Population-based survey on prevalence of adult patients with epilepsy in Taiwan (Keelung community-based integrated screening no. 12)
Journal
Epilepsy Research
Journal Volume
72
Journal Issue
1
Pages
67-74
Date Issued
2006
Author(s)
Chen C.-C.
Hwang Y.-C.
Wen Y.-R.
Chiu Y.-H.
Wu C.-Y.
Chen R.-C.
Abstract
Purpose: To determine the prevalence rate and patterns of adult patients with epilepsy in Taiwan, we conducted a community-based neuroepidemiological survey. Methods: Epilepsy was detected by neurologists using one-stage method. It was integrated into a community health screening service and performed from 1 January 2001 to 31 December 2001 in Keelung, a northern city in Taiwan. A total of 13,663 subjects aged 30 years or older participated in this survey. Results: There were 52 patients with epilepsy in this study. Among them, 37 were patients with active epilepsy. The age-adjusted prevalence rate of active epilepsy above 30 years old was 2.77/1000 (to the 1980 US population) with the highest rate in subjects aged 40-49 years (4.0/1000). There was a trend of higher prevalence rate in male than in female. The most common seizure type was complex partial seizure (46.0%). Using one-stage detection method, we found nine (24.3%) patients with active epilepsy who had never been diagnosed before. Among the patients with active epilepsy, 35.1% were symptomatic cases. Head injury (13.5%) is the leading cause, followed by CNS infection (8.1%), stroke (5.4%) and perinatal insult (5.4%). The lifetime prevalence rate of epilepsy (including active epilepsy and epilepsy in remission) was 3.14/1000 for age above 30 years. Conclusions: Comparing to previous epilepsy survey in 1993, our results showed that the prevalence rate of epilepsy was rather stable over the past decade in northern Taiwan. Head injury is the leading cause responsible for active epilepsy. Improving public safety is an important public health issue which may help to reduce occurrence of epilepsy. ? 2006 Elsevier B.V. All rights reserved.
SDGs
Other Subjects
adult; aged; article; central nervous system infection; community care; complex partial seizure; controlled study; epilepsy; female; head injury; health survey; human; major clinical study; male; mass screening; perinatal morbidity; prevalence; priority journal; remission; sex difference; stroke; symptomatic epilepsy; Taiwan; Adult; Aged; Aged, 80 and over; Central Nervous System Infections; Cerebrovascular Accident; Craniocerebral Trauma; Epilepsy; Epilepsy, Complex Partial; Humans; Mass Screening; Middle Aged; Prevalence; Taiwan
Type
journal article
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