Epilepsy lifetime prevalence in Iran: a large population- based national survey

Abstract Epilepsy has garnered increased public health focus because patients who suffer from epilepsy experience pronounced and persistent health and socioeconomic disparities despite treatment and care advances. The epidemiology of epilepsy is diverse in different countries and regions. This natio...

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Autores principales: Hossein Pakdaman, Ali Amini Harandi, Koroush Gharagozli, Farshid Alaeddini, Akram Esfandani, Seyed Hamidreza Mirbehbahani, Taher Doroudi, Pirhossein Kolivand, Parviz Bahrami, Hadi Kazemi
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Publicado: Nature Portfolio 2021
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spelling oai:doaj.org-article:9ddb771057bb4126859a047085d440bf2021-12-02T15:38:23ZEpilepsy lifetime prevalence in Iran: a large population- based national survey10.1038/s41598-021-89048-z2045-2322https://doaj.org/article/9ddb771057bb4126859a047085d440bf2021-05-01T00:00:00Zhttps://doi.org/10.1038/s41598-021-89048-zhttps://doaj.org/toc/2045-2322Abstract Epilepsy has garnered increased public health focus because patients who suffer from epilepsy experience pronounced and persistent health and socioeconomic disparities despite treatment and care advances. The epidemiology of epilepsy is diverse in different countries and regions. This nationwide population-based cross-sectional study was conducted to determine the life time prevalence and health related factors of epilepsy for the first time in Iran through a two-phase door-to-door survey method. In phase I, a screening for epilepsy was performed on 68,035 people. Then in phase II, after the neurological evaluation of participants and reviewing medical records, 1130 subjects with epilepsy was confirmed. The life time prevalence of epilepsy was achieved to be 16.6 per 1000 people (95% CI 15.4–17.8) with the average age onset 19.1 ± 21.1 (active prevalence 9.5 per 1000 people). Focal seizure (59.3%), generalized epilepsy (38%) and unknown types of epilepsy (2.7%) were detected among participants. The overall life time prevalence of febrile convulsion was 4.1 per 1000 people. The frequency of attacks per year and per month were 3.0 ± 1.6 and 0.5 ± 0.1, respectively. Age-specific life time prevalence was highest among the age group of 15–19 years old [32.7 per 1000 persons (95% CI 29.1–36.8)] and it was higher in male (53.8%) than female (46.2%) participants. Our results showed that the life time prevalence of epilepsy in Iran is higher than worldwide average.Hossein PakdamanAli Amini HarandiKoroush GharagozliFarshid AlaeddiniAkram EsfandaniSeyed Hamidreza MirbehbahaniTaher DoroudiPirhossein KolivandParviz BahramiHadi KazemiNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 11, Iss 1, Pp 1-9 (2021)
institution DOAJ
collection DOAJ
language EN
topic Medicine
R
Science
Q
spellingShingle Medicine
R
Science
Q
Hossein Pakdaman
Ali Amini Harandi
Koroush Gharagozli
Farshid Alaeddini
Akram Esfandani
Seyed Hamidreza Mirbehbahani
Taher Doroudi
Pirhossein Kolivand
Parviz Bahrami
Hadi Kazemi
Epilepsy lifetime prevalence in Iran: a large population- based national survey
description Abstract Epilepsy has garnered increased public health focus because patients who suffer from epilepsy experience pronounced and persistent health and socioeconomic disparities despite treatment and care advances. The epidemiology of epilepsy is diverse in different countries and regions. This nationwide population-based cross-sectional study was conducted to determine the life time prevalence and health related factors of epilepsy for the first time in Iran through a two-phase door-to-door survey method. In phase I, a screening for epilepsy was performed on 68,035 people. Then in phase II, after the neurological evaluation of participants and reviewing medical records, 1130 subjects with epilepsy was confirmed. The life time prevalence of epilepsy was achieved to be 16.6 per 1000 people (95% CI 15.4–17.8) with the average age onset 19.1 ± 21.1 (active prevalence 9.5 per 1000 people). Focal seizure (59.3%), generalized epilepsy (38%) and unknown types of epilepsy (2.7%) were detected among participants. The overall life time prevalence of febrile convulsion was 4.1 per 1000 people. The frequency of attacks per year and per month were 3.0 ± 1.6 and 0.5 ± 0.1, respectively. Age-specific life time prevalence was highest among the age group of 15–19 years old [32.7 per 1000 persons (95% CI 29.1–36.8)] and it was higher in male (53.8%) than female (46.2%) participants. Our results showed that the life time prevalence of epilepsy in Iran is higher than worldwide average.
format article
author Hossein Pakdaman
Ali Amini Harandi
Koroush Gharagozli
Farshid Alaeddini
Akram Esfandani
Seyed Hamidreza Mirbehbahani
Taher Doroudi
Pirhossein Kolivand
Parviz Bahrami
Hadi Kazemi
author_facet Hossein Pakdaman
Ali Amini Harandi
Koroush Gharagozli
Farshid Alaeddini
Akram Esfandani
Seyed Hamidreza Mirbehbahani
Taher Doroudi
Pirhossein Kolivand
Parviz Bahrami
Hadi Kazemi
author_sort Hossein Pakdaman
title Epilepsy lifetime prevalence in Iran: a large population- based national survey
title_short Epilepsy lifetime prevalence in Iran: a large population- based national survey
title_full Epilepsy lifetime prevalence in Iran: a large population- based national survey
title_fullStr Epilepsy lifetime prevalence in Iran: a large population- based national survey
title_full_unstemmed Epilepsy lifetime prevalence in Iran: a large population- based national survey
title_sort epilepsy lifetime prevalence in iran: a large population- based national survey
publisher Nature Portfolio
publishDate 2021
url https://doaj.org/article/9ddb771057bb4126859a047085d440bf
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