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Avoidable epilepsy-related mortality remains high

A nationwide population-based study of secular trends in adult epilepsy-related and potentially avoidable mortality in Scotland demonstrated that (avoidable) epilepsy-related deaths (EPRDs) remain common, particularly in young adults [1]. Despite treatment advances, mortality in epilepsy has not been reduced over time.

The national burden of avoidable EPRDs in adults ≥16 years in Scotland was quantified. The study had a retrospective, sequential cross-sectional design. The 2016 Office for National Statistics’ Revised Definition of Avoidable Mortality Causes was used to identify potentially avoidable EPRDs.

International Classification of Disease (ICD-10) G40-41-coded causes of death had the highest positive predictive values for epilepsy diagnosis, at 93%. G40-41 captured 2,149 EPRDs, 1,276 (59%) of which had ≥1 seizure-/epilepsy-related hospital admission during 2009–2016. However, only 516 (24%) of these patients visited a neurology clinic during ...

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