Profile of childhood XXXX in Bangladesh.

@entity1 @entity410 @entity1763 @entity302
Very little is known about childhood @entity302 in Bangladesh. This study was conducted within a national @entity1 's hospital in Dhaka city to provide baseline information on diagnosis and clinical outcomes of 151 @entity1 (98 males, 53 females, age range between 2 months to 15 years, median age of 3 years). @entity1 who presented with recurrent unprovoked @entity410 were followed up in an @entity302 clinic for at least 1 year. Of presenting families, 68.3% were from middle-income and lower-income groups. A history of perinatal @entity1763 and @entity410 was present in 46.4% and 41.1% of @entity1 respectively. Generalized, partial, and unclassifiable @entity302 were found in 63.6%, 25.2%, and 11.2% respectively. Severe outcome (malignant) @entity302 syndromes were diagnosed in 14.6%. @entity302 was found in 61%. Poor cognitive development was present in 72.8% and poor adaptive behaviour in 57%. Poor @entity410 remission occurred in 50.3%. Factors most predictive of poor @entity410 remission were: multiple types of @entity410 , poor cognition at presentation, high rates of @entity410 , associated motor disability, and EEG abnormalities. The study suggests that most @entity1 presenting at tertiary hospitals for @entity410 disorders come late and with associated neurodevelopmental morbidities. Specialized services are needed closer to their homes. The process for establishing early referral and comprehensive management of childhood @entity302 in Bangladesh requires further study.
