Current Situation of Treatment and Follow-up Re-examination of Children with Epilepsy at Vietnam National Children’s Hospital

Tran Thi Huyen, Cao Vu Hung, Tran Van Hoc, Nguyen Danh Ngon

Main Article Content

Abstract

Purpose: To assess treatment compliance and follow-up appointment of children with epilepsy at Vietnam National Children’s Hospital in 2019.


Methods: A cross-sectional descriptive study was conducted on pediatric patients and primary caregivers came for examination and treatment at the Neurology Department, Vietnam National Children’s Hospital from January 2019 to December 2019.


Results: Mean age was 74.3 ± 45.1 (month age). The most common age group was the 2-6 year old group (40.5%), the lower rate was the 6-12 year old group (30.0%), and rest groups was the low rate. The male: female ratio is 1.43:1. Most of the main caregivers are parents (92.5%). Average treatment time was 20.4 ± 15.7 months, the rate of good adherence to treatment 43.5%, 31.5% of children had  moderated adhering to treatment and 25.0% had poor adhering to treatment. Within 6 months, 40.5% of children re-examined on time. The reasons for not complying with on-time re-examination were mainly due to the caregiver's busy work or the child was busy at school (37.8%) and the distance from home to hospital (26.1%).


Conclusions: The percentage of patients who complied with treatment and re-examination is not high. Factors that were statistically significant for children's non-compliance are health insurance level, age of onset, duration of treatment, and frequency of attacks following treatment.

Article Details

Keywords

Treatment compliance, re-examination, epilepsy, children

References

[1] Tuan TD. Assessment of treatment compliance and follow-up appointment for children with epilepsy at the Children's Hospital No.1. Journal of Medicine in Ho Chi Minh City 2016;20(1):172-179. (in Vietnamese)
[2] Ferrari CM, Cardoso de Sousa RM, Castro LH. Factors associated with treatment non-adherence in patients with epilepsy in Brazil. Seizure 2013;22(5):384-389.
https://doi.org/10.1016/j.seizure.2013.02.006
[3] Cramer JA, Glassman M, Rienzi V. The relationship between poor medication compliance and seizures. Epilepsy Behav 2002;3(4):338-342. https://doi.org/10.1016 /s1525-5050(02)00037-9
[4] World Health Organization. Adherence to long-term therapies: evidence for action. Geneva; 2003, p. 81-87.
[5] Shope JT. Medication compliance. Pediatric Clinics of North America 1981;28:5-21.
[6] Deogratias M, Katabalo. Determinants of adherence to anticonvulsants and compliance health psychology - Processes and Applications. London, Chapman & Hall; 2015, p. 74-102.
[7] Liu L, Yiu CH, Yen DJ et al. Medication education for patients with epilepsy in Taiwan. Seizure 2003;12(7):473-477.