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  1. Article: Epilepsy Care in the Time of COVID-19 Pandemic in Italy: Risk Factors for Seizure Worsening.

    Assenza, Giovanni / Lanzone, Jacopo / Brigo, Francesco / Coppola, Antonietta / Di Gennaro, Giancarlo / Di Lazzaro, Vincenzo / Ricci, Lorenzo / Romigi, Andrea / Tombini, Mario / Mecarelli, Oriano

    Frontiers in neurology

    2020  Volume 11, Page(s) 737

    Abstract: Objective: ...

    Abstract Objective:
    Keywords covid19
    Language English
    Publishing date 2020-07-03
    Publishing country Switzerland
    Document type Journal Article
    ZDB-ID 2564214-5
    ISSN 1664-2295
    ISSN 1664-2295
    DOI 10.3389/fneur.2020.00737
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article: Epilepsy Care in the Time of COVID-19 Pandemic in Italy: Risk Factors for Seizure Worsening

    Assenza, Giovanni / Lanzone, Jacopo / Brigo, Francesco / Coppola, Antonietta / Di Gennaro, Giancarlo / Di Lazzaro, Vincenzo / Ricci, Lorenzo / Romigi, Andrea / Tombini, Mario / Mecarelli, Oriano

    Front. Neurol.

    Abstract: ... of people with epilepsy (PwE) and identifying PwE risk factors for seizure worsening to direct telemedicine ... to the COVID-19 pandemic. Medical care of chronic neurological diseases, such as epilepsy, is being sorely ... neglected. In this national survey, we aimed at understanding the impact of COVID-19 lockdown on the care ...

    Abstract Objective: In early 2020, Italy struggled with an unprecedented health emergency related to the COVID-19 pandemic. Medical care of chronic neurological diseases, such as epilepsy, is being sorely neglected. In this national survey, we aimed at understanding the impact of COVID-19 lockdown on the care of people with epilepsy (PwE) and identifying PwE risk factors for seizure worsening to direct telemedicine efforts. Methods: We administered a 48-items online survey (published on April 11, 2020) including socio-demographic, epilepsy-related, and psychometric variables (BDI-II for depression, GAD-7 for anxiety, and PSQI for sleep) to PwE and people without epilepsy (PwoE). Regression analysis identified predictors of seizure worsening. Results: We collected responses from 456 PwE (344 females) and 472 PwoE (347 females). Outpatient examinations of PwE were postponed in 95% of cases. One-third of PwE complained of issues with epilepsy management, but only 71% of them reached the treating physician and solved their problems. PwE had worse depressive and anxiety symptoms (higher BDI-II and GAD-7 scores; p < 0.001) than PwoE. Sleep quality was equally compromised in both groups (47 and 42%). Sixty-seven PwE (18%) reported seizure worsening, which was best explained by the number of anti-seizure medications (ASM) of chronic therapy and the severity of sleep disorder. Conclusions: During the current COVID-19 pandemic, a significant percentage of PwE experienced difficulties in follow-up and a seizure number increase, in particular those chronically taking more ASMs and with poor sleep quality. This dramatic experience outlines the urgent need for validation and implementation of telemedicine services for epileptic patients in order to provide regular follow-up.
    Keywords covid19
    Publisher WHO
    Document type Article
    Note WHO #Covidence: #688694
    Database COVID19

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  3. Article ; Online: Epilepsy Care in the Time of COVID-19 Pandemic in Italy

    Assenza, Giovanni / Lanzone, Jacopo / Brigo, Francesco / Coppola, Antonietta / Di Gennaro, Giancarlo / Di Lazzaro, Vincenzo / Ricci, Lorenzo / Romigi, Andrea / Tombini, Mario / Mecarelli, Oriano

    Frontiers in Neurology

    Risk Factors for Seizure Worsening

    2020  Volume 11

    Keywords Neurology ; Clinical Neurology ; covid19
    Publisher Frontiers Media SA
    Publishing country ch
    Document type Article ; Online
    ZDB-ID 2564214-5
    ISSN 1664-2295
    ISSN 1664-2295
    DOI 10.3389/fneur.2020.00737
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  4. Article ; Online: Epilepsy Care in the Time of COVID-19 Pandemic in Italy

    Giovanni Assenza / Jacopo Lanzone / Francesco Brigo / Antonietta Coppola / Giancarlo Di Gennaro / Vincenzo Di Lazzaro / Lorenzo Ricci / Andrea Romigi / Mario Tombini / Oriano Mecarelli

    Frontiers in Neurology, Vol

    Risk Factors for Seizure Worsening

    2020  Volume 11

    Abstract: ... of people with epilepsy (PwE) and identifying PwE risk factors for seizure worsening to direct telemedicine ... to the COVID-19 pandemic. Medical care of chronic neurological diseases, such as epilepsy, is being sorely ... neglected. In this national survey, we aimed at understanding the impact of COVID-19 lockdown on the care ...

    Abstract Objective: In early 2020, Italy struggled with an unprecedented health emergency related to the COVID-19 pandemic. Medical care of chronic neurological diseases, such as epilepsy, is being sorely neglected. In this national survey, we aimed at understanding the impact of COVID-19 lockdown on the care of people with epilepsy (PwE) and identifying PwE risk factors for seizure worsening to direct telemedicine efforts.Methods: We administered a 48-items online survey (published on April 11, 2020) including socio-demographic, epilepsy-related, and psychometric variables (BDI-II for depression, GAD-7 for anxiety, and PSQI for sleep) to PwE and people without epilepsy (PwoE). Regression analysis identified predictors of seizure worsening.Results: We collected responses from 456 PwE (344 females) and 472 PwoE (347 females). Outpatient examinations of PwE were postponed in 95% of cases. One-third of PwE complained of issues with epilepsy management, but only 71% of them reached the treating physician and solved their problems. PwE had worse depressive and anxiety symptoms (higher BDI-II and GAD-7 scores; p < 0.001) than PwoE. Sleep quality was equally compromised in both groups (47 and 42%). Sixty-seven PwE (18%) reported seizure worsening, which was best explained by the number of anti-seizure medications (ASM) of chronic therapy and the severity of sleep disorder.Conclusions: During the current COVID-19 pandemic, a significant percentage of PwE experienced difficulties in follow-up and a seizure number increase, in particular those chronically taking more ASMs and with poor sleep quality. This dramatic experience outlines the urgent need for validation and implementation of telemedicine services for epileptic patients in order to provide regular follow-up.
    Keywords epilepsy ; COVID-19 ; sleep ; depression ; anxiety ; Neurology. Diseases of the nervous system ; RC346-429 ; covid19
    Subject code 616
    Language English
    Publishing date 2020-07-01T00:00:00Z
    Publisher Frontiers Media S.A.
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  5. Book ; Online: Table_1_Epilepsy Care in the Time of COVID-19 Pandemic in Italy

    Giovanni Assenza / Jacopo Lanzone / Francesco Brigo / Antonietta Coppola / Giancarlo Di Gennaro / Vincenzo Di Lazzaro / Lorenzo Ricci / Andrea Romigi / Mario Tombini / Oriano Mecarelli

    Risk Factors for Seizure Worsening.docx

    2020  

    Abstract: ... of people with epilepsy (PwE) and identifying PwE risk factors for seizure worsening to direct telemedicine ... to the COVID-19 pandemic. Medical care of chronic neurological diseases, such as epilepsy, is being sorely ... neglected. In this national survey, we aimed at understanding the impact of COVID-19 lockdown on the care ...

    Abstract Objective: In early 2020, Italy struggled with an unprecedented health emergency related to the COVID-19 pandemic. Medical care of chronic neurological diseases, such as epilepsy, is being sorely neglected. In this national survey, we aimed at understanding the impact of COVID-19 lockdown on the care of people with epilepsy (PwE) and identifying PwE risk factors for seizure worsening to direct telemedicine efforts. Methods: We administered a 48-items online survey (published on April 11, 2020) including socio-demographic, epilepsy-related, and psychometric variables (BDI-II for depression, GAD-7 for anxiety, and PSQI for sleep) to PwE and people without epilepsy (PwoE). Regression analysis identified predictors of seizure worsening. Results: We collected responses from 456 PwE (344 females) and 472 PwoE (347 females). Outpatient examinations of PwE were postponed in 95% of cases. One-third of PwE complained of issues with epilepsy management, but only 71% of them reached the treating physician and solved their problems. PwE had worse depressive and anxiety symptoms (higher BDI-II and GAD-7 scores; p < 0.001) than PwoE. Sleep quality was equally compromised in both groups (47 and 42%). Sixty-seven PwE (18%) reported seizure worsening, which was best explained by the number of anti-seizure medications (ASM) of chronic therapy and the severity of sleep disorder. Conclusions: During the current COVID-19 pandemic, a significant percentage of PwE experienced difficulties in follow-up and a seizure number increase, in particular those chronically taking more ASMs and with poor sleep quality. This dramatic experience outlines the urgent need for validation and implementation of telemedicine services for epileptic patients in order to provide regular follow-up.
    Keywords Neurology and Neuromuscular Diseases ; Neurogenetics ; epilepsy ; COVID-19 ; sleep ; depression ; anxiety ; covid19
    Subject code 310
    Publishing date 2020-07-03T11:14:34Z
    Publishing country uk
    Document type Book ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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