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Epilepsy mortality trends in Cuba compared with England and Wales: 1987–2010

Suárez-Medina, Ramón; Morales-Chacón, Lilia María; Venero-Fernández, Silvia Josefina; Liu, Clarence; Fogarty, Andrew W.; Neligan, Aidan

Epilepsy mortality trends in Cuba compared with England and Wales: 1987–2010 Thumbnail


Authors

Ramón Suárez-Medina

Lilia María Morales-Chacón

Silvia Josefina Venero-Fernández

Clarence Liu

ANDREW FOGARTY ANDREW.FOGARTY@NOTTINGHAM.AC.UK
Clinical Associate Professor & Reader in Clinical Epidemiology

Aidan Neligan



Abstract

There are limited epilepsy mortality data from developing countries and Latin America in particular. We examined national epilepsy mortality data from Cuba and contrasted them with comparable data from England and Wales. National epilepsy mortality data for Cuba between the years 1987 and 2010 were obtained from the Medical Records and Health Statistics Bureau of the Cuban Public Health Ministry (www.sld.cu/sitios/dne/) with the corresponding mortality data from England and Wales obtained from the UK Office of National Statistics (ONS, www.ons.gov.uk). Indirect standardization with calculation of a standardized mortality ratio (SMR) was used to compare trends. The overall trend was of a slight decrease in mortality rates over the 23 years in Cuba, with higher mortality rates primarily occurring in young people. Annual age-adjusted rates were consistently lower in Cuba than those seen in England and Wales, with the SMR ranging from 0.35 (95% confidence interval (CI): 0.30 to 0.48) in 2007 to 1.00 (95% CI: 0.85 to 1.15) in 1994. Cuban epilepsy mortality rates are consistently lower than those of England and Wales. Reasons for this disparity in mortality rates are not immediately apparent but are likely to be multifactorial.

Citation

Suárez-Medina, R., Morales-Chacón, L. M., Venero-Fernández, S. J., Liu, C., Fogarty, A. W., & Neligan, A. (2018). Epilepsy mortality trends in Cuba compared with England and Wales: 1987–2010. Epilepsy and Behavior, 85, https://doi.org/10.1016/j.yebeh.2018.04.031

Journal Article Type Article
Acceptance Date Apr 30, 2018
Online Publication Date Jun 13, 2018
Publication Date Aug 1, 2018
Deposit Date Jul 4, 2018
Publicly Available Date Mar 28, 2024
Journal Epilepsy & Behavior
Electronic ISSN 1525-5050
Publisher Elsevier
Peer Reviewed Peer Reviewed
Volume 85
DOI https://doi.org/10.1016/j.yebeh.2018.04.031
Keywords Epilepsy; Mortality; Trends; Standardised Mortality Ratio (SMR)
Public URL https://nottingham-repository.worktribe.com/output/960883
Publisher URL https://www.sciencedirect.com/science/article/pii/S1525505018300155

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