Evidence map›Paper›PMID 33839561›Full record

ArticleSeizure2021

Correlation of Seizure Increase and COVID-19 Outbreak in Adult Patients with Epilepsy: Findings and Suggestions from a Nationwide Multi-centre Survey in China.

Chang Zeng, Hongmei Meng, Yulan Zhu, Lifen Yao, Yajun Lian, Yanmei Zhu, Min Zhang, Yuwei Dai, Kang Wang, Xiong Han and 20 more

Open access · hybridAbstract readMulticenter Study
In one paragraph

Article in Seizure, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
2.5field-weighted citation impact, top 9% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 23 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

30 authors at 20 institutions in 1 country.

Chang ZengHealth Management Center, Xiangya Hospital, Central South University, Changsha, China.
Hongmei MengDepartment of Neurology, The First Hospital of Jilin University, Changchun, China.
Yulan ZhuDepartment of Neurology, The Second Affiliated Hospital of Harbin Medical University, Harbin, China.
Lifen YaoDepartment of Neurology, The First Affiliated Hospital of Harbin Medical University, Harbin, China.
Yajun LianDepartment of Neurology, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, China.
Yanmei ZhuDepartment of Neurology, The Second Affiliated Hospital of Harbin Medical University, Harbin, China.
Min ZhangDepartment of Neurology, Xiangya Hospital, Central South University, Changsha, China.
Yuwei DaiDepartment of Neurology, Xiangya Hospital, Central South University, Changsha, China.
Kang WangDepartment of Neurology, The First Affiliated Hospital, College of Medicine, Zhejiang University, Hangzhou, China.
Xiong HanDepartment of Neurology, Henan Provincial People's Hospital, Zhengzhou, China.
Ling LiDepartment of Neurology, Qilu Hospital of Shandong University, Jinan, China.
Lifang ZhangDepartment of Neurology, Changzhi People's Hospital Affiliated to Changzhi Medical College, Changzhi, China.
Huiqing XuDepartment of Neurology, The First Affiliated Hospital of Wenzhou Medical University, Wenzhou, China.
Dongai YaoDepartment of Neurology, Zhongnan Hospital of Wuhan University, Wuhan, China.
Xinmin LuoDepartment of Neurology, The Second Affiliated Hospital of Nanchang University, Nanchang, China.
Wen JiangDepartment of Neurology, Xijing Hospital, Air Force Military Medical University, Xi'an, China.
Xiahong WangDepartment of Neurology, Zhengzhou Second Hospital, Zhengzhou, China.
Chuansheng ZhaoDepartment of Neurology, The First Hospital of China Medical University, Shenyang, China.
Yangmei ChenDepartment of Neurology, The Second Affiliated Hospital of Chongqing Medical University, Chongqing, China.
Xuejun DengDepartment of Neurology, Union Hospital Affiliated with Tongji Medical College of Huazhong University of Science and Technology, Wuhan, China.
Chaorong LiuDepartment of Neurology, Xiangya Hospital, Central South University, Changsha, China.
Li FengDepartment of Neurology, Xiangya Hospital, Central South University, Changsha, China.
Yanmin SongDepartment of Emergency, Xiangya Hospital, Central South University, Changsha, China.
Yuan WuDepartment of Neurology, The First Affiliated Hospital of Guangxi Medical University, Nanning, China.
Weiping LiaoKey Laboratory of Neurogenetics and Channelopathies of Guangdong Institute, Department of Neurology of The Second Affiliated Hospital of Guangzhou Medical University, of Neuroscience, Province and the Ministry of Education of China, Guangzhou, China.
Furong WangDepartment of Neurology, Tongji Hospital Affiliated with Tongji Medical College of Huazhong University of Science and Technology, Wuhan, China.
Suiqiang ZhuDepartment of Neurology, Tongji Hospital Affiliated with Tongji Medical College of Huazhong University of Science and Technology, Wuhan, China.
Bo XiaoDepartment of Neurology, Xiangya Hospital, Central South University, Changsha, China.
Qun WangDepartment of Neurology, Beijing Tiantan Hospital, Capital Medical University, Beijing, China. Electronic address: qwang64@163.com.
Lili LongDepartment of Neurology, Xiangya Hospital, Central South University, Changsha, China. Electronic address: longlili1982@126.com.
Central South University · CNHarbin Medical University · CNTongji Hospital · CNCapital Medical University · CNChangzhi Medical College · CNDalian Medical University · CNFirst Affiliated Hospital of Zhengzhou University · CNFirst Hospital of China Medical University · CNGuangxi Medical University · CNHenan Provincial People's Hospital · CNJilin University · CNNanchang University · CNQilu Hospital of Shandong University · CNSecond Affiliated Hospital of Guangzhou Medical University · CNSecond Affiliated Hospital of Zhengzhou University · CNUnion Hospital · CNWenzhou Medical University · CNWuhan University · CNXijing Hospital · CNZhejiang University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo investigate the impact of the COVID-19 outbreak on the behaviours, mental health and seizure control of adult patients with epilepsy (PWE) and to identify the correlation of seizure increase and the COVID-19 outbreak to guide the medical care of individuals with epilepsy during a public health crisis.

methodsThis study was conducted at 28 centres from February 2020 to April 2020. Participants filled out a 62-item online survey including sociodemographic, COVID-19-related, epilepsy-related and psychological variables and were divided into two groups based on whether their seizure frequency increased during the COVID-19 pandemic. Chi-square tests and t-tests were used to test differences in significant characteristics. Multiple logistic regression analyses were used to identify risk factors for seizure worsening.

resultsA total of 1,237 adult PWE were enrolled for analysis. Of this sample, 31 (8.33%) patients experienced an increase in seizures during the pandemic. Multivariate logistic regression suggested that feeling nervous about the pandemic (P < 0.05), poor quality of life (P = 0.001), drug reduction/withdrawal (P = 0.032), moderate anxiety during the COVID-19 outbreak (P = 0.046) and non-seizure free before the COVID-19 outbreak (P < 0.05) were independently related to seizure increase during the pandemic.

conclusionsDuring the COVID-19 pandemic, PWE with poor quality of life and mental status, as well as AED reduction/withdrawal, were more likely to experience seizure increase. This observation highlights the importance of early identification of the population at high risk of seizure worsening and implementation of preventive strategies during the pandemic.

Indexed as

AdultChinaCOVID-19Disease OutbreaksEpilepsyFemaleHumansMalePandemicsQuality of LifeSARS-CoV-2SeizuresSurveys and QuestionnairesCOVID-19EpilepsyMental healthSeizure control

Identifiers

PMID33839561
PMCPMC9056154
OpenAlexW3149487347

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.