - 28038391
VL - 66
SP - 80
EP - 85
JO - Epilepsy & Behavior
JF - Epilepsy & Behavior
SN - 1525-5050
ER -
ID: 195040116