Serveur d'exploration sur le confinement (PubMed)

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Epilepsy and lockdown: A survey of patients normally attending a Spanish centre.

Identifieur interne : 000445 ( Main/Exploration ); précédent : 000444; suivant : 000446

Epilepsy and lockdown: A survey of patients normally attending a Spanish centre.

Auteurs : Estefanía Conde Blanco [Espagne] ; Isabel Manzanares [Espagne] ; María Centeno [Espagne] ; Mariam Khawaja [Espagne] ; Olga Betrán [Espagne] ; Antonio Donaire [Espagne] ; Mar Carre O [Espagne]

Source :

RBID : pubmed:32990951

Descripteurs français

English descriptors

Abstract

BACKGROUND

Lockdown due to the SARS-CoV-2 pandemic became a challenge to maintain care for patients with epilepsy; we aimed to find out how the pandemic affected them.

METHODS

We sent an online 22-item questionnaire to patients from our outpatient clinic, a reference centre in Spain for drug-resistant epilepsy, inquiring about the effects of lockdown, from March to May 2020.

RESULTS

We sent the survey to 627 patients; 312 (58% women) sent a complete response and were included. Of all respondents, 57% took >2 antiseizure medications. One-third of respondents (29%) declared an associated cognitive or motor disability. A minority had confirmed infection with SARS-CoV-2 (1.92%). Seizure frequency remained like usual in 56% of patients, while 31.2% reported an increase. Less than 10% needed emergent assistance. Almost half reported anxiety or depression, and 25% increased behavioural disorders. Mood (F: 5.40; p: 0.002) and sleep disorders (F = 2.67; p: 0.05) were associated with increase in seizure frequency. Patients were able to contact their physicians when needed and were open to a future telematic approach to follow-up visits.

CONCLUSIONS

Seizure frequency and severity remained unchanged in most patients during the lockdown. Mood and sleep disorders were common and associated with seizure worsening. Patients were open to telematic care in the future.


DOI: 10.1111/ane.13354
PubMed: 32990951
PubMed Central: PMC7646661


Affiliations:


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<term>Troubles de la veille et du sommeil (classification)</term>
<term>Troubles de la veille et du sommeil (épidémiologie)</term>
<term>Troubles mentaux (complications)</term>
<term>Troubles mentaux (épidémiologie)</term>
<term>Troubles moteurs (complications)</term>
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<term>COVID-19</term>
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<term>Epilepsy</term>
<term>Mental Disorders</term>
<term>Motor Disorders</term>
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<term>COVID-19</term>
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<term>Anticonvulsivants</term>
<term>Anxiété</term>
<term>Dépression</term>
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<term>Communicable Disease Control</term>
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<b>BACKGROUND</b>
</p>
<p>Lockdown due to the SARS-CoV-2 pandemic became a challenge to maintain care for patients with epilepsy; we aimed to find out how the pandemic affected them.</p>
</div>
<div type="abstract" xml:lang="en">
<p>
<b>METHODS</b>
</p>
<p>We sent an online 22-item questionnaire to patients from our outpatient clinic, a reference centre in Spain for drug-resistant epilepsy, inquiring about the effects of lockdown, from March to May 2020.</p>
</div>
<div type="abstract" xml:lang="en">
<p>
<b>RESULTS</b>
</p>
<p>We sent the survey to 627 patients; 312 (58% women) sent a complete response and were included. Of all respondents, 57% took >2 antiseizure medications. One-third of respondents (29%) declared an associated cognitive or motor disability. A minority had confirmed infection with SARS-CoV-2 (1.92%). Seizure frequency remained like usual in 56% of patients, while 31.2% reported an increase. Less than 10% needed emergent assistance. Almost half reported anxiety or depression, and 25% increased behavioural disorders. Mood (F: 5.40; p: 0.002) and sleep disorders (F = 2.67; p: 0.05) were associated with increase in seizure frequency. Patients were able to contact their physicians when needed and were open to a future telematic approach to follow-up visits.</p>
</div>
<div type="abstract" xml:lang="en">
<p>
<b>CONCLUSIONS</b>
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<p>Seizure frequency and severity remained unchanged in most patients during the lockdown. Mood and sleep disorders were common and associated with seizure worsening. Patients were open to telematic care in the future.</p>
</div>
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<AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">Lockdown due to the SARS-CoV-2 pandemic became a challenge to maintain care for patients with epilepsy; we aimed to find out how the pandemic affected them.</AbstractText>
<AbstractText Label="METHODS" NlmCategory="METHODS">We sent an online 22-item questionnaire to patients from our outpatient clinic, a reference centre in Spain for drug-resistant epilepsy, inquiring about the effects of lockdown, from March to May 2020.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">We sent the survey to 627 patients; 312 (58% women) sent a complete response and were included. Of all respondents, 57% took >2 antiseizure medications. One-third of respondents (29%) declared an associated cognitive or motor disability. A minority had confirmed infection with SARS-CoV-2 (1.92%). Seizure frequency remained like usual in 56% of patients, while 31.2% reported an increase. Less than 10% needed emergent assistance. Almost half reported anxiety or depression, and 25% increased behavioural disorders. Mood (F: 5.40; p: 0.002) and sleep disorders (F = 2.67; p: 0.05) were associated with increase in seizure frequency. Patients were able to contact their physicians when needed and were open to a future telematic approach to follow-up visits.</AbstractText>
<AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">Seizure frequency and severity remained unchanged in most patients during the lockdown. Mood and sleep disorders were common and associated with seizure worsening. Patients were open to telematic care in the future.</AbstractText>
<CopyrightInformation>© 2020 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.</CopyrightInformation>
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