The most common somatic comorbidities among patients with epilepsy

Authors

  • Irina Stefanova UHATNP "St.Naum"; Medical university – Sofia
  • R. Kuzmanova UHATNP "St.Naum"; Medical university – Sofia
  • P. Kolev UHATNP "St.Naum"; Medical university – Sofia

Keywords:

Epilepsy, Comorbidity, Somatic diseases

Abstract

Introduction: Comorbidity refers to the coexistence of two or more diseases in the same person, which can affect each body system. The chronic course of epilepsy determines to a high percentage the presence of comorbid diseases. Almost every patient with epilepsy has at least one acute or chronic comorbid disease during their lifetime.
Purpose: The aim of the research is to determine the types of the most common somatic comorbidities among patients with epilepsy, their chronology of arising, as well as their distribution in terms of gender and age.
Methods: Our research is clinical, epidemiological, and retrospective for a period of ten years. It is based on the data from 1 624 hospitalized patients with epilepsy diagnosis and one or more comorbid diseases. The methods used are documentary analysis, clinical, laboratory, and statistical methods.
Results: Somatic comorbidity is observed among 946 (58,3%) of the examined patients. The most common comorbid diseases are: arterial hypertension (36,4%), chronic ischemic heart disease (10,3%), urolithiasis (6%), diabetes mellitus (5,4%), chronic pulmonary disease (4,9%).
Discussion: Our research shows a high percentage of diverse comorbidity among epilepsy and somatic diseases, which is in line with the findings from other epidemiological studies.

References

Stefanova, I. Comorbidity in epilepsy. Dissertation for the award of educational and scientific degree "Doctor of Medicine". Sofia, 2013

Annegers, J.F., Melton, L.J., Sun, C.A., et al. Risk of age-related fractures in patients with unprovoked seizures. Epilepsia, 1989, 30, 348–355.

Forsgren, L. Prevalence of epilepsy in adults in northern Sweden. Epilepsia, 1992, 33, 450–458.

Gaitatzis, A., Carroll, K., Majeed, A., Sander, W.J. The epidemiology of the comorbidity of epilepsy in the general population. Epilepsia, 2004, 45, 1613–1622.

Gudmundsson, G. Epilepsy in Iceland: a clinical and epidemiological investigation. Acta Neurol Scand, 1966, 43, 1–124.

Hesdorffer, D.C., Hauser, W.A., Annegers, J.F., et al. Severe, uncontrolled hypertension and adult-onset seizures: a case control study in Rochester, Minnesota. Epilepsia, 1996, 37, 736–741.

Jalava, M., Sillanpaa, M. Concurrent illnesses in adults with childhood-onset epilepsy: a population-based 35-year follow-up study. Epilepsia, 1996, 37, 1155–1163.

Jetter, G.M., Cavazos, J.E. Epilepsy in the elderly. Semin Neurol. 2008, 28, 336–341.

Ng, S.K., Hauser, W.A., Brust, J.C., et al. Hypertension and the risk of new-onset unprovoked seizures. Neurology, 1993, 43, 425–428.

Ottman, R., Lipton, R.B., Ettinger, A.B., et al. Comorbidities of epilepsy: results from the Epilepsy Comorbidities and Health (EPIC) survey. Epilepsia, 2011, 52, 308-315.

Sander, J.W. The epidemiology of epilepsy revisited. Curr Opin Neurol, 2003, 16, 165–170.

Stephen, L.J., Brodie, M.J. Epilepsy in elderly people, Lancet, 2000, 355, 1441-1446.

Strine, T.W., Kobau, R., Chapman, D.P., et al. Psychological distress, comorbidities, and health behaviors among U.S. adults with seizures: results from the 2002 National Health Interview Survey.Epilepsia, 2005, 46, 1133–1139.

Tellez-Zenteno, J.F., Matijevic, S., Wiebe, S. Somatic comorbidity of epilepsy in the general population in Canada. Epilepsia, 2005, 46, 1955–1962.

Published

01.07.2016

How to Cite

Stefanova, I., Kuzmanova, R., & Kolev, P. (2016). The most common somatic comorbidities among patients with epilepsy. Movement Disorders Bulgaria, 13(1), 51–54. Retrieved from https://multiplesclerosis-bg.com/journal/index.php/md/article/view/6