Quality of life in paediatrics with intractable epilepsy in a large paediatric university hospital in Riyadh, Saudi Arabia

Altwaijri, Waleed; Yahya, Buthaina; Alasmari, Lama B; Alsultan, Rofan N; Alsuhaibani, Shoq M; Alsemih, Rawan M; Moukaddem, Afaf

doi:10.4103/jfmpc.jfmpc_1172_20

Cited by 12 publications

(10 citation statements)

References 30 publications

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“…However, there is a lack of evidence regarding these effects, especially in the Middle East in general and Saudi Arabia specifically. Another cross-sectional study conducted in the central region of Saudi Arabia, which aimed to explore similar objectives as ours, concluded that intractable epilepsy significantly affects QoL [ 12 ]. Based on this observation, we investigated whether there was an overall interregional difference between the central and western regions of Saudi Arabia.…”

Section: Introductionmentioning

confidence: 88%

“…A similar study was published in Riyadh in 2020, which assessed the QoL of 59 pediatric patients with intractable epilepsy in a large pediatric university hospital. We used this as a reference for determining the minimal sample size [ 12 ]. However, when attempting to calculate the sample size using Raosoft.com sample size calculator, using the Centers for Disease Control's (CDC) nationwide prevalence of 0.6% for epilepsy, the estimated sample size was 10 with a 5% margin of error and a 95% confidence interval, which was deemed inadequate to yield statistically significant results.…”

Section: Methodsmentioning

confidence: 99%

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Quality of Life in Pediatrics With Intractable Epilepsy at King Abdulaziz Medical City, Jeddah, Saudi Arabia: A Cross-Sectional Study

Marghalani¹,

Aljabri²,

Kaneetah³

et al. 2023

Cureus

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Objective The aim of this study was to assess the cognitive, emotional, social, and physical domains of quality of life (QoL) in pediatric patients with intractable epilepsy with an emphasis on depressed mood and suicidal ideation (SI). Methods This is a cross-sectional study conducted in pediatric neurology outpatient clinics in King Abdulaziz Medical City, Jeddah, Saudi Arabia. The sample consisted of 59 parents whose children aged 4‐14 years of either sex had intractable epilepsy. The Quality of Life in Childhood Epilepsy Questionnaire - 55 (QOLCE‐55) scale examined four domains of life: cognitive, emotional, social, and physical. Depressed mood and SI were part of the emotional domain. Results The mean ± SD age of children was 8.2 ± 3.25. The mean ± SD of overall QoL was 43.02 ± 15.70, which reflected a poor QoL. Age was not related to the QoL. Female gender was significantly associated with a lower overall QoL (P = 0.0477). Patients with comorbidities had statistically insignificant lower QoL in the cognitive, social, and physical domains in addition to lower overall QoL. Seven of nine participants who reported feeling down reported having SI in the last four weeks (P < 0.001). Conclusions An intractable epilepsy-imposed burden negatively impacts all domains of QoL. Furthermore, females experience lower overall QoL compared to males. Children with comorbidities also tend to have lower QoL scores, although the differences were statistically insignificant. Additionally, a history of feeling down is associated with SI.

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Section: Introductionmentioning

confidence: 88%

Section: Methodsmentioning

confidence: 99%

Quality of Life in Pediatrics With Intractable Epilepsy at King Abdulaziz Medical City, Jeddah, Saudi Arabia: A Cross-Sectional Study

Marghalani¹,

Aljabri²,

Kaneetah³

et al. 2023

Cureus

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“…In Ethiopia, adolescents with mental health problems have been neglected in HrQoL studies. In addition, a few clinical-based studies have analyzed the relationship between HrQoL and chronic physical diseases, such as Type 1 diabetes[ 25 ], epilepsy [ 26 ], overweight [ 27 ], and other chronic illnesses [ 28 ]. However, no studies have evaluated the relationship between HrQoL and adolescent mental health problems.…”

Section: Introductionmentioning

confidence: 99%

Internalizing and externalizing mental health problems affect in-school adolescent’s health-related quality of life in eastern Ethiopia: A cross-sectional study

et al. 2022

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Aims This study aimed to examine the association between mental health problems and health-related quality of life (HrQoL) among in-school adolescents 13–19 years in the Harari region, eastern Ethiopia. Materials and methods A cross-sectional study was conducted on 3227 in-school adolescents aged 13 to 19 using multistage sampling. The KIDSCREEN-10 questionnaire assessed health-related quality of life (HrQoL), while a self-administered version of the strength and difficulty questionnaire (SDQ) examined mental health issues. Data were double entered, validated, and cleaned using EpiData version 3.1 and analyzed using STATA 14.1. An ordinal logistic regression model investigated the link between the outcome variable and the predictors. The results were reported using an odds ratio with a 95% confidence interval (CI), and a p-value of less than 0.05 was considered statistically significant. Results A quarter of the adolescents (23%) reported poor health-related quality of life; adolescents with internalizing and externalizing mental health problems had the lowest health-related quality of life. After controlling for potential confounders, adolescents with abnormal (AOR = 0.48, 95% CI: 0.39, 0.59) and borderline (AOR = 0.59, 95% CI: 0.45, 0.78) levels of internalizing problems had a 52% and 41% lower probability of having high HrQoL than those with normal levels. Furthermore, individuals with abnormal (AOR = 0.59, 95% CI: 0.45, 0.77) and borderline (AOR = 0.64, 95% CI: 0.45, 0.92) levels of externalizing difficulties had a 41% and 36% lower chance of having a high health-related quality of life. Conclusions Nearly a quarter of in-school adolescents had poor health-related quality of life. High scores for internalizing and externalizing mental health problems significantly impacted the adolescents’ health-related quality of life. This emphasizes the need to address mental health issues in the school setting to improve adolescents’ overall quality of life.

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“…They have concluded that over two-thirds of children with epilepsy aged 7 to 18 years have reported being absent from school (7). Another study performed in Riyadh city, Saudi Arabia, assessed the quality of life of children patients with epilepsy before the pandemic of coronavirus, they found that Intractable epilepsy had a negative impact on many aspects of life, resulting in a low quality of life (8).…”

Section: Introductionmentioning

confidence: 99%

The Effect of Virtual Learning on Seizure Control Among Epilepsy Patients in Saudi Arabia

Alharbi¹,

Almaghrabi²,

Baashar³

et al. 2022

JOHS

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Background: The pandemic of COVID-19 has resulted in multiple precautions to control the infection, one of which is transforming students’ schools into virtual classrooms. These new situations may pose additional challenges for some individuals such as epilepsy patients who account for 5.5% of school children (6–18 years). This study aimed to determine the effect of virtual learning on seizure control among epilepsy patients. Methods: This is an online-based cross-sectional study that was performed between 17 February to 27 June 2021 among patients with epilepsy who attend virtual learning classes. The questionnaire was distributed to the patients at a single-center neurology clinic in Mecca, Saudi Arabia. We included all patients who were diagnosed with epilepsy at any hospital, aged between 10 to 30 years, and living in Saudi Arabia. Results: A total number of 70 patients were included in the study. Patients’ gender was nearly equally distributed between the two groups with females predominant (51%). The average time of more than 10 hours spent on screens and electronic devices was remarkably increased during COVID-19 (20.0% to 45.7%). The average number of seizures per year has a double-fold increase during the pandemic for ≥7 attacks (increased from 10% to 20%). More than half of the patients had a significant increase in their seizure frequencies during virtual learning (60%). Patients with focal epilepsy, a history of photosensitivity, and patients with disturbed sleep patterns are significant risk factors associated with increased seizure frequencies during virtual learning. Conclusions: Focal epilepsy, history of photosensitivity, and disturbed sleep pattern associated with increased seizure frequencies during virtual learning. Time spent on screen has no significant relation to increasing seizure frequencies. Identifying the patients’ risk and taking a serious step in reducing its sources is important in order to provide a better quality of life.

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Quality of life in paediatrics with intractable epilepsy in a large paediatric university hospital in Riyadh, Saudi Arabia

Cited by 12 publications

References 30 publications

Quality of Life in Pediatrics With Intractable Epilepsy at King Abdulaziz Medical City, Jeddah, Saudi Arabia: A Cross-Sectional Study

Quality of Life in Pediatrics With Intractable Epilepsy at King Abdulaziz Medical City, Jeddah, Saudi Arabia: A Cross-Sectional Study

Internalizing and externalizing mental health problems affect in-school adolescent’s health-related quality of life in eastern Ethiopia: A cross-sectional study

The Effect of Virtual Learning on Seizure Control Among Epilepsy Patients in Saudi Arabia

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