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Prognosis
Functional neurological deficit increased the risk of death in childhood epilepsy

https://doi.org/10.1136/ebn.6.1.25

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    Camfield CS, Camfield PR, Veugelers PJ.Death in children with epilepsy: a population-based study.Lancet2002 ;359:1891–5OpenUrlCrossRefPubMedWeb of Science

    QUESTION: What are the risk factors for, and frequency of, all cause mortality in children with epilepsy?

    Design

    Inception cohort of children who developed epilepsy between 1977 and 1985 and were followed up for ≤22.5 years.

    Setting

    Nova Scotia, Canada.

    Patients

    692 children (50% girls) who developed epilepsy (first 2 unprovoked seizures) between 1977 and 1985 (age range 28 d to 16 y). Exclusion criteria included provoking factors for seizures and evidence of progressive neurological disease.

    Assessment of prognostic factors

    In 1999, names and birth dates of the cohort were linked to the Nova Scotia provincial death and marriage registries (Division of Vital Statistics). For women >15 years of age, the marriage registry was checked to ascertain whether the names had been changed by marriage, and the marriage name was also checked against the death registry. Death certificates, necropsy …

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    Footnotes

    • For correspondence: Dr C S Camfield, Division of Child Neurology, IWK Health Centre, Halifax, Nova Scotia, B3J 3G9, Canada.

    • Source of funding: no external funding.