Suboptimal anti-epilepsy drug use is common among Indigenous patients with seizures presenting to the emergency department
AuthorWilson, IB; Hawkins, S; Green, S; Archer, JS
Source TitleJournal of Clinical Neuroscience
PublisherELSEVIER SCI LTD
University of Melbourne Author/sArcher, John
AffiliationMedicine - Austin Health
Document TypeJournal Article
CitationsWilson, I. B., Hawkins, S., Green, S. & Archer, J. S. (2012). Suboptimal anti-epilepsy drug use is common among Indigenous patients with seizures presenting to the emergency department. JOURNAL OF CLINICAL NEUROSCIENCE, 19 (1), pp.187-189. https://doi.org/10.1016/j.jocn.2011.07.004.
Access StatusThis item is currently not available from this repository
C1 - Journal Articles Refereed
We aimed to explore the causes of higher than expected rates of Indigenous emergency department (ED) seizure presentations. A questionnaire was administered to adult patients presenting with seizure to an ED in Far North Queensland. Over 15 months, among 260 presentations with seizure (22% Indigenous), 50% non-Indigenous patients, and 45% Indigenous patients completed the questionnaire. Risk factors for alcohol misuse were common in both groups (50% Indigenous, 43% non-Indigenous; p = 0.50), as were rates of reported head injury (50% Indigenous, 44% non-Indigenous; p = 0.50). However, 47% Indigenous patients, compared to 19% non-Indigenous patients (p < 0.05) reported missing anti-epileptic tablets at least twice weekly, representing clinically relevant medication non-adherence. This was the first reported seizure presentation for 12% Indigenous patients and 26% non-Indigenous patients. We conclude that among ED seizure presentations, alcohol excess and prior head injury are commonly observed, in both Indigenous and non-Indigenous patients. However, Indigenous patients have higher rates of anti-convulsant non-adherence, likely contributing to ED presentations.
KeywordsAboriginal and Torres Strait Islander Health; Health Related to Specific Ethnic Groups
- Click on "Export Reference in RIS Format" and choose "open with... Endnote".
- Click on "Export Reference in RIS Format". Login to Refworks, go to References => Import References