Department of Women's and Children's Health and General and Specialized Surgery, University of Campania "Luigi Vanvitelli", Via Luigi de Crecchio 2, 80138, Naples, Italy.
Clinic of Child and Adolescent Neuropsychiatry, Department of Mental Health, Physical and Preventive Medicine, University of Campania "Luigi Vanvitelli", Via Pansini 5, 80131, Naples, Italy.
Neurol Sci. 2020 Dec;41(12):3475-3483. doi: 10.1007/s10072-020-04824-5. Epub 2020 Oct 23.
The World Health Organization (WHO) declared a global pandemic of Covid-19 on 11 March 2020. The lockdown caused a lifestyle changes: an increase in the use of mobile media devices (MMDs), sleep and psychiatric disorders, incorrect habits regarding food and physical activities. We investigate prevalence of admission for seizures at our emergency department (ED), during Italian lockdown, comparing with that of the same period of the previous year (2019), and the relationship with some lifestyle changes.
In this observational study, patients (4-14 years) with seizures that accessed at our ED, during Italian lockdown, were eligible. Non-epileptic events and febrile seizures were excluded. We describe two groups: patients with new-onset seizures and not. Moreover, a questionnaire concerning use of MMDs and sleep habits was administered.
Fifty-seven patients were included; median age 8.03 years. Considering only paediatric medical emergencies, the prevalence of accesses for seizures was 2.6% (CI 95% 0.020-0.034), while the incidence was 0.94% (CI 95% 0.006-0.0149). There was a statistically significant difference with prevalence of previous years, χ 102.21 (p = 0.0001). We also reported a difference in daily screen time (DST) (p = 0.001) and total sleep time (TST) (p = 0.045), in all population, between period pre- and during lockdown. A negative correlation between DST and seizures latency (Spearman's ρ -0.426, p = 0.038) was found. In the two groups, the results were partially overlapping.
During lockdown period, we assisted to an increase of accesses for seizures. It is conceivable that a sleep time change and/or higher MMD use could act as triggers for seizures.
世界卫生组织（WHO）于 2020 年 3 月 11 日宣布 COVID-19 大流行。封锁导致生活方式发生变化：移动媒体设备（MMD）的使用增加、睡眠和精神障碍、饮食和体育活动的不良习惯。我们调查了意大利封锁期间我们急诊科（ED）因癫痫发作入院的患病率，将其与前一年同期（2019 年）进行比较，并研究了与一些生活方式改变的关系。
在这项观察性研究中，符合条件的是在意大利封锁期间到我们 ED 就诊的有癫痫发作的患者（4-14 岁）。排除非癫痫事件和热性惊厥。我们描述了两组：新发癫痫发作患者和非新发癫痫发作患者。此外，还对 MMD 使用和睡眠习惯进行了问卷调查。
共纳入 57 例患者；中位年龄为 8.03 岁。仅考虑儿科医疗急救，癫痫发作就诊的患病率为 2.6%（95%CI 0.020-0.034），发病率为 0.94%（95%CI 0.006-0.0149）。与前几年相比，这有统计学显著差异，χ 102.21（p = 0.0001）。我们还报告了在封锁期间，所有人群的每日屏幕时间（DST）（p = 0.001）和总睡眠时间（TST）（p = 0.045）存在差异。DST 与癫痫发作潜伏期之间存在负相关（Spearman's ρ -0.426，p = 0.038）。在两组中，结果部分重叠。
在封锁期间，我们注意到癫痫发作就诊人数增加。睡眠时间的改变和/或 MMD 使用的增加可能是癫痫发作的诱因。
