Barber ZE, Dobbs TD, Gibson JAG, Latibeaudiere M, Robb AO. Long-term seizure recurrence after eclampsia: A systematic review and meta-analysis.
Int J Gynaecol Obstet 2020;
151:175-179. [PMID:
32803753 DOI:
10.1002/ijgo.13347]
[Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/06/2020] [Revised: 06/24/2020] [Accepted: 08/12/2020] [Indexed: 12/15/2022]
Abstract
BACKGROUND
Seizure recurrence after a fit has implications for both individuals and healthcare providers guiding neurologic prognosis, treatment, and driving and work restrictions. A systematic review of long-term seizure recurrence after eclampsia will help to quantify recurrence risk in this setting.
OBJECTIVE
To evaluate the long-term recurrence of seizures after eclampsia.
SEARCH STRATEGY
After PROSPERO registration, Medline (Ovid), Embase, and Cochrane Library were searched by using the terms (eclampsia OR eclamp* OR eclamptic seizure* OR eclamptic fit*) AND (recur* OR recurrent fit* OR recurrent seizure*) for studies published up until December 2019.
SELECTION CRITERIA
Studies describing long-term seizure recurrence after a diagnosis of eclampsia were included.
DATA COLLECTION AND ANALYSIS
Data were extracted from studies independently by two authors. Pooled prevalence was calculated and weighted based on sample size with a 95% confidence interval (CI).
MAIN RESULTS
Initially, 1754 unique studies were identified and 4 were included in the final analysis. The studies involved 1896 women, of whom 7 (0.37%) were affected by a further seizure. The weighted pooled prevalence of seizure recurrence was 0.18% (95% CI, 0.03-1.02).
CONCLUSION
The absolute rate of long-term seizure recurrence after eclampsia is extremely low and within safe limits for driving.
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