Seizure-related motor vehicle crashes in Arizona before and after reducing the driving restriction from 12 to 3 months.
Seizure-related motor vehicle crashes in Arizona before and after reducing the driving restriction from 12 to 3 months.
复制标题
亚利桑那州将驾驶限制从 12 个月减少到 3 个月前后发生了与癫痫相关的机动车事故。
作者：
J. Drazkowski;R. Fisher;J. Sirven;B. Demaerschalk;L. Uber;J. Hentz;D. Labiner
客观化
评估将亚利桑那州的无癫痫发作间隔从12个月改为3个月是否会影响与癫痫发作有关的机动车撞车事故数量。
方法
我们在亚利桑那州进行了一项时间趋势研究，分析了亚利桑那州3年前(1991-1993)和3年后(1994-1996)的机动车碰撞报告，无癫痫发作的间隔从12个月减少到3个月。与癫痫发作、其他医疗条件和其他非医疗事故有关的机动车撞车事故数量在法律修改前后进行了比较。报告还报告了其他人口趋势，包括人口增长、登记车辆和登记司机。
结果
在法律修改前的三年和法律修改后的三年里，与癫痫有关的撞车事故分别从125起增加到136起。与癫痫相关的撞车事故的总发生率并没有基于发病率差异-0.03/10(9)英里(95%可信区间[CI]，-0.30至0.24)和相对风险0.98(95%可信区间，0.77至1.24)而增加。在同一时间间隔内，与其他医疗条件有关的撞车事故分别从288起增加到310起，发生率差异为-0.09/10(9)英里(95%CI，-0.51至033)，相对风险为0.97(95%CI，0.82至1.13)。在同一时期，与扣押有关的撞车事故造成的死亡人数有所下降，而多起车辆相撞事故的数量则有所增加。
结论
在亚利桑那州，癫痫发作相关撞车的发生率在无癫痫发作间隔从12个月减少到3个月后没有明显增加。
OBJECTIVE
To evaluate whether changing the seizure-free interval in Arizona from 12 months to 3 months affected the number of seizure-related motor vehicle crashes.
METHODS
We performed a time trend study with analysis of motor vehicle crash reports in the state of Arizona 3 years before (1991-1993) and 3 years after (1994-1996) the seizure-free interval was decreased from 12 to 3 months. The number of motor vehicle crashes related to seizures, other medical conditions, and other nonmedical crashes was compared before and after the law changed. Other population trends, including population growth, registered vehicles, and registered drivers, are also reported.
RESULTS
Seizure-related crashes increased from 125 to 136 for the 3 years before and 3 years after the law changed, respectively. The total rate of seizure-related crashes did not increase on the basis of an incidence rate difference of -0.03/10(9) miles (95% confidence interval [CI], -0.30 to 0.24) and a relative risk of 0.98 (95% CI, 0.77 to 1.24). Over the same time interval, crashes related to other medical conditions increased from 288 to 310, respectively, for an incidence rate difference of -0.09/10(9) miles (95% CI, -0.51 to 033) and a relative risk of 0.97 (95% CI, 0.82 to 1.13). Fatalities due to seizure-related crashes decreased during the same period, whereas the number of multiple vehicle crashes increased.
CONCLUSION
The rate of seizure-related crashes did not significantly increase in the state of Arizona after the seizure-free interval was reduced from 12 to 3 months.