A longitudinal study of epilepsy in Kolkata, India
Summary Purpose: This study aimed to determine the prevalence, incidence, and mortality rates of epilepsy in the city of Kolkata, India. This is the first such longitudinal study in a heterogeneous urban Indian population. Methods: A two‐stage door‐to‐door survey of a stratified random sample was...
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Veröffentlicht in: | Epilepsia (Copenhagen) 2010-12, Vol.51 (12), p.2384-2391 |
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creator | Banerjee, Tapas Kumar Ray, Biman Kanti Das, Shyamal Kumar Hazra, Avijit Ghosal, Malay Kumar Chaudhuri, Arijit Roy, Trishit Raut, Deepak Kumar |
description | Summary
Purpose: This study aimed to determine the prevalence, incidence, and mortality rates of epilepsy in the city of Kolkata, India. This is the first such longitudinal study in a heterogeneous urban Indian population.
Methods: A two‐stage door‐to‐door survey of a stratified random sample was undertaken within the municipal limits of Kolkata. Trained field workers detected and interviewed the cases using a simple screening questionnaire, and the detailed follow‐up was done by neurologists. The survey was conducted annually for five consecutive years from March 2003 through February 2008.
Results: A total of 52,377 (52.74% men) individuals were screened. There were 309 prevalent and 66 incident cases of active epilepsy. The prevalence and average annual incidence rate (AAIR) with 95% confidence interval (CI), age‐standardized to World Standard Population, were 572.8 (509.79–641.54) per 100,000 and 27.27 (21.03–34.80) per 100,000 per year, respectively. The age‐specific incidence rates of epilepsy showed bimodal distribution. During the 5‐year period, 20 cases of active epilepsy died. The average annual mortality rate (AAMR) was 7.63 (95% CI 4.45–11.26) per 100,000 population per year. Compared to the general population of Kolkata, the all‐cause standardized mortality ratio (SMR) for persons with epilepsy was 2.58 overall (men 3.67; women 1.77). There was no significant difference between slum and nonslum dwellers in epidemiologic parameters.
Conclusions: The AAIR of epilepsy is comparable to that observed in developed countries, but AAMR is higher. The all‐cause SMR for epilepsy relative to the general population is, however, similar to that of developed nations. |
doi_str_mv | 10.1111/j.1528-1167.2010.02740.x |
format | Article |
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Purpose: This study aimed to determine the prevalence, incidence, and mortality rates of epilepsy in the city of Kolkata, India. This is the first such longitudinal study in a heterogeneous urban Indian population.
Methods: A two‐stage door‐to‐door survey of a stratified random sample was undertaken within the municipal limits of Kolkata. Trained field workers detected and interviewed the cases using a simple screening questionnaire, and the detailed follow‐up was done by neurologists. The survey was conducted annually for five consecutive years from March 2003 through February 2008.
Results: A total of 52,377 (52.74% men) individuals were screened. There were 309 prevalent and 66 incident cases of active epilepsy. The prevalence and average annual incidence rate (AAIR) with 95% confidence interval (CI), age‐standardized to World Standard Population, were 572.8 (509.79–641.54) per 100,000 and 27.27 (21.03–34.80) per 100,000 per year, respectively. The age‐specific incidence rates of epilepsy showed bimodal distribution. During the 5‐year period, 20 cases of active epilepsy died. The average annual mortality rate (AAMR) was 7.63 (95% CI 4.45–11.26) per 100,000 population per year. Compared to the general population of Kolkata, the all‐cause standardized mortality ratio (SMR) for persons with epilepsy was 2.58 overall (men 3.67; women 1.77). There was no significant difference between slum and nonslum dwellers in epidemiologic parameters.
Conclusions: The AAIR of epilepsy is comparable to that observed in developed countries, but AAMR is higher. The all‐cause SMR for epilepsy relative to the general population is, however, similar to that of developed nations.</description><identifier>ISSN: 0013-9580</identifier><identifier>EISSN: 1528-1167</identifier><identifier>DOI: 10.1111/j.1528-1167.2010.02740.x</identifier><identifier>PMID: 20887369</identifier><identifier>CODEN: EPILAK</identifier><language>eng</language><publisher>Oxford, UK: Blackwell Publishing Ltd</publisher><subject>Active epilepsy ; Adolescent ; Adult ; Age Factors ; Aged ; Aged, 80 and over ; Anticonvulsants. Antiepileptics. Antiparkinson agents ; Biological and medical sciences ; Child ; Child, Preschool ; Cities - epidemiology ; Epilepsy - epidemiology ; Epilepsy - mortality ; Female ; Headache. Facial pains. Syncopes. Epilepsia. Intracranial hypertension. Brain oedema. Cerebral palsy ; Health Surveys ; Humans ; Incidence ; Indexing in process ; India ; India - epidemiology ; Longitudinal Studies ; Male ; Medical sciences ; Middle Aged ; Mortality ; Nervous system (semeiology, syndromes) ; Neurology ; Neuropharmacology ; Pharmacology. Drug treatments ; Prevalence ; Sampling Studies ; Surveys and Questionnaires ; Urban Population - statistics & numerical data</subject><ispartof>Epilepsia (Copenhagen), 2010-12, Vol.51 (12), p.2384-2391</ispartof><rights>Wiley Periodicals, Inc. © 2010 International League Against Epilepsy</rights><rights>2015 INIST-CNRS</rights><rights>Wiley Periodicals, Inc. © 2010 International League Against Epilepsy.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4300-56ff79288bc06490133b337e000f9da4977e6ff8af155bd010f9dac0268969793</citedby><cites>FETCH-LOGICAL-c4300-56ff79288bc06490133b337e000f9da4977e6ff8af155bd010f9dac0268969793</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fj.1528-1167.2010.02740.x$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fj.1528-1167.2010.02740.x$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,780,784,1416,1432,27923,27924,45573,45574,46408,46832</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=23729928$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/20887369$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Banerjee, Tapas Kumar</creatorcontrib><creatorcontrib>Ray, Biman Kanti</creatorcontrib><creatorcontrib>Das, Shyamal Kumar</creatorcontrib><creatorcontrib>Hazra, Avijit</creatorcontrib><creatorcontrib>Ghosal, Malay Kumar</creatorcontrib><creatorcontrib>Chaudhuri, Arijit</creatorcontrib><creatorcontrib>Roy, Trishit</creatorcontrib><creatorcontrib>Raut, Deepak Kumar</creatorcontrib><title>A longitudinal study of epilepsy in Kolkata, India</title><title>Epilepsia (Copenhagen)</title><addtitle>Epilepsia</addtitle><description>Summary
Purpose: This study aimed to determine the prevalence, incidence, and mortality rates of epilepsy in the city of Kolkata, India. This is the first such longitudinal study in a heterogeneous urban Indian population.
Methods: A two‐stage door‐to‐door survey of a stratified random sample was undertaken within the municipal limits of Kolkata. Trained field workers detected and interviewed the cases using a simple screening questionnaire, and the detailed follow‐up was done by neurologists. The survey was conducted annually for five consecutive years from March 2003 through February 2008.
Results: A total of 52,377 (52.74% men) individuals were screened. There were 309 prevalent and 66 incident cases of active epilepsy. The prevalence and average annual incidence rate (AAIR) with 95% confidence interval (CI), age‐standardized to World Standard Population, were 572.8 (509.79–641.54) per 100,000 and 27.27 (21.03–34.80) per 100,000 per year, respectively. The age‐specific incidence rates of epilepsy showed bimodal distribution. During the 5‐year period, 20 cases of active epilepsy died. The average annual mortality rate (AAMR) was 7.63 (95% CI 4.45–11.26) per 100,000 population per year. Compared to the general population of Kolkata, the all‐cause standardized mortality ratio (SMR) for persons with epilepsy was 2.58 overall (men 3.67; women 1.77). There was no significant difference between slum and nonslum dwellers in epidemiologic parameters.
Conclusions: The AAIR of epilepsy is comparable to that observed in developed countries, but AAMR is higher. The all‐cause SMR for epilepsy relative to the general population is, however, similar to that of developed nations.</description><subject>Active epilepsy</subject><subject>Adolescent</subject><subject>Adult</subject><subject>Age Factors</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Anticonvulsants. Antiepileptics. Antiparkinson agents</subject><subject>Biological and medical sciences</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>Cities - epidemiology</subject><subject>Epilepsy - epidemiology</subject><subject>Epilepsy - mortality</subject><subject>Female</subject><subject>Headache. Facial pains. Syncopes. Epilepsia. Intracranial hypertension. Brain oedema. Cerebral palsy</subject><subject>Health Surveys</subject><subject>Humans</subject><subject>Incidence</subject><subject>Indexing in process</subject><subject>India</subject><subject>India - epidemiology</subject><subject>Longitudinal Studies</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Mortality</subject><subject>Nervous system (semeiology, syndromes)</subject><subject>Neurology</subject><subject>Neuropharmacology</subject><subject>Pharmacology. Drug treatments</subject><subject>Prevalence</subject><subject>Sampling Studies</subject><subject>Surveys and Questionnaires</subject><subject>Urban Population - statistics & numerical data</subject><issn>0013-9580</issn><issn>1528-1167</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2010</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNkLtOwzAUhi0EoqXwCigLYiHBl8SXgaGqClQgwQCz5SQ2cnGTEDeieXscWsoIXnx0_B379wdAhGCCwrpeJijDPEaIsgTD0IWYpTDZHIDx_uAQjCFEJBYZhyNw4v0SQsgoI8dghCHnjFAxBngaubp6s-uutJVykQ9FH9Um0o11uvF9ZKvooXbvaq2uokVVWnUKjoxyXp_t9gl4vZ2_zO7jx6e7xWz6GBcpgTDOqDFMYM7zAtJUhCgkJ4TpkMKIUqWCMR0QrgzKsrwMvxjaBcSUCyqYIBNwub23aeuPTvu1XFlfaOdUpevOS55Rxjjn5G8SZYJiRlgg-ZYs2tr7VhvZtHal2l4iKAe1cikHg3IwKAe18lut3ITR890jXb7S5X7wx2UALnaA8oVyplVVYf0vRxgWwUfgbrbcZzDc_zuAnD8vhop8AUwhkVA</recordid><startdate>201012</startdate><enddate>201012</enddate><creator>Banerjee, Tapas Kumar</creator><creator>Ray, Biman Kanti</creator><creator>Das, Shyamal Kumar</creator><creator>Hazra, Avijit</creator><creator>Ghosal, Malay Kumar</creator><creator>Chaudhuri, Arijit</creator><creator>Roy, Trishit</creator><creator>Raut, Deepak Kumar</creator><general>Blackwell Publishing Ltd</general><general>Wiley-Blackwell</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>7TK</scope></search><sort><creationdate>201012</creationdate><title>A longitudinal study of epilepsy in Kolkata, India</title><author>Banerjee, Tapas Kumar ; Ray, Biman Kanti ; Das, Shyamal Kumar ; Hazra, Avijit ; Ghosal, Malay Kumar ; Chaudhuri, Arijit ; Roy, Trishit ; Raut, Deepak Kumar</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4300-56ff79288bc06490133b337e000f9da4977e6ff8af155bd010f9dac0268969793</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2010</creationdate><topic>Active epilepsy</topic><topic>Adolescent</topic><topic>Adult</topic><topic>Age Factors</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Anticonvulsants. Antiepileptics. Antiparkinson agents</topic><topic>Biological and medical sciences</topic><topic>Child</topic><topic>Child, Preschool</topic><topic>Cities - epidemiology</topic><topic>Epilepsy - epidemiology</topic><topic>Epilepsy - mortality</topic><topic>Female</topic><topic>Headache. Facial pains. Syncopes. Epilepsia. Intracranial hypertension. Brain oedema. Cerebral palsy</topic><topic>Health Surveys</topic><topic>Humans</topic><topic>Incidence</topic><topic>Indexing in process</topic><topic>India</topic><topic>India - epidemiology</topic><topic>Longitudinal Studies</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Mortality</topic><topic>Nervous system (semeiology, syndromes)</topic><topic>Neurology</topic><topic>Neuropharmacology</topic><topic>Pharmacology. Drug treatments</topic><topic>Prevalence</topic><topic>Sampling Studies</topic><topic>Surveys and Questionnaires</topic><topic>Urban Population - statistics & numerical data</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Banerjee, Tapas Kumar</creatorcontrib><creatorcontrib>Ray, Biman Kanti</creatorcontrib><creatorcontrib>Das, Shyamal Kumar</creatorcontrib><creatorcontrib>Hazra, Avijit</creatorcontrib><creatorcontrib>Ghosal, Malay Kumar</creatorcontrib><creatorcontrib>Chaudhuri, Arijit</creatorcontrib><creatorcontrib>Roy, Trishit</creatorcontrib><creatorcontrib>Raut, Deepak Kumar</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>Neurosciences Abstracts</collection><jtitle>Epilepsia (Copenhagen)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Banerjee, Tapas Kumar</au><au>Ray, Biman Kanti</au><au>Das, Shyamal Kumar</au><au>Hazra, Avijit</au><au>Ghosal, Malay Kumar</au><au>Chaudhuri, Arijit</au><au>Roy, Trishit</au><au>Raut, Deepak Kumar</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>A longitudinal study of epilepsy in Kolkata, India</atitle><jtitle>Epilepsia (Copenhagen)</jtitle><addtitle>Epilepsia</addtitle><date>2010-12</date><risdate>2010</risdate><volume>51</volume><issue>12</issue><spage>2384</spage><epage>2391</epage><pages>2384-2391</pages><issn>0013-9580</issn><eissn>1528-1167</eissn><coden>EPILAK</coden><abstract>Summary
Purpose: This study aimed to determine the prevalence, incidence, and mortality rates of epilepsy in the city of Kolkata, India. This is the first such longitudinal study in a heterogeneous urban Indian population.
Methods: A two‐stage door‐to‐door survey of a stratified random sample was undertaken within the municipal limits of Kolkata. Trained field workers detected and interviewed the cases using a simple screening questionnaire, and the detailed follow‐up was done by neurologists. The survey was conducted annually for five consecutive years from March 2003 through February 2008.
Results: A total of 52,377 (52.74% men) individuals were screened. There were 309 prevalent and 66 incident cases of active epilepsy. The prevalence and average annual incidence rate (AAIR) with 95% confidence interval (CI), age‐standardized to World Standard Population, were 572.8 (509.79–641.54) per 100,000 and 27.27 (21.03–34.80) per 100,000 per year, respectively. The age‐specific incidence rates of epilepsy showed bimodal distribution. During the 5‐year period, 20 cases of active epilepsy died. The average annual mortality rate (AAMR) was 7.63 (95% CI 4.45–11.26) per 100,000 population per year. Compared to the general population of Kolkata, the all‐cause standardized mortality ratio (SMR) for persons with epilepsy was 2.58 overall (men 3.67; women 1.77). There was no significant difference between slum and nonslum dwellers in epidemiologic parameters.
Conclusions: The AAIR of epilepsy is comparable to that observed in developed countries, but AAMR is higher. The all‐cause SMR for epilepsy relative to the general population is, however, similar to that of developed nations.</abstract><cop>Oxford, UK</cop><pub>Blackwell Publishing Ltd</pub><pmid>20887369</pmid><doi>10.1111/j.1528-1167.2010.02740.x</doi><tpages>8</tpages></addata></record> |
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subjects | Active epilepsy Adolescent Adult Age Factors Aged Aged, 80 and over Anticonvulsants. Antiepileptics. Antiparkinson agents Biological and medical sciences Child Child, Preschool Cities - epidemiology Epilepsy - epidemiology Epilepsy - mortality Female Headache. Facial pains. Syncopes. Epilepsia. Intracranial hypertension. Brain oedema. Cerebral palsy Health Surveys Humans Incidence Indexing in process India India - epidemiology Longitudinal Studies Male Medical sciences Middle Aged Mortality Nervous system (semeiology, syndromes) Neurology Neuropharmacology Pharmacology. Drug treatments Prevalence Sampling Studies Surveys and Questionnaires Urban Population - statistics & numerical data |
title | A longitudinal study of epilepsy in Kolkata, India |
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