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Epilepsy and proxy‐reported health‐related quality of life in children and young people with non‐ambulatory cerebral palsy

AIM: To assess the association between epilepsy characteristics and proxy‐reported health‐related quality of life (HRQoL) in children and young people with non‐ambulatory cerebral palsy (CP) and seizures. METHOD: This was a cross‐sectional study of 164 children and young people (74 females, 90 males...

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Autores principales: Ostendorf, Adam P., Axeen, Erika T., Eschbach, Krista, Fedak Romanowski, Erin, Morgan, Lindsey A., Gross, Paul, Narayanan, Unni G., Glader, Laurie, Noritz, Garey
Formato: Online Artículo Texto
Lenguaje:English
Publicado: John Wiley and Sons Inc. 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10084160/
https://www.ncbi.nlm.nih.gov/pubmed/35820144
http://dx.doi.org/10.1111/dmcn.15336
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author Ostendorf, Adam P.
Axeen, Erika T.
Eschbach, Krista
Fedak Romanowski, Erin
Morgan, Lindsey A.
Gross, Paul
Narayanan, Unni G.
Glader, Laurie
Noritz, Garey
author_facet Ostendorf, Adam P.
Axeen, Erika T.
Eschbach, Krista
Fedak Romanowski, Erin
Morgan, Lindsey A.
Gross, Paul
Narayanan, Unni G.
Glader, Laurie
Noritz, Garey
author_sort Ostendorf, Adam P.
collection PubMed
description AIM: To assess the association between epilepsy characteristics and proxy‐reported health‐related quality of life (HRQoL) in children and young people with non‐ambulatory cerebral palsy (CP) and seizures. METHOD: This was a cross‐sectional study of 164 children and young people (74 females, 90 males; mean age 10 years 6 months, range 2–21 years, SD 5 years 5 months). Caregivers completed the Child Health Index of Life with Disabilities (CPCHILD) in an outpatient setting. We utilized univariable linear regression and multivariable modeling to study relationships between variables and CPCHILD scores. RESULTS: Gross Motor Function Classification System levels were 37% IV and 63% V. Sociodemographic factors included the Child Opportunity Index (median 51, interquartile range [IQR] 25–80). A median of 2 (IQR 1–3) antiseizure medications (ASMs) were used, and days with seizures ranged from 0 (30%) to 28 (20%) days in the previous 4 weeks. Total CPCHILD scores decreased 2.3 points for each ASM (95% confidence interval [CI] –4.1 to −0.42). Compared to persons with focal epilepsy, those with generalized epilepsy had lower total CPCHILD scores (−5.7; 95% CI –11 to −0.55). Number of days with seizures was not associated with total CPCHILD scores. INTERPRETATION: Proxy‐reported HRQoL was affected by epilepsy‐specific features in children and young people with severe CP. WHAT THIS PAPER ADDS: Health‐related quality of life (HRQoL) was lower with increasing numbers of antiseizure medications. Overall quality of life (QoL) scores were lower by a similar amount, independent of seizure frequency. HRQoL was lower in persons with recent hospital admissions for epilepsy.
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spelling pubmed-100841602023-04-11 Epilepsy and proxy‐reported health‐related quality of life in children and young people with non‐ambulatory cerebral palsy Ostendorf, Adam P. Axeen, Erika T. Eschbach, Krista Fedak Romanowski, Erin Morgan, Lindsey A. Gross, Paul Narayanan, Unni G. Glader, Laurie Noritz, Garey Dev Med Child Neurol Original Articles AIM: To assess the association between epilepsy characteristics and proxy‐reported health‐related quality of life (HRQoL) in children and young people with non‐ambulatory cerebral palsy (CP) and seizures. METHOD: This was a cross‐sectional study of 164 children and young people (74 females, 90 males; mean age 10 years 6 months, range 2–21 years, SD 5 years 5 months). Caregivers completed the Child Health Index of Life with Disabilities (CPCHILD) in an outpatient setting. We utilized univariable linear regression and multivariable modeling to study relationships between variables and CPCHILD scores. RESULTS: Gross Motor Function Classification System levels were 37% IV and 63% V. Sociodemographic factors included the Child Opportunity Index (median 51, interquartile range [IQR] 25–80). A median of 2 (IQR 1–3) antiseizure medications (ASMs) were used, and days with seizures ranged from 0 (30%) to 28 (20%) days in the previous 4 weeks. Total CPCHILD scores decreased 2.3 points for each ASM (95% confidence interval [CI] –4.1 to −0.42). Compared to persons with focal epilepsy, those with generalized epilepsy had lower total CPCHILD scores (−5.7; 95% CI –11 to −0.55). Number of days with seizures was not associated with total CPCHILD scores. INTERPRETATION: Proxy‐reported HRQoL was affected by epilepsy‐specific features in children and young people with severe CP. WHAT THIS PAPER ADDS: Health‐related quality of life (HRQoL) was lower with increasing numbers of antiseizure medications. Overall quality of life (QoL) scores were lower by a similar amount, independent of seizure frequency. HRQoL was lower in persons with recent hospital admissions for epilepsy. John Wiley and Sons Inc. 2022-07-12 2023-02 /pmc/articles/PMC10084160/ /pubmed/35820144 http://dx.doi.org/10.1111/dmcn.15336 Text en © 2022 The Authors. Developmental Medicine & Child Neurology published by John Wiley & Sons Ltd on behalf of Mac Keith Press. https://creativecommons.org/licenses/by/4.0/This is an open access article under the terms of the http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Articles
Ostendorf, Adam P.
Axeen, Erika T.
Eschbach, Krista
Fedak Romanowski, Erin
Morgan, Lindsey A.
Gross, Paul
Narayanan, Unni G.
Glader, Laurie
Noritz, Garey
Epilepsy and proxy‐reported health‐related quality of life in children and young people with non‐ambulatory cerebral palsy
title Epilepsy and proxy‐reported health‐related quality of life in children and young people with non‐ambulatory cerebral palsy
title_full Epilepsy and proxy‐reported health‐related quality of life in children and young people with non‐ambulatory cerebral palsy
title_fullStr Epilepsy and proxy‐reported health‐related quality of life in children and young people with non‐ambulatory cerebral palsy
title_full_unstemmed Epilepsy and proxy‐reported health‐related quality of life in children and young people with non‐ambulatory cerebral palsy
title_short Epilepsy and proxy‐reported health‐related quality of life in children and young people with non‐ambulatory cerebral palsy
title_sort epilepsy and proxy‐reported health‐related quality of life in children and young people with non‐ambulatory cerebral palsy
topic Original Articles
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10084160/
https://www.ncbi.nlm.nih.gov/pubmed/35820144
http://dx.doi.org/10.1111/dmcn.15336
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