对来自紧急医疗服务数据的 6534 例癫痫发作急诊病例进行基于人群的分析。
IF 3.9
3区 医学
Q1 CLINICAL NEUROLOGY
引用次数: 0
摘要
导言：癫痫发作是呼叫救护车的常见原因，本研究旨在根据发病率、入院率和成本分析院前环境中癫痫发作的负担：这是一项基于人群的横断面院前急救医疗服务（EMS）数据分析，分析对象为2019年德国黑森州的疑似癫痫发作病例：共发现 6534 例疑似癫痫发作病例，其中大多数为已知癫痫发作疾病患者。癫痫相关发作（ES；小儿癫痫、首次发作[1stS]、已知有癫痫发作障碍的发作[SEPI]）的发病率为每10万居民205.7例，小儿发热性发作（PFS）的发病率为每10万居民36.7例，相当于171275例ES和28500例PFS（99.3% 结论：该研究发现了大量疑似癫痫发作病例，其中大部分为已知有癫痫发作障碍的病例：这项研究发现，在德国，疑似癫痫发作相关急诊病例的数量和入院患者的比例都很高，相关费用也很高。本文章由计算机程序翻译，如有差异，请以英文原文为准。
Population-Based Analysis of 6534 Seizure Emergency Cases from Emergency Medical Services Data.
Introduction: Seizures are common reasons to call an ambulance, and this study aims to analyze the burden of seizures in the prehospital setting based on incidence, hospital admission rate, and costs.
Methods: This was a population-based, cross-sectional analysis of prehospital emergency medical services (EMS) data on suspected seizure cases from the federal state of Hesse, Germany, in 2019.
Results: A total of 6534 suspected seizure cases were identified, of which most were those with a known seizure disorder. Incidence rate for epilepsy-related seizures (ES; pediatric epilepsy, first seizure [1stS], seizure with known seizure disorder [SEPI]) was 205.7 per 100,000 inhabitants and incidence rate for pediatric febrile seizures (PFS) was 36.7 per 100,000 inhabitants, corresponding to 171,275 ES and 28,500 PFS (99.3% < 18 years) cases in Germany. A prehospital EMS physician was involved in 40.0% (SEPI) to 54.4% (PFS) of suspected seizure cases. Depending on the type of seizure, 70.7% (SEPI) to 80.9% (1stS) were admitted to hospital for inpatient stay of ≥ 24 h. An additional 4% (PFS) to 16% (1stS) of cases needed immediate intervention at hospital. Prehospital EMS staff needed 8:24 min:s (SD 7:24; n = 5004) after the emergency call to arrive at the scene of the ES and 10:58 min:s (SD 27:39; n = 321) for PFS. ES and PFS cases caused estimated costs of 48.5 and 8.1 million euros for Germany in 2019, respectively, not including hospital treatment-related costs.
Conclusion: This study identified a high number of suspected seizure-related emergency cases and proportion of patients admitted to hospitals, as well as high associated costs in Germany.
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来源期刊
Neurology and Therapy
CLINICAL NEUROLOGY-
CiteScore
5.40
自引率
8.10%
发文量
103
审稿时长
6 weeks
期刊介绍：
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Neurology and Therapy aims to provide reliable and inclusive, rapid publication for all therapy related research for neurological indications, supporting the timely dissemination of research with a global reach, to help advance scientific discovery and support clinical practice.
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