Factors Associated with Abnormal Electroencephalogram Findings in Children with Suspected Epilepsy: A Cross-sectional Study from Southern Vietnam
| Author | Tho Kieu Anh Pham | en |
| Author | Phong Chi Luu | en |
| Author | Lap Gia Nguyen | en |
| Author | Khang Duc Huynh | en |
| Author | Vi Co Kieu | en |
| Author | Linh Huynh Khanh Nguyen | en |
| Orcid | Tho Kieu Anh Pham [0000-0002-0917-1805] | en |
| Orcid | Phong Chi Luu [0009-0002-3824-5065] | en |
| Orcid | Lap Gia Nguyen [0009-0004-9208-3022] | en |
| Orcid | Khang Duc Huynh [0009-0009-4809-9445] | en |
| Orcid | Vi Co Kieu [0009-0007-9566-6698] | en |
| Orcid | Linh Huynh Khanh Nguyen [0009-0009-6828-9158] | en |
| Issued Date | 2026-08-31 | en |
| Abstract | Background: Electroencephalography (EEG) is a cornerstone in the evaluation of children with suspected epilepsy; however, its diagnostic yield is variable and context-dependent, particularly in resource-limited settings. Objectives: This study aimed to identify demographic and clinical factors associated with abnormal EEG findings in children presenting with suspected epilepsy at a tertiary pediatric hospital in Southern Vietnam. Methods: A descriptive cross-sectional study with analytical components was conducted at Can Tho Children’s Hospital from May to August 2024. A total of 182 children aged 2 months to 16 years with clinically suspected epilepsy who underwent EEG were enrolled. Complete blood count data were available for 178 children. Participants were categorized based on normal or abnormal EEG findings. Demographic characteristics, clinical history, and laboratory parameters were collected. Multivariable logistic regression analysis was used to identify independent predictors of abnormal EEG findings. Results: The median age was 45 months (IQR, 17.25 - 96), and 53.8% of participants were female. Abnormal EEG findings were observed in 99 children (54.4%). Independent predictors of abnormal EEG findings were a history of neurological disorders (adjusted odds ratio [aOR] = 2.92; 95% CI, 1.37 - 6.52) and age 3 - Conclusions: Abnormal EEG findings were strongly associated with older age (≥3 years) and a history of neurological disorders. EEG yield was lower in younger children and those with febrile seizures. These findings support age-specific, context-aware use of EEG to optimize diagnostic precision. | en |
| DOI | https://doi.org/10.5812/jcp-170070 | en |
| URI | https://brieflands.com/journals/jcp/articles/170070 | en |
| Keyword | Electroencephalography | en |
| Keyword | Epilepsy | en |
| Keyword | Pediatrics | en |
| Keyword | Seizures | en |
| Keyword | Vietnam | en |
| Publisher | Brieflands | en |
| Title | Factors Associated with Abnormal Electroencephalogram Findings in Children with Suspected Epilepsy: A Cross-sectional Study from Southern Vietnam | en |
| Type | Research Article | en |
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