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印度北部城市儿童癫痫的患病率和治疗差距:一项基于社区的研究。

Prevalence and treatment gap in childhood epilepsy in a north Indian city: a community-based study.

机构信息

Advanced Pediatrics Center, Postgraduate Institute of Medical Education & Research (PGIMER), Chandigarh, India, 160012.

出版信息

J Trop Pediatr. 2014 Apr;60(2):118-23. doi: 10.1093/tropej/fmt091. Epub 2013 Nov 12.

Abstract

BACKGROUND

Epilepsy is one of the most common neurological disorders prevalent in childhood period. There is scarcity of epidemiological data, required to plan services in resource constrained developing nations.

OBJECTIVE

To study the prevalence and treatment gap in childhood epilepsy in north Indian city, in the age group of 1-18 years.

METHODS

A two stage stratified cluster sampling; probability proportionate to size (PPS) was employed. A ten question screening questionnaire was employed to identify the presence of epilepsy. Definitions provided by International League against Epilepsy (ILAE) were used to classify screen positive subjects as epilepsy and to calculate the treatment gap.

RESULTS

The prevalence rate for epilepsy was 6.24/1000 population. Febrile seizures and neurocysticercosis were most common causes of symptomatic seizures in childhood.

CONCLUSION

This study of epidemiology of epilepsy provides valuable aid in optimizing effective community approach, thereby improving outcomes of childhood epilepsy.

摘要

背景

癫痫是儿童期最常见的神经障碍之一。在资源有限的发展中国家,缺乏规划服务所需的流行病学数据。

目的

在印度北部城市,研究 1-18 岁儿童期癫痫的患病率和治疗差距。

方法

采用两阶段分层聚类抽样;按大小比例概率(PPS)进行抽样。采用十个问题的筛选问卷来确定癫痫的存在。采用国际抗癫痫联盟(ILAE)提供的定义将筛查阳性者归类为癫痫,并计算治疗差距。

结果

癫痫患病率为 6.24/1000 人口。热性惊厥和脑囊尾蚴病是儿童期症状性癫痫的最常见原因。

结论

这项癫痫流行病学研究为优化有效的社区方法提供了有价值的帮助,从而改善了儿童癫痫的结局。

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