Prevalence of epilepsy in Croatia: a population-based survey

Bielen, Ivan; Cvitanović-Šojat, Ljerka; Bergman-Marković, Biserka; Kosicek, M; Planjar-Prvan, Miljenka; Vuksić, L; Miketek, G.; Matek, Petar

doi:10.1111/j.1600-0404.2007.00881.x

Cited by 32 publications

(20 citation statements)

References 27 publications

(30 reference statements)

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“…Our prevalence estimates are comparable with those reported in studies based on the same definition of active epilepsy, which includes all ages and were conducted in developed countries [14,22,23,24,25,26,27,28,29,30,31] where they vary from 4.0 to 7.8 per 1,000 with small population-specific variations [22,23,24,25,26,27,28,29,30,31]. Lower prevalence estimates, i.e.…”

Section: Discussionsupporting

confidence: 76%

Epilepsy in Sardinia, Insular Italy: A Population-Based Prevalence Study

Cossu

Deriu²,

Casetta³

et al. 2012

Neuroepidemiology

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Background: Sardinia, insular Italy, represents a particular epidemiological setting to investigate polyfactorial diseases, by virtue of its phylogeny and geographic isolation over time and of a well-established network of health operators and information systems. We present the first prevalence study of epilepsy conducted on a large Sardinian population by means of multiple source ascertainment. Methods: Cases were ascertained in the province of Sassari (population of 333,576) for the period between January 1, 2000 and December 31, 2008 based on records from (a) the District Center for Epilepsy, (b) the District Health Information System Unit, and (c) the neurologists practicing within the National Health System. Results: The total crude prevalence of active epilepsy on December 31, 2007 was 6.62 per 1,000 (95% CI 5.3–7.9), 6.51 in men (95% CI 5.4–7.6), and 6.73 in women (95% CI 5.7–7.7). The highest prevalence (8.78 per 1,000) was estimated in the elderly (≥65 years). 50.5% were symptomatic epilepsies. Of these, over 50% were secondary to cerebrovascular disorders in the elderly. Conclusions: The epidemiological behavior of prevalence of active epilepsy in Sardinia appears to be in line with that of other developed countries, despite the role that population-specific genetic and environmental factors exert in modulating the risk for other neurological diseases. The action of (exogenous) factors commonly distributed in western populations, also influencing, at least partially, the epidemiological patterns of epilepsy in Sardinians, should not be ruled out.

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Section: Discussionsupporting

confidence: 76%

Epilepsy in Sardinia, Insular Italy: A Population-Based Prevalence Study

Cossu

Deriu²,

Casetta³

et al. 2012

Neuroepidemiology

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“…supporting table 7). Crude sex-specific prevalence rates of this study (males (8,), females (7.29, 95% CI 6.52-8.05)) were comparable to those reported by other studies [4,6,7,10,21,34,39] with 2 exceptions [37,38] (online suppl. supporting table 8).…”

Section: Age and Sexsupporting

confidence: 75%

“…People with age less than 14 years comprised 25% in this study and approximately 40% in other studies [6,31] . Various studies showed peaks in age-specific prevalence rate in the second [21,30,[36][37][38] , third [6,34] , sixth [30,34] and ninth [30] decades of life (online suppl. supporting table 7).…”

Section: Age and Sexmentioning

confidence: 99%

Epilepsy in Punjab (India): A Population-Based Epidemiologic Study

H¹,

Gupta²,

Singh³

et al. 2015

Neuroepidemiology

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Aims: To assess the prevalence of epilepsy in a rural area adjoining a city. Methods: A door-to-door, cross-sectional epidemiological survey was carried out covering an entire rural population of 103,693 people. Results: Crude period and point prevalence rates for active epilepsy were 7.67 and 7.44 per 1,000 respectively. Crude incidence rate was 60.76 per 100,000 during the year 2007. Mean, SD, median and variance were 17.2, 16, 13 and 257.6 years respectively for age at onset of active epilepsy patients. The overall prevalence patterns among males and females were not significantly different. Active epilepsy cases (n = 795) included electro-clinical syndromes and constellations (n = 117, 14.7%), symptomatic epilepsy (n = 153, 19.2%), epilepsy due to unknown cause (n = 513, 64.5%) and dual diagnosis (n = 12, 1.5%). Conclusions: The present study showed that the prevalence rate, in the rural area adjoining a city, was comparable to that of the urban area and significantly less than that of the remote rural area as described by another study. Age- and sex-specific prevalence and incidence rates were similar to the rates reported by other studies. The reason for a lower number of symptomatic cases to be reported, per this study, may be due to lack of neuroimaging.

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“…Th e incidence, prevalence and mortality of epilepsy vary across countries with diff erent economies 44 , and according to Bielen et al, it is likely that the prevalence of active epilepsy in Croatia is between 4.8 and 5.5/1000 45 . In Croatia, neurologists and pediatric neurologists are usually taking care of the people with epilepsy and general practitioners follow their advice and proceed with drug prescriptions.…”

Section: Th E Model Of Management Of Epilepsy In Pregnancy In Croatiamentioning

confidence: 99%

The Croatian Model of Integrative Prospective Management of Epilepsy and Pregnancy

Miškov¹,

Juraški

Mikula³

et al. 2016

acc

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SUMMARY -Epilepsy is the most common neurological complication in pregnancy. Women with epilepsy have a higher risk of complications in pregnancy. In Croatia, women with epilepsy are treated by neurologists at tertiary centers according to the place of residence. We prospectively followed-up pregnancies in women with epilepsy and healthy controls, and analyzed the factors responsible for their delivery outcomes and development of their babies. Healthy pregnant women had a higher level of education and economic status, but pregnant women with epilepsy took folic acid in a higher proportion than controls, possibly due to timely preconception counseling. Complications during pregnancy depended on the number of antiepileptic drugs and epilepsy control. We noticed some behavioral and cognitive aspects in children exposed in utero to valproic acid, which required follow up. Th e rate of congenital malformations was not increased. In conclusion, women with epilepsy should receive preconception counseling about the risk for pregnancy, but also about the possibilities to minimize that risk. We have introduced a model of integrative management of pregnancy and epilepsy based on close collaboration among diff erent clinical experts in Croatia, in order to provide prompt counseling and timely intervention.

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Prevalence of epilepsy in Croatia: a population-based survey

Abstract: It is likely that the prevalence of active epilepsy in Croatia is between 4.8 and 5.5/1000; this is in keeping with findings from other European countries.

Cited by 32 publications

References 27 publications

Epilepsy in Sardinia, Insular Italy: A Population-Based Prevalence Study

Epilepsy in Sardinia, Insular Italy: A Population-Based Prevalence Study

Epilepsy in Punjab (India): A Population-Based Epidemiologic Study

The Croatian Model of Integrative Prospective Management of Epilepsy and Pregnancy

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