Factors associated to the quality of life in children with epilepsy in a national hospital in Honduras
DOI:
https://doi.org/10.15343/0104-7809.202347e14972023PPalabras clave:
Epilepsy, Quality of Life, Indicators of Quality-of-Life, Socioeconomic FactorsResumen
Epilepsy represents a large-scale problem that affects the social sphere of the patients who suffer from it. The following study aims to assess the quality of life of pediatric patients with epilepsy and to identify the factors associated with a lower quality of life. A cross-sectional, descriptive and analytical study was carried out in patients with clinical and electroencephalographic diagnosis of epilepsy, who attended the outpatient clinic of the neuropediatric service of the Teaching Hospital. A survey was administered, subdivided into data on the child, data on the parents or caregiver, type of epilepsy, treatment and the Quality of Life Scale for Children with Epilepsy (CAVE). The variables were analyzed using descriptive statistics and a multiple regression model to find predictors of quality of life. Of the 187 patients, 68 (36.4%) had a good quality of life. No significant gender differences were observed, nor in the overall score of the survey. Having fewer unmet basic needs (P=<0.0001) and not having refractory epilepsy were predictors of better quality of life (P=<0.0001). Parent-reported quality of life was mostly good or fair, having a higher number of unmet basic needs and being classified as having difficult-to-manage epilepsy were predictors of worsening quality of life as measured by the CAVE scale.
Descargas
Citas
Durón R., Osorio J.R., Martinez L. y Medina M.T. Las epilepsias en Honduras: primera fase en un estudio epidemiológico. Rev. Hondur. Neuroci. 1997; 1(2); 8-18. Disponível em: https://www.ilae.org/download.cfm?downloadfile=A423E9C0-6FDE-11E8-8BB114 1877632E8F&typename=dmfile&fieldname=filename
Study protocol for the World Health Organization project to develop a Quality of Life assessment instrument (WHOQOL). Qual Life Res. 1993 Apr;2(2):153-9. PMID: 8518769.
Turky A, Beavis JM, Thapar AK, Kerr MP. Psychopathology in children and adolescents with epilepsy: an investigation of predictive variables. Epilepsy Behav. 2008 Jan;12(1):136-44. DOI: 10.1016/j.yebeh.2007.08.003
Gatta M, Raffagnato A, Mannarini S, Balottin L, Toldo I, Vecchi M, Boniver C. Pediatric epilepsy and psychiatric comorbidity: preliminary observational data from a prospective study. Minerva Pediatr. 2018 Dec;70(6):501-512. DOI: 10.23736/S0026-4946.17.04753-3.
Rozensztrauch A, Kołtuniuk A. The Quality of Life of Children with Epilepsy and the Impact of the Disease on the Family Functioning. Int. J. Environ. Res. Public Health. 2022; 19(4):2277. Disponível em: https://doi.org/10.3390/ijerph19042277
Ferro MA. Risk factors for health-related quality of life in children with epilepsy: a meta-analysis. Epilepsia. 2014 Nov;55(11):1722-31. DOI: 10.1111/epi.12772.
MT Medina, Duron R, Flores K, Trevathan E, Smith C, Stansbury J. Epilepsia y Calidad de Vida. En: Medina HMT, Chaves SF, Chinchilla CN, Gracia GF. Las Epilepsias en Centroamérica. Tegucigalpa, Honduras. 2001; 245-250. Disponível em: https://www.ilae. org/download.cfm?downloadfile=A423E9C0-6FDE-11E8-8BB1141877632E8F&typename=dmfile&fieldname=filename
Kwan P, Arzimanoglou A, Berg AT, Brodie MJ, Allen Hauser W, Mathern G, Moshé SL, Perucca E, Wiebe S, French J. Definition of drug resistant epilepsy: consensus proposal by the ad hoc Task Force of the ILAE Commission on Therapeutic Strategies. Epilepsia. 2010 Jun;51(6):1069-77. DOI: 10.1111/j.1528-1167.2009.02397.x
El método de las necesidades básicas insatisfechas (NBI) y sus aplicaciones a América Latina. Series Estudios Estadísticos y Prospectivos. Santiago, Chile: CEPAL. Disponível em: https://www.cepal.org/es/publicaciones/4784-metodo-necesidades-basicas insatisfechas-nbi-sus-aplicaciones-america-latina
Casas-Fernández C. Experiencia con el cuestionario de calidad de vida en el niño con epilepsia (CAVE) [Experience with Health Quality of Life Questionnaire for the epileptic child (CAVE)]. Rev Neurol. 1997 Mar;25(139):415-21. Espanhol. PMID: 9147780.
Szaflarski M. Social determinants of health in epilepsy. Epilepsy Behav. 2014;41:283-9. DOI: 10.1016/j.yebeh.2014.06.013.
Zúniga Gutiérrez M, Nasser E, Castellanos N, Romero K, Lobo F, Paz K, Sauceda D, Álvarez D. Características clínicas y sociodemográficas de pacientes con epilepsia en un hospital pediátrico en Honduras. Rev Méd Hondur. 2022; 90 (1): 22-27. DOI: https://doi.org/10.5377/rmh.v90i1.14309
Cruz-Cruz Ma. del Rosario, Gallardo-Elías Jorge, Paredes-Solís Sergio, Legorreta-Soberanis José, Flores-Moreno Miguel, Andersson Neil. Factores asociados a epilepsia en niños en México: un estudio caso-control. Bol. Med. Hosp. Infant. Mex. 2017; 74(5): 334-340. Disponível em: https://doi.org/10.1016/j.bmhimx.2017.05.006.
Tschamper MK, Wahl AK, Hermansen Å, Jakobsen R, Larsen MH. Parents of children with epilepsy: Characteristics associated with high and low levels of health literacy. Epilepsy Behav. 2022 May;130:108658. DOI: 10.1016/j.yebeh.2022.108658.
de Buhr E, Tannen A. Parental health literacy and health knowledge, behaviours and outcomes in children: a cross-sectional survey. BMC Public Health. 2020 Jul 13;20(1):1096. DOI: 10.1186/s12889-020-08881-5.
Korkmaz MF, Erdem-Uzun M, Korkmaz M, Ekici A. Adherence to Antiepileptic Drugs and the Health Literacy of Caregivers in Childhood Epilepsy. P R Health Sci J. 2020 Mar;39(1):45-50. PMID: 32383567
Huber R, Weber P. Is there a relationship between socioeconomic factors and prevalence, adherence and outcome in childhood epilepsy? A systematic scoping review. Eur J Paediatr Neurol. 2022 May;38:1-6. DOI: 10.1016/j.ejpn.2022.01.021.
Dávila Ávila NM, La Delgado De Mora J, Candia Plata MdC, Álvarez Hernández G. Calidad de vida relacionada con la salud en niños con epilepsia de un hospital mexicano. RevNeurol. 2014;59(02):63. DOI: 10.33588/rn.5902.2014198.
Goodwin SW, Ferro MA, Speechley KN. Measurement equivalence of the short-form Quality of Life in Childhood Epilepsy Questionnaire (QOLCE-16). Epilepsy Behav. 2019;90:142-7. DOI: 10.1016/j.yebeh.2018.11.024.
Ramírez-Izcoa A, Varela-González D, Fonseca MI. Características de las lesiones estructurales en pacientes pediátricos con epilepsia focal en un hospital de Honduras. Rev Neurol. 2017;65(3):105-111. DOI: https://doi. org/10.33588/rn.6503.2016575
George J, Kulkarni C, Sarma GRK. Antiepileptic Drugs and Quality of Life in Patients with Epilepsy: A Tertiary Care Hospital-Based Study. Value Health Reg Issues. 2015 May;6:1-6. DOI: 10.1016/j.vhri.2014.07.009.
Caplan R. Cognition and Quality of Life in Children with New-Onset Epilepsy: Cognition and Quality of Life in Children with New Onset Epilepsy. Epilepsy Currents. 2013;13(2):85-87. DOI:10.5698/1535-7597-13.2.85
Didsbury MS, Kim S, Medway MM, Tong A, McTaggart SJ, Walker AM, White S, Mackie FE, Kara T, Craig JC, Wong G. Socio economic status and quality of life in children with chronic disease: A systematic review. J Paediatr Child Health. 2016 Dec;52(12):1062- 1069. DOI: 10.1111/jpc.13407.
Descargas
Publicado
Cómo citar
Número
Sección
Licencia
Derechos de autor 2023 O Mundo da Saúde
Esta obra está bajo una licencia internacional Creative Commons Atribución 4.0.