Vergara Palma Juan, Espinosa Jovel Camilo Alfonso, Vergara Teresa, Betancourt Andrés M, Sobrino Mejía Fidel Ernesto
Kennedy Western Hospital, Bogotá-Colombia, Center of Excellence in Epilepsy, University of la Sabana, School of Medicine, Postgraduate program in Neurology, Bogotá, Colombia.
Kennedy Western Hospital, Bogotá-Colombia, Center of Excellence in Epilepsy, University of la Sabana, School of Medicine, Postgraduate program in Neurology, Bogotá, Colombia.
Epilepsy Res. 2015 Feb;110:183-8. doi: 10.1016/j.eplepsyres.2014.12.012. Epub 2014 Dec 22.
To describe the impact of epilepsy surgery on quality of life through the application of the quality of life in epilepsy (QOLIE-10) scale in a low income population.
We conducted an observational, descriptive, and cross-sectional study. The data for all patients who underwent epilepsy surgery from the aforementioned period were registered retrospectively through a review of their clinical history. Clinical variables of interest for this study were obtained through phone contact, and the QOLIE-10 scale was applied.
This study included a total of 89 patients with whom phone contact was established and who met the inclusion criteria. Of these patients, 30.3% were without anti-seizure medication at the time of the survey's application, and only 19.1% were still under polytherapy. A total of 47.1% of the patients had returned to some work activity that they would have not been able to perform before because of their disease. All of the components of the QOLIE-10 scale improved significantly (p < 0.05) after the surgical procedure, except the variable of "fear of the sudden occurrence of seizures". The variables with greatest impact after the surgical procedure were depression, work activity, and quality of life in general.
Epilepsy surgery has a positive impact on the quality of life of patients with low resources and in vulnerable social conditions. It is still to be determined if, in this population, work and social reintegration have a greater impact on the quality of life than other clinical and/or paraclinical variables.
通过在低收入人群中应用癫痫生活质量（QOLIE - 10）量表来描述癫痫手术对生活质量的影响。
我们进行了一项观察性、描述性横断面研究。通过回顾上述时期内所有接受癫痫手术患者的临床病史，对其数据进行回顾性登记。本研究感兴趣的临床变量通过电话联系获得，并应用QOLIE - 10量表。
本研究共纳入89名建立了电话联系且符合纳入标准的患者。在这些患者中，30.3%在调查应用时未服用抗癫痫药物，仅有19.1%仍在接受联合治疗。共有47.1%的患者恢复了一些因疾病之前无法进行的工作活动。手术操作后，QOLIE - 10量表的所有组成部分均有显著改善（p < 0.05），除了“对癫痫突然发作的恐惧”这一变量。手术后影响最大的变量是抑郁、工作活动和总体生活质量。
癫痫手术对资源匮乏且处于弱势社会状况的患者的生活质量有积极影响。在这一人群中，工作和社会重新融入是否比其他临床和/或辅助临床变量对生活质量有更大影响仍有待确定。
