Comparative epidemiology of epilepsy in Pakistan and Turkey : Population-based studies using identical protocols.
To determine comparative prevalence rates, demographics, phenomenology, seizure classification. presumptive etiology, treatment status. and selected socioanthropological aspects of epilepsy in Pakistan and Turkey.
A population-based, cross-cultural comparative study of epilepsy was designed with identical protocols to be performed simultaneously in Pakistan and Turkey.
The essential feature of the design was an unselected population, with reference to their previous medical contact, and use of standardized International Community-Based Epilepsy Research Group (ICBERG) protocols to assess cross-cultural differences.
In all, 24,130 persons in Pakistan and 11,497 persons in Turkey (both urban and rural, of all ages and both sexes) were studied.
The crude prevalence rate of epilepsy was 9.98 in 1,000 in Pakistan and 7.0 in 1,000 in Turkey (14.8 in 1.000 in rural and 7.4 in 1,000 in urban areas of Pakistan ; 8.8 in 1,000 in rural and 4.5 in 1,000 in urban areas of Turkey).
In both countries. epilepsy was twice as prevalent in rural areas than in urban areas.
Mean age of onset of epilepsy was 13.3 years in Pakistan and 12.9 years in Turkey.
Overall frequency of seizure types was similar in both countries, with no urban/rural differences.
The frequency distribution in Pakistan and Turkey, respectively, was as follows :
generalized tonic-clonic, 80.5 and 65.4% ;
simple partial, 5 and 7.4% ;
complex partial, 5 and 12.3% ;
generalized absence, 0. (...)
Mots-clés Pascal : Turquie, Asie, Pakistan, Epilepsie, Prévalence, Type, Etiologie, Répartition géographique, Plan traitement, Etude comparative, Epidémiologie, Aspect culturel, Homme, Système nerveux pathologie, Système nerveux central pathologie, Encéphale pathologie
Mots-clés Pascal anglais : Turkey, Asia, Pakistan, Epilepsy, Prevalence, Type, Etiology, Geographic distribution, Treatment planning, Comparative study, Epidemiology, Cultural aspect, Human, Nervous system diseases, Central nervous system disease, Cerebral disorder
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 97-0342522
Code Inist : 002B17A03. Création : 12/09/1997.