Dados do Trabalho

Name: 17º CONGRESSO BRASILEIRO DE NEUROLOGIA INFANTIL
Start: 2022-11-09
End: 2022-11-12
Location: Expo Unimed Curitiba

Título

COMPARISON BETWEEN EPILEPSY HOSPITALIZATION OF BRAZILIAN ADULT AND PEDIATRIC PATIENTS IN BRAZIL DURING THE LAST DECADE

Introdução

Epilepsy is characterized by a persistent predisposition of the brain to generate epileptic seizures, due to abnormal neuronal activity reflected as involuntary muscle movement. This disturbance may lead to important hospital admissions, which differ in prevalence based on distinct age groups.

Objetivo

To compare the prevalence of epilepsy hospital admissions between pediatric (0-19 years old) and adult patients (20-59 years old) among the Brazilian regions in a decade (2012-2021).

Métodos

Epidemiological, retrospective, descriptive study, carried out with data obtained from the Mortality Information System (SIM/SUS) and the Brazilian Institute of Geography and Statistics (IBGE). From these, the number of hospitalizations per million (pm) people of each Brazilian region per year of the period was calculated

Resultados

In 2012, the national rate of epilepsy hospitalizations per million of patients from 0 to 59 years was 232,06, with the Southern Region having the most hospitalizations (346,61) pm and the Northern, the least (149,56). That year, pediatric patients represented 54% of hospital admissions, having 345,8 cases pm within that group. The adult group, representing 46% of hospital admissions, had 166,67 pm. At the end of the period, in 2021, the national rate of epilepsy hospitalizations pm was 236,30 (an increase of 1,82%). However, the pediatric group had an increment of 15,9% in admissions (ending with 401,03 cases pm), while the adult group rate decreased by 6,3% (ending with 156,15 cases pm). For the pediatric group, the Northeastern region had an increase of 84,4% in admissions, presenting the highest expansion, while the Southern had a decrease of 8,4%. The adults had similar results, with the Northeastern admissions increasing by 31,2% and the Southern decreasing by 19%. During the decade, the prevalence ratio between the pediatric and adult groups ranged from 2,07 to 2,57 (a 23,8% increase).

Conclusões

This analysis allowed a comparison of epilepsy hospital admissions rates of the brazilian pediatric and adult population from 2012 to 2021. Although the increase in hospitalizations was small, there was an important rise in the pediatric group, especially in the Northeastern region, while the general ratio of cases in the adult group decreased. The conservation of the prevalence ratio in the 2,07-2,57 range allows the conclusion that the prevalence of pediatric epilepsy hospitalizations is 2 times higher than the adult.