Evidence map›Paper›PMID 33905117›Full record

ArticleActa neurologica Scandinavica2021

Medium-term effects of COVID-19 pandemic on epilepsy: A follow-up study.

Sofía Lallana, Elena Fonseca, Juan Luis Restrepo, Manuel Quintana, Iván Seijo-Raposo, Laura Abraira, Estevo Santamarina, José Álvarez-Sabín, Manuel Toledo

Open access · greenAbstract read
In one paragraph

Article in Acta neurologica Scandinavica, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
1.5field-weighted citation impact, top 15% 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

7 citing papers in PubMed, 14 citations in OpenAlex.

  1. Observational
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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

9 authors at 1 institution in 2 countries.

Sofía LallanaNeurology Department, Vall d'Hebron University Hospital, Barcelona, Spain.ORCID https://orcid.org/0000-0002-5999-9889
Elena FonsecaEpilepsy Unit, Neurology Department, Vall d'Hebron University Hospital, Barcelona, Spain.ORCID https://orcid.org/0000-0002-3895-1237
Juan Luis RestrepoNeurology Department, Vall d'Hebron University Hospital, Barcelona, Spain.ORCID https://orcid.org/0000-0002-6332-6126
Manuel QuintanaEpilepsy Unit, Neurology Department, Vall d'Hebron University Hospital, Barcelona, Spain.ORCID https://orcid.org/0000-0003-0288-9088
Iván Seijo-RaposoEpilepsy Unit, Neurology Department, Vall d'Hebron University Hospital, Barcelona, Spain.ORCID https://orcid.org/0000-0002-8171-443X
Laura AbrairaEpilepsy Unit, Neurology Department, Vall d'Hebron University Hospital, Barcelona, Spain.ORCID https://orcid.org/0000-0002-5119-7929
Estevo SantamarinaEpilepsy Unit, Neurology Department, Vall d'Hebron University Hospital, Barcelona, Spain.ORCID https://orcid.org/0000-0003-1915-0335
José Álvarez-SabínNeurology Department, Vall d'Hebron University Hospital, Barcelona, Spain.ORCID https://orcid.org/0000-0002-8054-9209
Manuel ToledoEpilepsy Unit, Neurology Department, Vall d'Hebron University Hospital, Barcelona, Spain.ORCID https://orcid.org/0000-0003-1550-3316
Hebron University · PS

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo analyze the medium-term impact of the COVID-19 pandemic on epilepsy patients, focusing on psychological effects and seizure control.

methodsProspective follow-up study to evaluate the medium-term effects of the COVID-19 pandemic on a cohort of epilepsy patients from a tertiary hospital previously surveyed during the first peak of the pandemic. Between July 1, 2020, and August 30, 2020, the patients answered an online 19-item questionnaire, HADS, and PSIQ scales. Short- and medium-term effects of the pandemic confinement and the perception of telemedicine were compared.

results153 patients completed the questionnaire, mean ± SD age, 47.6 ± 19.3 years; 49.7% women. Depression was reported by 43 patients, significantly more prevalent than in the short-term analysis (29.2% vs. 19.7%; p = .038). Anxiety (38.1% vs. 36.1%; p = 0.749) and insomnia (28.9% vs. 30.9%, p = .761) remained highly prevalent. Seventeen patients reported an increase in seizure frequency (11.1% vs. 9.1%, p = .515). The three factors independently associated with an increase in seizure frequency in the medium term were drug-resistant epilepsy (odds ratio [OR] = 8.2, 95% CI 2.06-32.52), depression (OR = 6.46, 95% CI 1.80-23.11), and a reduction in income (OR = 5.47, 95% CI 1.51-19.88). A higher proportion of patients found telemedicine unsatisfactory (11.2% vs. 2.4%), and a lower percentage (44.8% vs. 56.8%) found it very satisfactory (p = .005).

conclusionsDepression rates increased significantly after the first wave. Depression, drug-resistant epilepsy, and a reduction in family income were independent risk factors for an increased seizure frequency. Perception of telemedicine worsened, indicating need for re-adaptation.

Indexed as

AdultAgedCOVID-19DepressionEpilepsyFemaleHumansMaleMiddle AgedSocioeconomic FactorsCOVID-19depressionepilepsypandemicSARS-CoV-2Seizurestelehealth

Identifiers

PMID33905117
PMCPMC8207097
OpenAlexW3159759850

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.