1
|
Sookaromdee P, Wiwanitkit V. Phone, Video, and Telecare for a Neurological Case: A Concern. Neurol India 2023; 71:634. [PMID: 37322798 DOI: 10.4103/0028-3886.378656] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/17/2023]
Affiliation(s)
| | - Viroj Wiwanitkit
- Honorary Professor, Dr. DY Patil University, Pune, Maharashtra, India
| |
Collapse
|
2
|
Dal-Pai J, Dos Santos MP, Donida NDS, Cesarino MR, de Oliveira VHMS, Nunes ML. Health consequences and daily life modifications in children and adolescents with epilepsy during the COVID-19 pandemic - a systematic review: Running Title: Covid-19 Pandemic in Children/Adolescents with Epilepsy. Seizure 2023; 108:102-115. [PMID: 37146514 PMCID: PMC10140054 DOI: 10.1016/j.seizure.2023.04.017] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/25/2023] [Revised: 04/21/2023] [Accepted: 04/25/2023] [Indexed: 05/07/2023] Open
Abstract
PURPOSE To describe the impact of the COVID-19 pandemic on the health care and daily life of children and adolescents with epilepsy. METHODS This systematic review followed the preferred reporting items guidelines and was registered on the PROSPERO platform (CRD42021255931). The PECO (Patient, Exposure, Comparison, Outcome) framework criteria were as follows: people with epilepsy (0-18 years old); exposed to the COVID-19 pandemic; and outcomes, including epilepsy type, time of clinical diagnosis, seizure exacerbation, treatment and medications, need for emergency because of seizures, sleep, behavior, comorbidities and/or concerns, social and/or economic impact, insurance status, electronic device use, telemedicine, and distance learning. Literature searches for cross-sectional and longitudinal studies were conducted on Embase and PubMed. The methodological quality of identified studies was assessed using the Newcastle‒Ottawa Scale (NOS). RESULTS Data were extracted from 23 eligible out of 597 identified articles and included 31,673 patients. The mean NOS scores for cross-sectional study design was 3.84/10, and for longitudinal, it was 3.5/8 stars. Seizure exacerbations were reported in three studies, difficulties with access to anti-seizure medications in two, changes in dosage in five, and visit postponed or cancelation in five studies. Problems with sleep were highlighted in three, issues related to distance learning in two, an increased time spent on electronic devices in three, and increased behavioral problems in eight studies. Telemedicine, when available, was described as useful and supporting patient's needs. CONCLUSION The pandemic affected the health care and lifestyle of young individuals with epilepsy. The main problems described revolved around seizure control, accessing anti-seizure medication, sleep and behavioral complains.
Collapse
Affiliation(s)
- Janise Dal-Pai
- Brain Institute of Rio Grande do Sul - Pontifical Catholic University of Rio Grande do Sul (InsCer / PUCRS), Porto Alegre, Brazil
| | - Michele Paula Dos Santos
- Extension and Management of Continuing Education Activities Program - Pontifical Catholic University of Rio Grande do Sul (PEGA / PUCRS), Porto Alegre, Brazil
| | - Natalie da Silveira Donida
- Extension and Management of Continuing Education Activities Program - Pontifical Catholic University of Rio Grande do Sul (PEGA / PUCRS), Porto Alegre, Brazil
| | - Matheus Ribeiro Cesarino
- Extension and Management of Continuing Education Activities Program - Pontifical Catholic University of Rio Grande do Sul (PEGA / PUCRS), Porto Alegre, Brazil
| | - Victor Hugo Midões Santana de Oliveira
- Extension and Management of Continuing Education Activities Program - Pontifical Catholic University of Rio Grande do Sul (PEGA / PUCRS), Porto Alegre, Brazil.
| | - Magda Lahorgue Nunes
- Professor of Neurology, School of Medicine - Pontifical Catholic University of Rio Grande do Sul (InsCer / PUCRS), Porto Alegre, Brazil.
| |
Collapse
|
3
|
Kubota T, Tsushima T, Al-Kindi S, Sundaram V, Vaca GFB. Association between status epilepticus and cardiorespiratory comorbidity in patients with epilepsy: A population-based study. Epilepsy Behav 2022; 135:108889. [PMID: 36057177 DOI: 10.1016/j.yebeh.2022.108889] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/16/2022] [Revised: 08/03/2022] [Accepted: 08/16/2022] [Indexed: 11/24/2022]
Abstract
PURPOSE This study aimed to evaluate the relationship between status epilepticus (SE) and cardiorespiratory comorbidity in patients with epilepsy. METHODS We conducted a population-based study using cloud-based aggregated electronic medical records from >53 million patients in the US (Explorys, IBM Watson; January 1999 to November 2020). During the study period, we identified patients with epilepsy with SE. Patients with a history of cardiac arrest, anoxic encephalopathy, and/or cerebrovascular disease were excluded. We reported the prevalences and prevalence ratios of cardiorespiratory and medical comorbidities using age- and sex-adjusted standardization. RESULTS We identified 494,790 patients with epilepsy and 19,190 had SE. Cardiovascular and respiratory diseases were statistically significantly more prevalent in patients with epilepsy with SE than in those without SE (adjusted prevalence ratio (APR) 1.13, prevalence 68.7% [95% confidence interval (CI): 67.6-69.9] vs 60.9% [95% CI: 60.7-61.1]) and (APR 1.25, 73.1% [95% CI: 71.8-74.3] vs 58.4% [95% CI: 58.1-58.6]), respectively. Aspiration pneumonia (APR 3.12, 0.47% [95% CI: 0.37-0.57] vs 0.15% [95% CI: 0.14-0.16]) and acute respiratory distress syndrome (APR 2.40, 0.47% [95% CI: 0.37-0.57] vs 0.20% [95% CI: 0.18-0.21]) were more prevalent in patients with epilepsy with SE. Common cardiovascular risk factors such as diabetes mellitus (APR 1.13, 17.1% [95% CI: 16.5-17.6] vs 15.1% [95% CI: 1.50-15.2]) and hypertension (APR 1.28, 10.6% [95% CI: 10.2-11.0] vs 8.31% [95% CI: 8.23-8.39]) were also more common in patients with epilepsy with SE. CONCLUSION In this population-based study, patients with epilepsy with SE had a statistically significantly higher prevalence of cardiorespiratory comorbidities than in those without SE.
Collapse
Affiliation(s)
- Takafumi Kubota
- Department of Neurology, University Hospitals of Cleveland Medical Center, Case Western Reserve University School of Medicine, Cleveland, OH, USA; Department of Neurology, Tohoku University Graduate School of Medicine, Sendai, Miyagi, Japan.
| | - Takahiro Tsushima
- University Hospitals Harrington Heart & Vascular Institute, Case Western Reserve University School of Medicine, Cleveland, OH, USA.
| | - Sadeer Al-Kindi
- University Hospitals Harrington Heart & Vascular Institute, Case Western Reserve University School of Medicine, Cleveland, OH, USA.
| | - Varun Sundaram
- University Hospitals Harrington Heart & Vascular Institute, Case Western Reserve University School of Medicine, Cleveland, OH, USA.
| | - Guadalupe Fernandez-Baca Vaca
- Department of Neurology, University Hospitals of Cleveland Medical Center, Case Western Reserve University School of Medicine, Cleveland, OH, USA.
| |
Collapse
|
4
|
Sookaromdee P, Wiwanitkit V. Smartphone, Vestibular Hypofunction, Teleconsultation and COVID-19 Pandemic. Int Arch Otorhinolaryngol 2022; 26:e289. [PMID: 35602274 PMCID: PMC9122759 DOI: 10.1055/s-0042-1744526] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/15/2021] [Accepted: 01/27/2022] [Indexed: 11/17/2022] Open
|
5
|
Barreto RG, Yacovino DA, Cherchi M, Nader SN, Teixeira LJ, Silva DAD, Verdecchia DH. Answer to the Letter to the Editor: Smartphone, Vestibular Hypofunction, Teleconsultation, and COVID-19 Pandemic. Int Arch Otorhinolaryngol 2022; 26:e290-e292. [PMID: 35602272 PMCID: PMC9122758 DOI: 10.1055/s-0042-1744165] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Affiliation(s)
- Renato Gonzaga Barreto
- Department of Neurotology and Vestibular Rehabilitation, Clínica de Neurologia e Psiquiatria, São Paulo, SP, Brazil
| | - Darío Andrés Yacovino
- Otovestibular Section, Neurology Department, Hospital Dr. César Milstein, Buenos Aires, Argentina
- Department of Neurotology and Vestibular Rehabilitation, Laboratorio de Memoria y Equilibrio, Buenos Aires, Argentina
| | - Marcello Cherchi
- Department of Neurology, Feinberg School of Medicine, Northwestern University, Chicago, IL, United States
- Department of Neurotology, Chicago Dizziness and Hearing, Chicago, IL, United States
| | - Saulo Nardy Nader
- Department of Neurotology and Vestibular Rehabilitation, Clínica de Neurologia e Psiquiatria, São Paulo, SP, Brazil
| | | | - Delice Alves da Silva
- Department of Neurotology and Vestibular Rehabilitation, Áudio Clínica, Irecê, BA, Brazil
| | - Daniel Hector Verdecchia
- Department of Health Sciences, Kinesiology and Physiatry Course, Universidad Nacional de La Matanza, Buenos Aires, Argentina
| |
Collapse
|
6
|
Anuszkiewicz K, Stogowski P, Zawadzka M, Waszak P, Sokolewicz E, Dułak NA, Dzwilewski K, Jażdżewska K, Karbowiak K, Karlińska D, Marczak A, Niebrzydowska A, Niebrzydowski B, Pasierbska E, Sadowska A, Szczęsna M, Stanisław Szczęsny P, Szerszenowicz A, Sztramski K, Radziwon J, Tkaczuk M, Ziołkowska K, Mazurkiewicz-Bełdzińska M. COVID-19 pandemic influence on epilepsy course in pediatric patients. Epilepsy Behav 2022; 129:108581. [PMID: 35203013 PMCID: PMC8784425 DOI: 10.1016/j.yebeh.2022.108581] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/30/2021] [Revised: 01/16/2022] [Accepted: 01/17/2022] [Indexed: 11/30/2022]
Abstract
INTRODUCTION In 2020, Coronavirus Disease 2019 (COVID-19) was declared as a global pandemic. Self-reported stress, anxiety, and insomnia, which are believed to be common triggers for epilepsy, are more likely to occur. We aimed to establish the influence of COVID-19 pandemic itself on changes in the daily life routine related to pandemic on epilepsy course in pediatric patients. The unique form of clinical care which is telemedicine was also taken into consideration. We wanted to evaluate patients' satisfaction with telemedicine and if changing stationary visits into telemedicine influenced epilepsy course in our patients. METHODS Patients, who attended developmental neurology outpatient clinic in the period March-December 2020 were collected. As patients were minors, legal guardians were asked to fill out the questionnaire. Patients were divided according to the outcome into three groups: those with a worsened, stable, or improved course of epilepsy during the pandemic. Appropriate statistical tests for two-group and multi-group comparisons have been implemented. Post hoc p values were also calculated. RESULTS Four hundred and two questionnaires were collected. Most of the patients had a stable course of epilepsy during the pandemic; in 13% of participants an improvement has been observed, worsening of the disease was seen in 16% of patients. Age, sex, type of epilepsy, number of seizure incidents before pandemic, and duration of the disease had no statistically significant connection with changes in the course of the disease. Behavioral changes and altered sleep patterns were found to be more common in the worsened group. Fifty-eight percent of patients were satisfied with telemedicine. Poorer satisfaction was connected with less frequent visits, cancellation of scheduled appointments, and lack of help in case of need in an emergency situation. CONCLUSION Epilepsy course in pediatric patients seems to be stable during COVID-19 pandemic. Sleep disturbances and changes in a child's behavior may be related to increase in seizure frequency. Telemedicine is an effective tool for supervising children with epilepsy. Patients should be informed about possible ways of getting help in urgent cases.
Collapse
Affiliation(s)
- Karolina Anuszkiewicz
- Department of Developmental Neurology, Medical University of Gdańsk, Dębinki 7 Street, 80-952 Gdańsk, Poland.
| | - Piotr Stogowski
- Department of Developmental Neurology, Medical University of Gdańsk, Dębinki 7 Street, 80-952 Gdańsk, Poland
| | - Marta Zawadzka
- Department of Developmental Neurology, Medical University of Gdańsk, Dębinki 7 Street, 80-952 Gdańsk, Poland
| | - Przemysław Waszak
- Department of Hygiene and Epidemiology, Department of Developmental Psychiatry, Psychotic and Geriatric Disorders, Dębinki 7 Street, 80-952 Gdańsk, Poland
| | - Ewa Sokolewicz
- Department of Developmental Neurology, Medical University of Gdańsk, Dębinki 7 Street, 80-952 Gdańsk, Poland
| | - Natalia Aleksandra Dułak
- Department of Developmental Neurology, Medical University of Gdańsk, Dębinki 7 Street, 80-952 Gdańsk, Poland
| | - Kamil Dzwilewski
- Department of Developmental Neurology, Medical University of Gdańsk, Dębinki 7 Street, 80-952 Gdańsk, Poland
| | - Karolina Jażdżewska
- Department of Developmental Neurology, Medical University of Gdańsk, Dębinki 7 Street, 80-952 Gdańsk, Poland
| | - Kamila Karbowiak
- Department of Developmental Neurology, Medical University of Gdańsk, Dębinki 7 Street, 80-952 Gdańsk, Poland
| | - Daria Karlińska
- Department of Developmental Neurology, Medical University of Gdańsk, Dębinki 7 Street, 80-952 Gdańsk, Poland
| | - Anna Marczak
- Department of Developmental Neurology, Medical University of Gdańsk, Dębinki 7 Street, 80-952 Gdańsk, Poland
| | - Anna Niebrzydowska
- Department of Developmental Neurology, Medical University of Gdańsk, Dębinki 7 Street, 80-952 Gdańsk, Poland
| | - Bartosz Niebrzydowski
- Department of Developmental Neurology, Medical University of Gdańsk, Dębinki 7 Street, 80-952 Gdańsk, Poland
| | - Ewa Pasierbska
- Department of Developmental Neurology, Medical University of Gdańsk, Dębinki 7 Street, 80-952 Gdańsk, Poland
| | - Agnieszka Sadowska
- Department of Developmental Neurology, Medical University of Gdańsk, Dębinki 7 Street, 80-952 Gdańsk, Poland
| | - Małgorzata Szczęsna
- Department of Developmental Neurology, Medical University of Gdańsk, Dębinki 7 Street, 80-952 Gdańsk, Poland
| | - Piotr Stanisław Szczęsny
- Department of Developmental Neurology, Medical University of Gdańsk, Dębinki 7 Street, 80-952 Gdańsk, Poland
| | - Anna Szerszenowicz
- Department of Developmental Neurology, Medical University of Gdańsk, Dębinki 7 Street, 80-952 Gdańsk, Poland
| | - Kamil Sztramski
- Department of Developmental Neurology, Medical University of Gdańsk, Dębinki 7 Street, 80-952 Gdańsk, Poland
| | - Jakub Radziwon
- Department of Developmental Neurology, Medical University of Gdańsk, Dębinki 7 Street, 80-952 Gdańsk, Poland
| | - Magdalena Tkaczuk
- Department of Developmental Neurology, Medical University of Gdańsk, Dębinki 7 Street, 80-952 Gdańsk, Poland
| | - Kinga Ziołkowska
- Department of Developmental Neurology, Medical University of Gdańsk, Dębinki 7 Street, 80-952 Gdańsk, Poland
| | | |
Collapse
|
7
|
In Reply to the Letter to the Editor Regarding “Telemedicine for Endovascular Neurosurgery Consultation During the COVID-19 Era”. World Neurosurg 2022; 158:345. [DOI: 10.1016/j.wneu.2021.11.120] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/23/2021] [Accepted: 11/24/2021] [Indexed: 11/22/2022]
|
8
|
Mungmunpuntipantip R, Wiwanitkit V. Letter to the Editor Regarding “Telemedicine for Endovascular Neurosurgery Consultation During the COVID-19 Era”. World Neurosurg 2022; 158:344. [DOI: 10.1016/j.wneu.2021.11.071] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/15/2021] [Accepted: 11/16/2021] [Indexed: 11/17/2022]
|
9
|
Assenza G, Ricci L, Lanzone J, Boscarino M, Vico C, Narducci F, Sancetta B, Di Lazzaro V, Tombini M. Understanding and managing the impact of the COVID-19 pandemic and lockdown on patients with epilepsy. Expert Rev Neurother 2022; 22:145-153. [PMID: 35098850 DOI: 10.1080/14737175.2022.2031984] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
Abstract
INTRODUCTION The coronavirus disease 2019 (COVID-19) pandemic represented a relevant issue for people with epilepsy (PwE). Medical care and social restrictions exposed PwE to a high risk of seizure worsening. Medical institutions answered to the pandemic assuring only emergency care and implementing a remote assistance that highlighted the technological obsolescence of the medical care paradigms for PwE. AREA COVERED We reviewed the literature on the COVID-19-related factors influencing the epilepsy course, from the evidence of seizure risk in severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2) infected PwE to anti-Sars-Cov-2 drugs interactions with antiseizure medications and the perceived changes of seizures in PwE. EXPERT OPINION COVID-19 pandemic was a problematic experience for PwE. We must make treasure of the lessons learned during this period of social restrictions and employ the recent technological advances to improve PwE assistance, in particular telemedicine and electronic media for patients' education.
Collapse
Affiliation(s)
- Giovanni Assenza
- Unit of Neurology, Neurophysiology, Neurobiology, Department of Medicine, University Campus Bio-Medico of Rome, via Álvaro del Portillo, 21, 00128, Rome, Italy
| | - Lorenzo Ricci
- Unit of Neurology, Neurophysiology, Neurobiology, Department of Medicine, University Campus Bio-Medico of Rome, via Álvaro del Portillo, 21, 00128, Rome, Italy
| | - Jacopo Lanzone
- Neurorehabilitation Department, IRCCS Salvatore Maugeri Foundation, Institute of Milan, Milan, Italy.,Department of Systems Medicine, Neuroscience, University of Rome Tor Vergata, Rome, Italy
| | - Marilisa Boscarino
- Unit of Neurology, Neurophysiology, Neurobiology, Department of Medicine, University Campus Bio-Medico of Rome, via Álvaro del Portillo, 21, 00128, Rome, Italy
| | - Carlo Vico
- Unit of Neurology, Neurophysiology, Neurobiology, Department of Medicine, University Campus Bio-Medico of Rome, via Álvaro del Portillo, 21, 00128, Rome, Italy
| | - Flavia Narducci
- Unit of Neurology, Neurophysiology, Neurobiology, Department of Medicine, University Campus Bio-Medico of Rome, via Álvaro del Portillo, 21, 00128, Rome, Italy
| | - Biagio Sancetta
- Unit of Neurology, Neurophysiology, Neurobiology, Department of Medicine, University Campus Bio-Medico of Rome, via Álvaro del Portillo, 21, 00128, Rome, Italy
| | - Vincenzo Di Lazzaro
- Unit of Neurology, Neurophysiology, Neurobiology, Department of Medicine, University Campus Bio-Medico of Rome, via Álvaro del Portillo, 21, 00128, Rome, Italy
| | - Mario Tombini
- Unit of Neurology, Neurophysiology, Neurobiology, Department of Medicine, University Campus Bio-Medico of Rome, via Álvaro del Portillo, 21, 00128, Rome, Italy
| |
Collapse
|
10
|
Sookaromdee P, Wiwanitkit V. Adverse effects of telemedicine. Ann Indian Acad Neurol 2022; 25:533. [PMID: 35936590 PMCID: PMC9350749 DOI: 10.4103/aian.aian_963_21] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/04/2021] [Revised: 11/05/2021] [Accepted: 11/06/2021] [Indexed: 11/04/2022] Open
|