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1. Accidents in Patients with Epilepsy: Types, Circumstances, and Complications: A European Cohort Study

Author

van den Broek, Mariska, Beghi, Ettore, Cornaggia, C. M., Beghi, M., Bogliun, G., Fiordelli, E., Airoldi, L., Frigeni, B., Mascarini, A., Mapelli, L., Moltrasio, L., Biagi, E., Hauser, W. A., Loeber, J. N., Thorbecke, R., Di Viesti, P., Zarrelli, M., Apollo, F., Giovanni Rotondo, S., Steuernagel, E., Wolf, P., Sonnen, A. E. H., Specchio, L. M., Specchio, N., Boati, E., Defanti, C. A., Pinto, P., Breviario, E., Pasolini, M. P., Antonini, L., Aguglia, U., Russo, C., Gambardella, A., Giubergia, S., Zagnoni, P., Cosottini, Mirco, Zaccara, G., Pisani, F., Oteri, G., Cavestro, C. E., David, A., Tonini, C., Avanzini, G., Arienti, F., Tartara, A., Manni, R., Castelnovo, G., Murelli, R., Galimberti, C. A., Zanotta, N., Runge, U., Dekrom, M. C. T. F. M., Vanheijden, C., Griet, J., van denBroek, M. W. C., Brown, S. W., Coyle, H., Edge, Nr Alderley, Lopes Lima, J. M., Beleza, P., Ferreira, E., Talvik, T., Beilmann, A., Belousova, E., Nikanorowa, M., Ravnik, I. M., Levart, T., Zupancic, N., Gromov, S., Lipatova, L. V., Mikhailov, V., Van den Broek, M, Beghi, E, and Cornaggia, C

Subjects
Adult, Male, Pediatrics, medicine.medical_specialty, Adolescent, Poison control, Cohort Studies, Epilepsy, Risk Factors, Injury prevention, Accidents, Occupational, Humans, Medicine, Prospective Studies, Preschool, Child, Prospective cohort study, Injuries, business.industry, epilepsy, complications, types, circumstances, Accidents, Accidents, Home, Child, Preschool, Europe, Female, Follow-Up Studies, Hospitalization, Patient Acceptance of Health Care, Wounds and Injuries, Neurology, Neurology (clinical), medicine.disease, Occupational, Relative risk, Cohort, Home, business, Risk assessment, Cohort study
Abstract

Purpose: To investigate the risk of accidents in a cohort of patients with epilepsy and in matched nonepilepsy controls. by type, circumstances, and complications. Methods: A total of 95 1 children and adults with idiopathic, cryptogenic, or remote symptomatic epilepsy and 904 matched controls seen in secondary and tertiary centers in eight European Countries (England. Estonia, Germany, Italy, the Netherlands, Portugal. Russia. and Slovenia) were followed Lip prospectively for 17,484 and 17.206 person-months and asked to report any accident requiring medical attention. its site, and complications. Risk assessment was done by using actuarial methods, relative risks (RRs). and 95% confidence intervals (CIs). Results: During the study period, 199 (21%) patients and 123 (14%) controls reported all accident (p < 0.0001); 24% were seizure related. The Cumulative probability of accidents at 12 and 24 months was 17 and 27% in the cases and 12 and 17% in the controls. The risk was highest for concussions (RR, 2.6; 95% Cl, 1.2-5.8), abrasions (RR, 2.1; 95% Cl, 1.1-4.0), and Wounds (RR, 1.9; Cl, 1.2-3.1). Domestic accidents prevailed in both groups, followed by street and work accidents, and were more common among cases. Compared with controls, patients with epilepsy reported more hospitalization, complications, and medical action. Disease characteristics associated with an increased risk of accidents included generalized epilepsy (conclusions), active epilepsy, and at least monthly seizures (abrasions). Most risks decreased, becoming nonsignificant after excluding, seizure-related events. Conclusions: Patients with epilepsy are at higher risk of accidents and their complications. However, the risk was substantially lower after exclusion of seizure-related events

Published
2004
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2. Morbidity and Accidents in Patients with Epilepsy: Results of a European Cohort Study

Author

Beghi, E, Cornaggia, C, Specchio, Lm, Specchio, N, Boati, E, Defanti, Ca, Pinto, P, Breviario, E, Pasolini, Mp, Antonini, L, Tiberti, A, Valseriati, D, Aguglia, U, Russo, C, Gambardella, A, Giubergia, S, Zagnoni, P, Cosottini, Mirco, Zaccara, G, Pisani, F, Oteri, G, Cavestro, Ce, David, A, Tonini, C, Avanzini, G, Arienti, F, Beghi, M, Bogliun, G, Fiordelli, E, Airoldi, L, Mascarini, A, Mapelli, L, Moltrasio, L, Tartara, A, Manni, R, Castelnovo, G, Murelli, R, Galimberti, Ca, Zanotta, N, Di Viesti, P, Zarrelli, M, Apollo, F, Steuernagel, E, Wolf, P, Runge, U, De Krom MCTFM, Van Heijden, C, Griet, J, Van Den Broek MWC, Brown, Sw, Coyle, H, Lopes Lima JM, Beleza, P, Ferreira, E, Talvik, T, Beilmann, A, Belousova, E, Nikanorowa, M, Gromov, S, Lipatova, Lv, Mikhailov, V, Ravnik, Im, Levart, T, Zupancic, N, Hauser, Wa, Loeber, Jn, Thorbecke, R, Sonnen, Aeh, Beghi, E, and Cornaggia, C

Subjects
Adult, Cross-Cultural Comparison, Male, medicine.medical_specialty, Pediatrics, Adolescent, Referral, Health Status, Population, morbidity, Disease, Medical Records, Cohort Studies, Epilepsy, Risk Factors, Epidemiology, medicine, Humans, Prospective Studies, illnesses, Prospective cohort study, education, Probability, education.field_of_study, business.industry, Case-control study, accident, medicine.disease, Europe, Neurology, Accidents, Case-Control Studies, injurie, epilepsy, Female, Neurology (clinical), business, Follow-Up Studies, Cohort study
Abstract

Summary: Purpose: To assess the risk of illnesses and accidents in patients with epilepsy and to evaluate the proportion of those risks attributable to epilepsy. Methods: Nine hundred fifty-one referral patients with idiopathic, cryptogenic, or remote symptomatic epilepsy and 909 matched controls (relatives or friends) were followed up prospectively for 1–2 years in eight European countries (Italy, Germany, Holland, England, Portugal, Russia, Estonia, and Slovenia). Each patient and control received a diary to keep notes regarding any illness or accident. Patients with epilepsy specifically recorded relations with seizures. Results: Six hundred forty-four patients recorded 2,491 illnesses compared with 1,665 illnesses in 508 controls. The cumulative probability of illness in patients was 49% by 12 months and 86% by 24 months (controls, 39 and 75%; p < 0.0001). One hundred ninety-nine patients and 124 controls had 270 and 140 accidents, respectively. The cumulative probability of accident in the cases was 17 and 27% by 12 and 24 months (controls, 12 and 17%; p < 0.0001). The chance of two or more illnesses or accidents was modestly but significantly greater in the patients. Illnesses and accidents were mostly trivial. Thirty percent of illnesses and 24% of accidents were seizure related. When illnesses and accidents related to seizures were excluded, the chance of illnesses and accidents was fairly similar in the two groups. Conclusions: Patients with idiopathic, cryptogenic, or remote symptomatic epilepsy have a moderately higher risk of illnesses and accidents than do the general population. With few exceptions, the events are trivial. When seizure-related events are excluded, patients with epilepsy are not at any significantly higher risk of illnesses and accidents.

Published
2002
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3. Morbidity in Patients with Epilepsy: Type and Complications: A European Cohort Study

Author

van den Broek, M, Beghi, E, Cornaggia, C, Hauser, W, Loeber, J, Thorbecke, R, Sonnen, A, Specchio, L, Specchio, N, Boati, E, Defanti, C, Pinto, P, Breviario, E, Pasolini, M, Antonini, L, Aguglia, U, Russo, C, Gambardella, A, Giubergia, S, Zagnoni, P, Cosottini, M, Zaccara, G, Pisani, F, Oteri, G, Cavestro, M, David, A, Tonini, C, Avanzini, G, Arienti, F, Beghi, M, Bogliun, G, Fiordelli, E, Frigeni, B, Mascarini, A, Mapelli, L, Moltrasio, L, Biagi, E, Tartara, A, Manni, R, Castelnovo, G, Murelli, R, Galimberti, C, Zanotta, N, Di Viesti, P, Zarrelli, M, Apollo, F, Giovanni Rotondo, S, Steuernagel, E, Wolf, P, Runge, U, de Krom, M, van Heijden, C, Griet, J, Brown, S, Coyle, H, Edge, N, Lopes-Lima, J, Beleza, P, Ferreira, E, Talvik, T, Beilmann, A, Belousova, E, Nikanorowa, M, Ravnik, I, Levart, T, Zupancic, N, Gromov, S, Lipatova, L, Mikhailov, V, van den Broek M., Beghi E., Cornaggia C. M., Hauser W. A., Loeber J. N., Thorbecke R., Sonnen A. E. H., Specchio L. M., Specchio N., Boati E., Defanti C. A., Pinto P., Breviario E., Pasolini M. P., Antonini L., Aguglia U., Russo C., Gambardella A., Giubergia S., Zagnoni P., Cosottini M., Zaccara G., Pisani F., Oteri G., Cavestro M. C. E., David A., Tonini C., Avanzini G., Arienti F., Beghi M., Bogliun G., Fiordelli E., Frigeni B., Mascarini A., Mapelli L., Moltrasio L., Biagi E., Tartara A., Manni R., Castelnovo G., Murelli R., Galimberti C. A., Zanotta N., Di Viesti P., Zarrelli M., Apollo F., Giovanni Rotondo S., Steuernagel E., Wolf P., Runge U., de Krom M. C. T. F. M., van Heijden C., Griet J., van den Broek M. W. C., Brown S. W., Coyle H., Edge N. A., Lopes-Lima J. M., Beleza P., Ferreira E., Talvik T., Beilmann A., Belousova E., Nikanorowa M., Ravnik I. M., Levart T., Zupancic N., Gromov S., Lipatova L. V., Mikhailov V., van den Broek, M, Beghi, E, Cornaggia, C, Hauser, W, Loeber, J, Thorbecke, R, Sonnen, A, Specchio, L, Specchio, N, Boati, E, Defanti, C, Pinto, P, Breviario, E, Pasolini, M, Antonini, L, Aguglia, U, Russo, C, Gambardella, A, Giubergia, S, Zagnoni, P, Cosottini, M, Zaccara, G, Pisani, F, Oteri, G, Cavestro, M, David, A, Tonini, C, Avanzini, G, Arienti, F, Beghi, M, Bogliun, G, Fiordelli, E, Frigeni, B, Mascarini, A, Mapelli, L, Moltrasio, L, Biagi, E, Tartara, A, Manni, R, Castelnovo, G, Murelli, R, Galimberti, C, Zanotta, N, Di Viesti, P, Zarrelli, M, Apollo, F, Giovanni Rotondo, S, Steuernagel, E, Wolf, P, Runge, U, de Krom, M, van Heijden, C, Griet, J, Brown, S, Coyle, H, Edge, N, Lopes-Lima, J, Beleza, P, Ferreira, E, Talvik, T, Beilmann, A, Belousova, E, Nikanorowa, M, Ravnik, I, Levart, T, Zupancic, N, Gromov, S, Lipatova, L, Mikhailov, V, van den Broek M., Beghi E., Cornaggia C. M., Hauser W. A., Loeber J. N., Thorbecke R., Sonnen A. E. H., Specchio L. M., Specchio N., Boati E., Defanti C. A., Pinto P., Breviario E., Pasolini M. P., Antonini L., Aguglia U., Russo C., Gambardella A., Giubergia S., Zagnoni P., Cosottini M., Zaccara G., Pisani F., Oteri G., Cavestro M. C. E., David A., Tonini C., Avanzini G., Arienti F., Beghi M., Bogliun G., Fiordelli E., Frigeni B., Mascarini A., Mapelli L., Moltrasio L., Biagi E., Tartara A., Manni R., Castelnovo G., Murelli R., Galimberti C. A., Zanotta N., Di Viesti P., Zarrelli M., Apollo F., Giovanni Rotondo S., Steuernagel E., Wolf P., Runge U., de Krom M. C. T. F. M., van Heijden C., Griet J., van den Broek M. W. C., Brown S. W., Coyle H., Edge N. A., Lopes-Lima J. M., Beleza P., Ferreira E., Talvik T., Beilmann A., Belousova E., Nikanorowa M., Ravnik I. M., Levart T., Zupancic N., Gromov S., Lipatova L. V., and Mikhailov V.

Abstract

Purpose: To investigate the risk of illnesses in a cohort of patients with epilepsy and in matched nonepilepsy controls, by type and complications. Methods: A total of 951 children and adults with idiopathic, cryptogenic, or remote symptomatic epilepsy and 904 matched controls seen in secondary and tertiary centers in eight European countries (England, Estonia, Germany, Italy, the Netherlands, Portugal, Russia, Slovenia) were followed prospectively for 17,484 and 17,206 person-months and asked to report any spontaneous complaint requiring medical attention (illness), its type and complications (hospitalization, absence from work or school, medical action). Risk assessment was done by actuarial methods, relative risks (RR), and 95% confidence intervals (CIs). Results: During the study period 644 patients (68%) and 504 controls (56%) reported an illness (p<0.0001); 30% were seizure related. The cumulative probability of illness at 12 and 24 months was 49 and 86% in the cases and 39 and 75% in the controls (p<0.0001). The largest differences regarded disorders affecting the nervous system (NS) (RR, 3.3; 95% CI, 2.3-4.2) and ear, nose, and throat (ENT) (RR, 1.3; 95% CI, 1.0-1.6). In patients with epilepsy, an NS illness was more likely to be followed by hospital admission, work absence, or medical intervention. All risks were significantly reduced after excluding seizure-related events. Conclusions: Patients with epilepsy are at higher risk of NS and ENT illnesses and complications than the general population. However, the risk of illness is significantly reduced when seizure-related events are excluded

Published
2004

4. Accidents in patients with epilepsy: types, circumstances, and complications: a European cohort study

Author

van den Broek, M, Beghi, E, Cornaggia, C, Beghi, M, Bogliun, G, Fiordelli, E, Airoldi, L, Frigeni, B, Mascarini, A, Mapelli, L, Moltrasio, L, Biagi, E, Hauser, W, Loeber, J, Thorbecke, R, Di Viesti, P, Zarrelli, M, Apollo, F, Giovanni Rotondo, S, Steuernagel, E, Wolf, P, Sonnen, A, Specchio, L, Specchio, N, Boati, E, Defanti, C, Pinto, P, Breviario, E, Pasolini, M, Antonini, L, Aguglia, U, Russo, C, Gambardella, A, Giubergia, S, Zagnoni, P, Cosottini, M, Zaccara, G, Pisani, F, Oteri, G, Cavestro, C, David, A, Tonini, C, Avanzini, G, Arienti, F, Tartara, A, Manni, R, Castelnovo, G, Murelli, R, Galimberti, C, Zanotta, N, Runge, U, Dekrom, M, Vanheijden, C, Griet, J, van denBroek, M, Brown, S, Coyle, H, Edge, N, Lopes-Lima, J, Beleza, P, Ferreira, E, Talvik, T, Beilmann, A, Belousova, E, Nikanorowa, M, Ravnik, I, Levart, T, Zupancic, N, Gromov, S, Lipatova, L, Mikhailov, V, van den Broek M., Beghi E., Cornaggia C. M., Beghi M., Bogliun G., Fiordelli E., Airoldi L., Frigeni B., Mascarini A., Mapelli L., Moltrasio L., Biagi E., Hauser W. A., Loeber J. N., Thorbecke R., Di Viesti P., Zarrelli M., Apollo F., Giovanni Rotondo S., Steuernagel E., Wolf P., Sonnen A. E. H., Specchio L. M., Specchio N., Boati E., Defanti C. A., Pinto P., Breviario E., Pasolini M. P., Antonini L., Aguglia U., Russo C., Gambardella A., Giubergia S., Zagnoni P., Cosottini M., Zaccara G., Pisani F., Oteri G., Cavestro C. E., David A., Tonini C., Avanzini G., Arienti F., Tartara A., Manni R., Castelnovo G., Murelli R., Galimberti C. A., Zanotta N., Runge U., deKrom M. C. T. F. M., vanHeijden C., Griet J., van denBroek M. W. C., Brown S. W., Coyle H., Edge N. A., Lopes-Lima J. M., Beleza P., Ferreira E., Talvik T., Beilmann A., Belousova E., Nikanorowa M., Ravnik I. M., Levart T., Zupancic N., Gromov S., Lipatova L. V., Mikhailov V., van den Broek, M, Beghi, E, Cornaggia, C, Beghi, M, Bogliun, G, Fiordelli, E, Airoldi, L, Frigeni, B, Mascarini, A, Mapelli, L, Moltrasio, L, Biagi, E, Hauser, W, Loeber, J, Thorbecke, R, Di Viesti, P, Zarrelli, M, Apollo, F, Giovanni Rotondo, S, Steuernagel, E, Wolf, P, Sonnen, A, Specchio, L, Specchio, N, Boati, E, Defanti, C, Pinto, P, Breviario, E, Pasolini, M, Antonini, L, Aguglia, U, Russo, C, Gambardella, A, Giubergia, S, Zagnoni, P, Cosottini, M, Zaccara, G, Pisani, F, Oteri, G, Cavestro, C, David, A, Tonini, C, Avanzini, G, Arienti, F, Tartara, A, Manni, R, Castelnovo, G, Murelli, R, Galimberti, C, Zanotta, N, Runge, U, Dekrom, M, Vanheijden, C, Griet, J, van denBroek, M, Brown, S, Coyle, H, Edge, N, Lopes-Lima, J, Beleza, P, Ferreira, E, Talvik, T, Beilmann, A, Belousova, E, Nikanorowa, M, Ravnik, I, Levart, T, Zupancic, N, Gromov, S, Lipatova, L, Mikhailov, V, van den Broek M., Beghi E., Cornaggia C. M., Beghi M., Bogliun G., Fiordelli E., Airoldi L., Frigeni B., Mascarini A., Mapelli L., Moltrasio L., Biagi E., Hauser W. A., Loeber J. N., Thorbecke R., Di Viesti P., Zarrelli M., Apollo F., Giovanni Rotondo S., Steuernagel E., Wolf P., Sonnen A. E. H., Specchio L. M., Specchio N., Boati E., Defanti C. A., Pinto P., Breviario E., Pasolini M. P., Antonini L., Aguglia U., Russo C., Gambardella A., Giubergia S., Zagnoni P., Cosottini M., Zaccara G., Pisani F., Oteri G., Cavestro C. E., David A., Tonini C., Avanzini G., Arienti F., Tartara A., Manni R., Castelnovo G., Murelli R., Galimberti C. A., Zanotta N., Runge U., deKrom M. C. T. F. M., vanHeijden C., Griet J., van denBroek M. W. C., Brown S. W., Coyle H., Edge N. A., Lopes-Lima J. M., Beleza P., Ferreira E., Talvik T., Beilmann A., Belousova E., Nikanorowa M., Ravnik I. M., Levart T., Zupancic N., Gromov S., Lipatova L. V., and Mikhailov V.

Abstract

Purpose: To investigate the risk of accidents in a cohort of patients with epilepsy and in matched nonepilepsy controls, by type, circumstances, and complications. Methods: A total of 951 children and adults with idiopathic, cryptogenic, or remote symptomatic epilepsy and 904 matched controls seen in secondary and tertiary centers in eight European countries (England, Estonia, Germany, Italy, the Netherlands, Portugal, Russia, and Slovenia) were followed up prospectively for 17,484 and 17,206 person-months and asked to report any accident requiring medical attention, its site, and complications. Risk assessment was done by using actuarial methods, relative risks (RRs), and 95% confidence intervals (CIs). Results: During the study period, 199 (21%) patients and 123 (14%) controls reported an accident (p < 0.0001); 24% were seizure related. The cumulative probability of accidents at 12 and 24 months was 17 and 27% in the cases and 12 and 17% in the controls. The risk was highest for concussions (RR, 2.6; 9.5% CI, 1.2-5.8), abrasions (RR, 2.1; 95% CI, 1.1-4.0), and wounds (RR, 1.9; CI, 1.2-3.1). Domestic accidents prevailed in both groups, followed by street and work accidents, and were more common among cases. Compared with controls, patients with epilepsy reported more hospitalization, complications, and medical action. Disease characteristics associated with an increased risk of accidents included generalized epilepsy (concussions), active epilepsy, and at least monthly seizures (abrasions). Most risks decreased, becoming nonsignificant after excluding seizure-related events. Conclusions: Patients with epilepsy are at higher risk of accidents and their complications. However, the risk was substantially lower after exclusion of seizure-related events.

Published
2004

6. Social aspects of epilepsy in the adult in seven European countries

Author

Beghi, E., Cornaggia, C. M., Hauser, W. A., Loeber, J. N., Thorbecke, R., Sonnen, A. E. H., Severi, S., Zolo, P., Specchio, L. M., Specchio, N., Boati, E., Defanti, C. A., Pinto, P., Breviario, E., Pasolini, M. P., Antonini, L., Aguglia, U., Russo, C., Gambardella, A., Giubergia, S., Zagnoni, P., Mirco Cosottini, Zaccara, G., Trio, R., Pisani, F., Russo, M., Oteri, G., Cavestro, C. E., David, A., Tonini, C., Gianetti, S., Avanzini, G., Arienti, F., Bogliun, G., Fiordelli, E., Airoldi, L., Tartara, A., Manni, R., Castelnovo, G., Murelli, R., Galimberti, C. A., Zanotta, N., Di Viesti, P., Zarrelli, M., Apollo, F., Steuernagel, E., Wolf, P., Runge, U., Krom, M. C. T. F. M., Heijden, C., Griet, J., Diaz-Obregon, C., Utrero, E., Brown, S. W., Coyle, H., Lopes-Lima, J. M., Beleza, P., Ferreira, E., Talvik, T., Beilmann, A., Belousova, E., Nikanorowa, M., Ravnik, I. M., Levart, T., Zupancic, N., Gromov, S., Lipatova, L. V., and Mikhailov, V.

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