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Epilepsy-Related Injuries in Children: An Institution-Based Study
Jitin Bajaj1, Pawan Soni2, Namrata Khandelwal2
1Department of Neurosurgery, NSCB Medical College, Jabalpur, Madhya Pradesh, India.
Insights
Pediatric epilepsy patients frequently experience seizure-related accidents, with falls being most common. Improved epilepsy management and monitoring are crucial to reduce these incidents in children.
Area of Science:
- Pediatric Neurology
- Epilepsy Research
- Public Health
Background:
- Epilepsy presents a lifelong risk of seizure-related accidents, influenced by socioeconomic factors.
- There is a notable lack of comprehensive data regarding epilepsy-related accidents in the pediatric population.
Purpose of the Study:
- To determine the incidence of accidents among pediatric epilepsy patients.
- To identify factors associated with seizure-related accidents in children with epilepsy.
Main Methods:
- A prospective study included pediatric patients under 18 with epilepsy for over one year.
- A modified questionnaire captured accident demographics and medication adherence during seizures.
- Data on seizure-related accidents and drug history were systematically recorded.
Main Results:
- Out of 135 pediatric epilepsy patients, 70.4% experienced 1-10 seizure-related accidents.
- Falls constituted the most frequent accident type (83.15%), with 25.26% requiring hospitalization.
- Missing prescribed drug dosages contributed to accidents in 23% of cases.
Conclusions:
- Seizure-related accidents are a significant concern in pediatric epilepsy, potentially leading to severe outcomes.
- Enhanced epilepsy management strategies and targeted care for high-risk children can mitigate accident frequency.
Background:
Epilepsy carries a lifetime risk of seizure-related accidents. The risk varies according to the socioeconomic profile of a place. Sufficient data is lacking for epilepsy-related accidents in the pediatric population.
Objective:
We aimed to identify the proportion of pediatric epileptic patients who met with accidents and their associated factors.
Methods:
A prospective study was done. Patients of less than 18 years with epilepsy of more than 1-year duration were included and were given a questionnaire modified for the pediatric population. The demography of accidents during seizures and drugs taken were recorded.
Results:
135 epileptic children were included. 70.4% of patients suffered seizure-related accidents ranging from 1-10 accidents in their epilepsy duration. Falls (83.15%) were the most common, 25.26% of them required hospitalization. Accidents due to missing of drug dosage were observed in 23% patients.
Conclusion:
Seizure-related accidents are common in the pediatric population, and may lead to major accidents. Better epilepsy management with extra care for high-risk epilepsy patients may decrease their incidents.
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