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Injuries in Children With Epilepsy: A Hospital based Study
Sushma Sajjan1, Puneet Jain, Suvasini Sharma
1Departments of *Pediatrics, Lady Hardinge Medical College and associated Kalawati Saran Children Hospital and #Pediatric Neurology, Department of Neonatal, Pediatric and Adolescent Medicine, BL Kapur Super Speciality Hospital; New Delhi, India. Correspondence to: Dr Suvasini Sharma, Division of Pediatric Neurology, Department of Pediatrics, Lady Hardinge Medical College and associated Kalawati Saran Children Hospital, New Delhi 110001, India. sharma.suvasini@gmail.com.
Children with epilepsy face a higher risk of injuries compared to their siblings. This study highlights the need for increased supervision for children experiencing seizures.
Area of Science:
- Pediatric Neurology
- Injury Epidemiology
- Childhood Epilepsy
Background:
- Epilepsy is a common neurological disorder in children.
- Injuries are a significant concern for children with epilepsy, impacting their quality of life.
- Understanding injury patterns in this population is crucial for developing targeted interventions.
Purpose of the Study:
- To determine the incidence and characteristics of injuries in children with epilepsy (CWE).
- To compare injury rates between CWE and their healthy siblings.
- To identify risk factors associated with injuries in children with epilepsy.
Main Methods:
- A prospective cohort study design was employed.
- Children with epilepsy (aged 2-16 years) and their siblings were enrolled.
- Data on injuries were collected via semi-structured questionnaires over a 12-month follow-up period.
Main Results:
- Children with epilepsy had a significantly higher incidence of injuries (10.1%) compared to controls (4.7%) (P=0.03).
- The relative risk of injury for children with epilepsy was 2.1 (95% CI, 1.0 - 4.4).
- Seizure-related injuries accounted for 4.3% of injuries in the epilepsy group.
Conclusions:
- Children with epilepsy are at an elevated risk of sustaining injuries.
- The findings underscore the importance of vigilant supervision for children with epilepsy.
- Further research into specific injury prevention strategies for this vulnerable group is warranted.
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