Epilepsy prevalence in a rural area in Istanbul

• Published in: Seizure (London, England) England), 2002-09, Vol.11 (6), p.397-401
• Main Authors: Onal, A.Emel, Tumerdem, Yildiz, Ozturk, Mustafa K, Gurses, Candan, Baykan, Betul, Gokyigit, Aysen, Ozel, Sevda
• Format: Article
• Language: English
• Subjects: Adolescent; Adult; Aged; Aged, 80 and over; Case-Control Studies; Catchment Area (Health); Child; Child, Preschool; Cross-Sectional Studies; Electroencephalography; epilepsy; Epilepsy - diagnosis; Epilepsy - epidemiology; Female; Humans; Infant; Male; Middle Aged; neuro-epidemiology; Prevalence; Retrospective Studies; Rural Population - statistics & numerical data; screening; Surveys and Questionnaires; Turkey - epidemiology
• ISSN: 1059-1311; 1532-2688
• DOI: 10.1053/seiz.2001.0665

İSTANBUL’DA BİR KIRSAL ALANDA EPİLEPSİ PREVALANSI*** ÖZET Bu çalişma İstanbul-Küçükçekmece Bölgesi’nde Haziran 1999 – Şubat 2000 tarihlerinde gerçekleştirilmiş kesitsel ve vaka kontrollu bir alan çalişmasidir. Bölgede basit rastlantisal örnekleme yöntemi ile seçilen evler (n= 493) tek tek gezilerek anket yöntemi ile bireylerden (n= 2187) % 2.65 inin epilepsi şüpheli olduğu (n= 58) saptandi. Öykü alma, nörolojik muayene ve EEG den yararlanilarakepilepsi tanisi alanlar (n= 17) belirlendi. Yaşamboyu Epilepsi Prevalansi % 0.8 idi. 17 epilepsili olgudan % 41.2 (n= 7) si parsiyel, % 47.0 (n= 8) si jeneralize, % 11.8 (n= 2) i fokal ya da jeneralize olduğu belirlenemeyen epilepsi idi. Epilepsili bireyler ile ayni bölgeden oluşturulan kontrol grubunda (n= 125) epilepsi ile ilgili risk faktörleri Lojistik Regresyon Analizi ile araştirildi. Öğrenim durumu (OddsRatio = 1.82 , % 95 Güven Araliği = 1.13–2.94, P= 0.01), meslek(OR = 0.76 , % 95 GA = 0.60–0.97, P= 0.03), ailede epilepsili birey olmasi (OR = 0.67, % 95 GA = 0.47–0.94, P= 0.02) ile epilepsi arasinda istatistik anlamlilik verecek derecede ilişki olduğu saptandi. Sonuçlar bireylerin epilepsi konusunda bilgilendirilmesi gerekliliğine dikkat çekmektedir. Anahtar Kelimeler: Nöroepidemiyoloji, epilepsi, tarama. ***Bu çalişma İstanbul Tip Fakültesi Araştirma Fonu tarafindan T – 693 / 280699 nolu proje olarak desteklenmiştir. This study is a field study with cross-section and case control conducted in the Kucukcekmece Region of Istanbul between June 1999 and February 2000. Four hundred and ninety three dwellings selected by a simple random sampling method were visited. From a population of 2187, 58 people, after filling in a questionnaire were suspected to have epilepsy. Following an interview, neurological examination and an electroencephalogram (EEG) 17 were diagnosed as having epilepsy. Lifetime epilepsy prevalence was 0.8%. 41.2% of the 17 epilepsy cases had partial epilepsy ( n= 7), 47.0% had generalized (n = 8) and in 11.8% seizures could not be classified ( n= 2). The risk factors for epilepsy in the control group ( n= 125) from the same region and those with epilepsy were investigated by means of logistic regression analyses. Educational status (odds ratio : 1.82, 95% confidence interval : 1.13–2.94; P= 0.01), profession (OR : 0.76, 95% CI : 0.60–0.97; P= 0.03), history of epilepsy in the family (OR : 0.67, 95% CI : 0.47–0.94; P= 0.02) were determined to be correlated with epilepsy. The results have drawn at