Table 3.
Person- years | Epilepsy cases | Incidence rate/1000 person-years (95% CI) | HR (95% CI) | P | |
---|---|---|---|---|---|
Perinatal Characteristics | |||||
Sex | |||||
- Females | 381 | 5 | 13.1 (5.5 – 31.6) | - | |
- Males | 444 | 8 | 18.0 (9.0 – 36.1) | 1.3 (0.4–4.1) | 0.6 |
Delivery Method | |||||
- Vaginal delivery | 468 | 9 | 19.2 (10.0 – 37.0) | - | |
- Cesarean section | 356 | 4 | 11.2 (4.2 – 29.9) | 0.5 (0.2–1.6) | 0.2 |
5 minute Apgar score | |||||
≥6, N(%) | 305 | 2 | 6.6 (1.6 – 26.2) | - | |
4–5, N(%) | 280 | 6 | 21.5 (9.6 – 47.8) | 2.8 (0.6 – 18.8) | |
0–3, N(%) | 238 | 5 | 21.0 (8.7 – 50.5) | 2.5 (0.5 – 12.8) | 0.4 |
Degree of encephalopathy (N = 100)* | |||||
Moderate | 305 | 1 | 3.3 (0.5 – 23.2) | - | |
Severe | 267 | 12 | 45.0 (25.5 – 79.2) | 10.7 (1.4 – 82.7) | 0.002 |
Therapeutic Hypothermia | |||||
Not treated | 774 | 11 | 14.2 (7.9 – 25.7) | ||
Treated | 51 | 2 | 39.4 (9.9 – 157.6) | 0.9 (0.2 – 4.1) | 0.8 |
Neonatal seizures (N=53)** | |||||
Clinical only | 206 | 3 | 14.6 (4.7 – 45.1) | - | |
EEG confirmed seizures | 53 | 5 | 93.5 (38.9 – 224.7) | 4.0 (0.9 – 17.3) | |
Status epilepticus | 4 | 5 | 1237.1 (514.9 – 2972.2) | 35.8 (6.5 – 196.5) | 0.0001 |
MRI injury (N = 87)§ | |||||
Mild/moderate | 434 | 5 | 11.5 (4.8 – 27.7) | - | |
Severe/near-total | 146 | 8 | 54.7 (27.4 – 109.4) | 5.5 (1.8 – 16.8) | 0.003 |
No cases of epilepsy among children with mild neonatal encephalopathy;
No cases of epilepsy among children without neonatal seizures;
No cases of epilepsy among children without injury on neonatal MRI.