Please use this identifier to cite or link to this item: http://ahro.austin.org.au/austinjspui/handle/1/11387
Title: Suboptimal anti-epilepsy drug use is common among indigenous patients with seizures presenting to the emergency department.
Authors: Wilson, Ian B;Hawkins, Simon;Green, Stella;Archer, John S
Affiliation: Department of Neurology, Austin Health, Heidelberg, Victoria, Australia.
Issue Date: 3-Dec-2011
Citation: Journal of Clinical Neuroscience : Official Journal of the Neurosurgical Society of Australasia 2011; 19(1): 187-9
Abstract: We aimed to explore the causes of higher than expected rates of Indigenous emergency department (ED) seizure presentations. A questionnaire was administered to adult patients presenting with seizure to an ED in Far North Queensland. Over 15 months, among 260 presentations with seizure (22% Indigenous), 50% non-Indigenous patients, and 45% Indigenous patients completed the questionnaire. Risk factors for alcohol misuse were common in both groups (50% Indigenous, 43% non-Indigenous; p = 0.50), as were rates of reported head injury (50% Indigenous, 44% non-Indigenous; p = 0.50). However, 47% Indigenous patients, compared to 19% non-Indigenous patients (p < 0.05) reported missing anti-epileptic tablets at least twice weekly, representing clinically relevant medication non-adherence. This was the first reported seizure presentation for 12% Indigenous patients and 26% non-Indigenous patients. We conclude that among ED seizure presentations, alcohol excess and prior head injury are commonly observed, in both Indigenous and non-Indigenous patients. However, Indigenous patients have higher rates of anti-convulsant non-adherence, likely contributing to ED presentations.
Internal ID Number: 22137569
URI: http://ahro.austin.org.au/austinjspui/handle/1/11387
DOI: 10.1016/j.jocn.2011.07.004
URL: http://www.ncbi.nlm.nih.gov/pubmed/22137569
Type: Journal Article
Subjects: Adult
Alcoholism.epidemiology.ethnology
Anticonvulsants.administration & dosage
Comorbidity.trends
Craniocerebral Trauma.epidemiology.ethnology
Epilepsy.drug therapy.epidemiology.ethnology
Female
Health Status Disparities
Humans
Male
Population Groups.psychology
Seizures.drug therapy.epidemiology.prevention & control
Appears in Collections:Journal articles

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