TABLE 1.
Characteristic | Total (n = 28) | EGT (n = 8) | LGT (n = 20) |
---|---|---|---|
Gender, n (%) | |||
Male | 11 (39) | 5 (63) | 12 (60) |
Female | 17 (61) | 3 (37) | 8 (40) |
Race, n (%) | |||
White | 17 (61) | 5 (63) | 12 (60) |
Hispanic | 2 (7) | 1 (12) | 1 (5) |
Asian | 2 (7) | 1 (12) | 1 (5) |
Black/African American | 4 (14) | 1 (12) | 3 (15) |
Unknown | 3 (11) | 0 (0) | 3 (15) |
Age at seizure onset (y) | |||
Average | 1.5 | 1.3 | 1.8 |
Median | 1.0 | 1.0 | 1.0 |
Range | 0–7 | 0–4 | 0–7 |
Drug‐resistant epilepsy, n (%) | 19 (68) | 5 (63) | 14 (70) |
Time from epilepsy diagnosis to genetic diagnosis (y) | |||
Average | 5.0 | 0.25 | 7.1 |
Median | 3.0 | 0.50 | 5.0 |
Range | 0–17 | 0–1 | 2–17 |
Initial genetic test performed, n (%) | |||
MEP | 15 (53) | 7 (87) | 8 (40) |
CMA | 6 (21) | 0 (0) | 6 (30) |
Karyotype | 3 (11) | 1 (13) | 2 (10) |
Single‐gene panel | 1 (4) | 0 (0) | 1 (5) |
Other | 3 (11) | 0 (0) | 3 (15) |
Metabolic serum/urine testing, n (%) | 16 (57) | 0 (0) | 16 (80) |
Invasive procedure (LP), n (%) | 5 (18) | 0 (0) | 5 (25) |
Epilepsy‐related unscheduled hospitalizations | |||
Average | 1.9 | 1.5 | 2.0 |
Median | 1.5 | 1.0 | 1.5 |
Range | 0–12 | 0–3 | 0–12 |
Epilepsy‐related ED visits | |||
Average | 4.3 | 3.1 | 4.8 |
Median | 3.0 | 3.0 | 3.0 |
Range | 0–20 | 1–6 | 0–20 |
Clinical management changes due to MEP results, n (%) | |||
Initiation of medication | 5 (18) | 1 (13) | 4 (20) |
Discontinuation of medication | 1 (4) | 0 (0) | 1 (5) |
Avoidance of certain medication classes | 1 (4) | 1 (13) | 0 (0) |
Referral to a specialist | 3 (11) | 0 (0) | 3 (15) |
None | 18 (64) | 6 (75) | 12 (60) |
Abbreviations: CMA, chromosomal microarray; ED, emergency room; EGT, early genetic testing; LGT, late genetic testing; LP, lumbar puncture; MEP, multigene epilepsy panel.