创伤后癫痫:来自城市一级创伤中心的观察。

IF 3.2 Q2 CLINICAL NEUROLOGY
Daniel Kotas, Huaqing Zhao, John Turella, Willard S Kasoff
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引用次数: 0

摘要

美国每年约有 250 万例创伤性脑损伤 (TBI) 病例。创伤后癫痫(PTE)是创伤性脑损伤的一种后遗症,已被证明发生在约 15% 的创伤性脑损伤患者身上。诱发 PTE 的风险因素包括严重的创伤性脑损伤和头部穿透伤。PTE 与功能障碍、负面社会因素增加和精神疾病有关。我们在城市一级创伤中心进行了一项为期 5 年的回顾性病历审查。我们确定了与创伤性脑损伤相关的 ICD-10-CM 编码患者。根据是否存在与 PTE 相关的代码,将患者编码为伴有或不伴有 PTE 的 TBI。收集的数据点包括 PTE 的风险因素和与神经科医生的接触情况。共确认了 1886 名创伤性脑损伤患者,其中 178 人(9.44%)被归类为创伤性脑损伤伴有 PTE。与 PTE 相关的最重要风险因素是严重脑损伤,其几率比 (OR) 为 2.955(95% CI [2.062,4.236];P < 0.0001)。178 名患者中只有 19 人(10.7%)在创伤后 6 个月后去看了神经科医生。我们的研究结果表明,PTE 患者人数众多,需要更好的随访。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Post-Traumatic Epilepsy: Observations from an Urban Level 1 Trauma Center.

There are approximately 2.5 million cases of traumatic brain injury (TBI) in the U.S. each year. Post-traumatic epilepsy (PTE), a sequela of TBI, has been shown to occur in approximately 15% of TBI patients. Pre-disposing risk factors for the development of PTE include severe TBI and penetrating head injury. PTE is associated with poor functional outcomes, increased negative social factors, and mental illness. We conducted a retrospective chart review with a 5-year timeframe at an urban Level 1 Trauma Center. Patients with ICD-10-CM codes associated with TBI were identified. Patients were coded as TBI with or without PTE by the presence of codes associated with PTE. Datapoints collected included risk factors for PTE and encounters with neurologists. A total of 1886 TBI patients were identified, with 178 (9.44%) classified as TBI with PTE. The most significant risk factor associated with PTE was severe brain injury, with an odds ratio (OR) of 2.955 (95% CI [2.062,4.236]; p < 0.0001). Only 19 of 178 patients (10.7%) visited a neurologist beyond 6 months after TBI. Our results suggest the presence of a significant population of patients with PTE and the need for better follow-up.

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来源期刊
Neurology International
Neurology International CLINICAL NEUROLOGY-
CiteScore
3.70
自引率
3.30%
发文量
69
审稿时长
11 weeks
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