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Impact of seizure-related injuries on quality of life

  • Ozan Cengiz
  • Arife Çimen AtalarEmail author
  • Betül Tekin
  • Nerses Bebek
  • Betül Baykan
  • Candan Gürses
Original Article
  • 19 Downloads

Abstract

Objective

Our aim is to assess the types and frequency of seizure-related injuries and to determine their effects on Quality of Life (QoL).

Methods

Fifty-seven patients with epilepsy were included to our study. The demographic and clinical data of all the participants were recorded. All patients completed the Quality of Life in Epilepsy Inventory 89 (QOLIE-89). Injury types were classified as burns, head trauma, dental traumas, fractures, body injuries, penetrating traumas, road injuries, and drowning.

Results

Forty-two patients had seizure-related physical injury history whereas 15 of them declared no history of injury. Lower education levels and more frequent seizures were associated with higher seizure-related injury rates (p < 0.05). The most common types of seizure-related injuries were head trauma (22%) and fractures (17%). Fifty-seven (64%)of the injuries took place at home. There was no difference in QOLIE-89 scores between patients with or without seizure-related injury. Multiple injuries, admission to emergency, older than 20 years of the first seizure-related injury, and shorter than 10 years after last seizure-related injury are negatively effective on the QoL scores.

Conclusion

Patients with epilepsy are likely to have seizure-related injuries which may be severe but do not affect the patients’ QoL. Seizure-related injuries most commonly occur at home and therefore simple precautions (supervised bathing, using microwave ovens instead of classical stoves, avoiding electric irons and electric heaters, and sleeping close to the floor to avoid falling) taken to reduce the incidence of seizure-related injuries will help reduce hospitalizations and will also be cost-effective.

Keywords

Seizure-related injury Quality of life Multiple injury Dental trauma Burns Fractures 

Notes

Compliance with ethical standards

Written informed consents were obtained from all participants. Local ethics committee approval was received for the study.

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Copyright information

© Fondazione Società Italiana di Neurologia 2019

Authors and Affiliations

  1. 1.Istanbul Faculty of Medicine, Department of Neurology Epilepsy DivisionIstanbul UniversityIstanbulTurkey
  2. 2.Istanbul Education and Research Hospital Neurology DepartmentFatih/İstanbulTurkey
  3. 3.Rumeli Hospital Neurology DepartmentIstanbulTurkey

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