1. Infantile epileptic spasms syndrome: a cohort study of 88 children.
- Author
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Ren, Li-Hong, Zhang, Jing, Li, Si-Xiu, Liu, Ping, Chen, Hui, and Hu, Wenguang
- Subjects
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CHILDBIRTH , *INFANTILE spasms , *PREMATURE infants , *CONFIDENCE intervals , *MAGNETIC resonance imaging , *HOSPITAL care of newborn infants , *HUMAN abnormalities , *RISK assessment , *TREATMENT effectiveness , *COMPARATIVE studies , *SEX distribution , *T-test (Statistics) , *DESCRIPTIVE statistics , *CHI-squared test , *RESEARCH funding , *INBORN errors of metabolism , *DATA analysis software , *LOGISTIC regression analysis , *ASPHYXIA neonatorum , *ODDS ratio , *LONGITUDINAL method , *FAMILY history (Medicine) , *DISEASE risk factors - Abstract
Background: This study aimed to investigate and analyze the risk factors for non-etiology-specific infantile spasms (IS) and unrelieved clinical symptoms after treatment. Methods: Eighty-eight children with IS who were treated at our hospital from March 2018 to December 2021 were included in the study. The children were divided into etiology-specific (n = 46) and nonetiology-specific (n = 42) groups, based on the diagnostic results, and remission (n = 45) and nonremission (n = 43) groups, based on clinical outcomes after treatment. The clinical data from patients in the etiology-specific and nonetiology-specific groups and the remission and nonremission groups were compared. Risk factors for non-etiology-specific IS were identified using logistic regression analysis. Results: Gender, family history, birth status, and metabolic abnormalities were significantly different between the etiology-specific and non-etiology-specific groups. Gender and metabolic abnormalities were risk factors for nonetiology-specific IS. Family history, birth status, metabolic abnormalities, and brain magnetic resonance imaging were significantly different between the remission and nonremission groups, and different etiologies were risk factors for unrelieved symptoms after treatment. Conclusion: The occurrence of nonetiology-specific IS is associated with gender and metabolic abnormalities in children. After medication, unrelieved IS symptoms are associated with etiologies. [ABSTRACT FROM AUTHOR]
- Published
- 2023
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