Brain Institute of Rio Grande do Sul - Pontifical Catholic University of Rio Grande do Sul (InsCer / PUCRS), Porto Alegre, Brazil.
Extension and Management of Continuing Education Activities Program - Pontifical Catholic University of Rio Grande do Sul (PEGA / PUCRS), Porto Alegre, Brazil.
Seizure. 2023 May;108:102-115. doi: 10.1016/j.seizure.2023.04.017. Epub 2023 Apr 28.
To describe the impact of the COVID-19 pandemic on the health care and daily life of children and adolescents with epilepsy.
This systematic review followed the preferred reporting items guidelines and was registered on the PROSPERO platform (CRD42021255931). The PECO (Patient, Exposure, Comparison, Outcome) framework criteria were as follows: people with epilepsy (0-18 years old); exposed to the COVID-19 pandemic; and outcomes, including epilepsy type, time of clinical diagnosis, seizure exacerbation, treatment and medications, need for emergency because of seizures, sleep, behavior, comorbidities and/or concerns, social and/or economic impact, insurance status, electronic device use, telemedicine, and distance learning. Literature searches for cross-sectional and longitudinal studies were conducted on Embase and PubMed. The methodological quality of identified studies was assessed using the Newcastle‒Ottawa Scale (NOS).
Data were extracted from 23 eligible out of 597 identified articles and included 31,673 patients. The mean NOS scores for cross-sectional study design was 3.84/10, and for longitudinal, it was 3.5/8 stars. Seizure exacerbations were reported in three studies, difficulties with access to anti-seizure medications in two, changes in dosage in five, and visit postponed or cancelation in five studies. Problems with sleep were highlighted in three, issues related to distance learning in two, an increased time spent on electronic devices in three, and increased behavioral problems in eight studies. Telemedicine, when available, was described as useful and supporting patient's needs.
The pandemic affected the health care and lifestyle of young individuals with epilepsy. The main problems described revolved around seizure control, accessing anti-seizure medication, sleep and behavioral complains.
描述 COVID-19 大流行对儿童和青少年癫痫患者的医疗保健和日常生活的影响。
本系统评价遵循首选报告项目指南，并在 PROSPERO 平台（CRD42021255931）上进行了注册。PECO（患者、暴露、比较、结果）框架标准如下：癫痫患者（0-18 岁）；接触 COVID-19 大流行；以及结果，包括癫痫类型、临床诊断时间、癫痫发作加重、治疗和药物、因癫痫发作需要紧急治疗、睡眠、行为、合并症和/或担忧、社会和/或经济影响、保险状况、电子设备使用、远程医疗和远程学习。在 Embase 和 PubMed 上对横断面和纵向研究进行了文献检索。使用 Newcastle-Ottawa 量表（NOS）评估确定研究的方法学质量。
从 597 篇已识别的文章中提取了 23 篇符合条件的数据，其中包括 31,673 名患者。横断面研究设计的平均 NOS 评分为 3.84/10，纵向研究为 3.5/8 星。有三项研究报告了癫痫发作加重，两项研究报告了抗癫痫药物获取困难，五项研究报告了剂量变化，五项研究报告了就诊推迟或取消。有三项研究强调了睡眠问题，两项研究涉及远程学习问题，三项研究显示电子设备使用时间增加，八项研究显示行为问题增加。当有远程医疗时，它被描述为有用的，并支持患者的需求。
大流行影响了年轻癫痫患者的医疗保健和生活方式。描述的主要问题围绕着癫痫控制、获取抗癫痫药物、睡眠和行为投诉。
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