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Clinical Differences in Newly Diagnosed Spanish-Speaking Pediatric Epilepsy Patients: A Single-Center Examination

Chelsey Stillman1, Kelly Knupp1, Krista Eschbach1

  • 1Division of Pediatric Neurology, Children's Hospital Colorado, Aurora, CO, USA.

Journal of Child Neurology
|June 22, 2026
PubMed

Insights

This study found similar epilepsy care outcomes for English- and Spanish-speaking pediatric patients. However, differences in communication and medication trials suggest institutional processes may impact care access for these groups.

Area of Science:

  • Pediatric Neurology
  • Health Services Research
  • Clinical Outcomes

Background:

  • Epilepsy is a frequent pediatric diagnosis.
  • National and international initiatives focus on enhancing neurologic care.
  • This study investigates disparities in pediatric epilepsy care based on language.

Purpose of the Study:

  • To compare initial clinical differences between English- and Spanish-speaking pediatric epilepsy patients.
  • To identify potential barriers or facilitators in care delivery.
  • To inform strategies for equitable epilepsy management.

Main Methods:

  • Retrospective analysis of pediatric patients with epilepsy at a single center.
  • Data collection included demographics, initial encounters, and 6-month follow-up.
  • Statistical analyses included Wilcoxon rank sum tests, Fisher exact tests, and logistic regression.

Main Results:

  • No significant differences in epilepsy classification, seizure types, encounter location, or prescribed medications.
  • Similar subjective seizure improvement rates between English- and Spanish-speaking cohorts.
  • Differences observed in communication rates and medication trials, with variations noted based on race within the Spanish-speaking population.

Conclusions:

  • While overall seizure improvement was similar, institutional triage processes may influence communication and medication trial differences.
  • Further research is needed to explore the intersection of race and epilepsy care within Spanish-speaking populations.
  • Addressing institutional processes is crucial for ensuring equitable care for pediatric epilepsy patients.

Keywords:
antiseizure drugschildrenepilepsyoutcomepediatric

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