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Mortality from epilepsy. International patterns and changes over time.

E W Massey, B S Schoenberg

    Neuroepidemiology
    |January 1, 1985
    PubMed
    Summary
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    Epilepsy mortality rates varied globally between 1967-1973, with higher rates in Latin America and males. However, these epilepsy death rates generally declined over time, indicating improved outcomes.

    Area of Science:

    • Epidemiology
    • Neurology
    • Public Health

    Background:

    • Epilepsy poses a significant global health challenge.
    • Understanding international epilepsy mortality patterns is crucial for public health initiatives.
    • Historical data on epilepsy mortality is essential for tracking trends.

    Purpose of the Study:

    • To calculate and compare average annual age-adjusted mortality rates for epilepsy across 33 countries.
    • To analyze trends in epilepsy mortality from the 1950s to 1967-1973.
    • To identify geographical and demographic variations in epilepsy mortality.

    Main Methods:

    • Age-adjusted mortality rates for epilepsy were calculated for 33 countries.
    • Data from 1967-1973 were compared with earlier data from the 1950s where available.

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  • International variations in rates were analyzed, considering geographical regions and sex.

    • Main Results:

    • Epilepsy mortality rates in 1967-1973 ranged from 0.6 to 4.0 deaths per 100,000 individuals annually.
    • Countries in Latin America exhibited generally high epilepsy mortality rates.
    • Epilepsy mortality rates showed a declining trend over time across most studied countries.
    • Mortality rates were consistently higher for males compared to females.

    Conclusions:

    • Epilepsy mortality rates demonstrate significant international variation.
    • A general decline in epilepsy mortality rates over time suggests improvements in management or reporting.
    • Sex-specific differences in epilepsy mortality warrant further investigation.
    • The increasing implementation of epilepsy prevalence surveys will provide more comprehensive data, potentially reducing reliance on mortality statistics for understanding global epilepsy patterns.