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Research ArticleOriginal Article
Open Access

Health related quality of life in a Saudi population of patients with epilepsy

Alaa Eskandrani, Eman Almusallam, Asmaa Alenizi, Safiyyah Asiri, Fawziah Bamogaddam, Majed Alhameed and Mubarak M. Aldosari
Neurosciences Journal October 2023, 28 (4) 234-242; DOI: https://doi.org/10.17712/nsj.2023.4.20230026
Alaa Eskandrani
From Epilepsy Department, National Neuroscience Institution, King Fahd Medical City, Riyadh, Saudi Arabia. Riyadh, Kingdom of Saudi Arabia
MBBS
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  • ORCID record for Alaa Eskandrani
  • For correspondence: [email protected]
Eman Almusallam
From Epilepsy Department, National Neuroscience Institution, King Fahd Medical City, Riyadh, Saudi Arabia. Riyadh, Kingdom of Saudi Arabia
MBBS
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Asmaa Alenizi
From Epilepsy Department, National Neuroscience Institution, King Fahd Medical City, Riyadh, Saudi Arabia. Riyadh, Kingdom of Saudi Arabia
MBBS
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Safiyyah Asiri
From Epilepsy Department, National Neuroscience Institution, King Fahd Medical City, Riyadh, Saudi Arabia. Riyadh, Kingdom of Saudi Arabia
MBBS
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Fawziah Bamogaddam
From Epilepsy Department, National Neuroscience Institution, King Fahd Medical City, Riyadh, Saudi Arabia. Riyadh, Kingdom of Saudi Arabia
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Majed Alhameed
From Epilepsy Department, National Neuroscience Institution, King Fahd Medical City, Riyadh, Saudi Arabia. Riyadh, Kingdom of Saudi Arabia
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Mubarak M. Aldosari
From Epilepsy Department, National Neuroscience Institution, King Fahd Medical City, Riyadh, Saudi Arabia. Riyadh, Kingdom of Saudi Arabia
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Article Figures & Data

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    Figure 1

    - Distribution of RAND-36 scores of quality of life in patient vs. control groups.

Tables

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    Table 1

    - Sociodemographics of the studied population

    VariablesTotalGroupP-value
    Patient n (%)Control
    Age
    Min-Max18-6518-6518-59<0.001a
    Mean±SD31.06±8.628.03±8.033.93±8.2
    Total210(100)102(48.6)108(51.4)-
    Gender
    Male104 (49.5)57 (55.9)47 (43.5)0.073
    Female106 (50.5)45 (44.1)61 (56.5)
    Marital status
    Single86 (41.0)56 (54.9)30 (27.8)<0.001b
    Married120 (57.1)44 (43.1)76 (70.4)
    Divorced4 (1.9)2 (2.0)2 (1.9)
    Employment
    Student/school14(6.7)11(10.8)3(2.8)<0.001b
    Student/collage28(13.3)19(18.6)9(8.3)
    Employed126(60.0)44(43.1)82(75.9)
    Unemployed39(18.6)27(26.5)12(11.1)
    Retired3(1.4)1(1.0)2 (1.9)
    Education
    Elementary school2(1.0)2(2.0)0(0.0)<0.001b
    Intermediate school3(1.4)3(2.9)0(0.0)
    High school59(28.1)47(46.1)12(11.1)
    Diploma18(8.6)6(5.9)12(11.1)
    Bachelor89(42.4)40(39.2)49(45.4)
    Master39(18.6)4(3.9)35(32.4)
    • ↵a significant when using independent t-test at <0.05,

    • ↵b significant when using Chi-Square test at <0.05

    • View popup
    Table 2

    - Clinical characteristics of the studied population. N=102 n (%)

    VariablesMin - MaxMean±SD
    Seizure onset age1 - 6016.45±9.164
    Total102 (100)
    Type of seizure
    Focal65 (63.7)
    Generalized37 (36.3)
    Focal epilepsy subtypes
    Frontal13 (12.7)
    Occipital1 (1.0)
    Parietal3 (2.9)
    Temporal37 (36.3)
    Undetermined11 (10.8)
    Duration of epilepsy
    <5 years27 (26.5)
    5-10 years28 (27.5)
    >10 years47 (46.1)
    Seizure frequency
    Daily12 (11.8)
    Weekly16 (15.7)
    Monthly37 (36.3)
    Annually34 (33.3)
    > 1 year3 (3.0)
    Seizure timing
    Anytime51 (50.0)
    Daytime23 (22.5)
    Night28 (27.5)
    Number of current ASDs
    140 (39.2)
    244 (43.1)
    >218 (17.6)
    • View popup
    Table 3

    - Comparison of RAND-36 means between patient and control groups.

    RAND-36TotalPatientControlP-value
     210102108-
    PF92.02±15.993.28±14.190.82±17.40.263
    RP76.31±37.666.67±41.485.42±31.2<0.001a
    RE71.19±41.665.03±44.877.01±37.60.038a
    VT59.47±24.159.61±27.259.34±21.00.936
    MH66.86±22.966.78±24.766.94±21.30.962
    SF76.49±26.075.25±29.277.66±22.70.506
    BP85.62±20.787.99±21.783.38±19.50.107
    GH72.18±17.368.71±19.775.46±14.10.005a
    PCS84.65±19.282.65±20.286.54±18.10.144
    MCS71.51±24.769.02±26.373.87±23.00.158
    Total73.67±17.372.68±19.474.59±15.10.429
    • ↵a Significant when using Welch’s t-test at 0.05, PF - physical functioning, BP - bodily pain, RP - role limitations due to physical health, RE - role limitations due to personal or emotional health, MH - emotional well-being or mental health, SF - social functioning, VT - vitality or energy/fatigue, GH - general health perceptions, MCS - mental component summary, PCS - physical component summary

    • View popup
    Table 4

    - RAND-36 (SF-36) domain correlations.

    CorrelationsRole limitations due to physical healthRole limitations due to emotional healthEnergy/FatigueEmotional well-beingSocial functioningPainGeneral healthHealth change
    Physical functioning
    r0.432**0.215**0.171*0.1050.270**0.206**0.310**0.198**
    p-value<0.0010.0020.0130.130<0.0010.003<0.0010.004
    N210210210210210210210210
    Role limitations due to physical health
    r 0.490**0.324**0.233**0.424**0.369**0.405**0.204**
    p-value <0.001<0.0010.001<0.001<0.001<0.0010.003
    N 210210210210210210210
    Role limitations due to emotional health
    r  0.413**0.454**0.516**0.216**0.409**0.215**
    p-value  <0.001<0.001<0.0010.002<0.0010.002
    N  210210210210210210
    Energy/fatigue
    r   0.714**0.539**0.406**0.564**0.429**
    p-value   <0.001<0.001<0.001<0.001<0.001
    N   210210210210210
    Emotional well-being
    r    0.484**0.333**0.525**0.305**
    p-value    <0.001<0.001<0.001<0.001
    N    210210210210
    Social functioning
    r     0.401**0.440**0.304**
    p-value     <0.001<0.001<0.001
    N     210210210
    Pain        
    r      0.350**0.227**
    p-value      <0.0010.001
    N      210210
    General health
    r       0.317**
    p-value       <0.001
    N       210
    • ↵** Correlation is significant at 0.01 (2-tailed),

    • ↵* Correlation is significant at 0.05 (2-tailed)

    • View popup
    Table 5

    - Correlation between patients’ personal and clinical data with different quality of life domains in the QOLIE-31 Survey.

    VariablesSeizure worryOverall quality of lifeEmotional well-beingEnergy/FatigueCognitiveMedication effectSocial functionQOLIE-31 score
    Gender
    P-value0.1210.4610.0920.028a0.6440.016a0.003a0.029a
    Marital status
    P-value0.1630.3360.3580.2550.8710.1480.0670.166
    Employment
    P-value0.8140.9840.5900.9280.9560.2430.023a0.597
    Education
    P-value0.7610.6230.5230.7050.7940.4380.0690.754
    Type of seizure
    P-value0.0920.8730.3840.4130.7780.9600.4620.824
    Duration of epilepsy
    P-value0.9530.4270.3290.7270.5170.8500.3620.358
    Number of current ASMs
    P-value0.5450.7210.7420.8130.8580.9780.4960.873
    Seizure frequency
    P-value0.1510.2530.012a0.2400.2490.7360.0980.146
    • ↵a Significant when using one-way ANOVA at <0.05,

    • b Using Games-Howell nonparametric post-hoc test, ASM - antiseizure medications

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Neurosciences Journal: 28 (4)
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Health related quality of life in a Saudi population of patients with epilepsy
Alaa Eskandrani, Eman Almusallam, Asmaa Alenizi, Safiyyah Asiri, Fawziah Bamogaddam, Majed Alhameed, Mubarak M. Aldosari
Neurosciences Journal Oct 2023, 28 (4) 234-242; DOI: 10.17712/nsj.2023.4.20230026

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Health related quality of life in a Saudi population of patients with epilepsy
Alaa Eskandrani, Eman Almusallam, Asmaa Alenizi, Safiyyah Asiri, Fawziah Bamogaddam, Majed Alhameed, Mubarak M. Aldosari
Neurosciences Journal Oct 2023, 28 (4) 234-242; DOI: 10.17712/nsj.2023.4.20230026
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