Patients' experiences of injury as a result of epilepsy
Patients' experiences of injury as a result of epilepsy
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DOI：
10.1111/j.1528-1157.1997.tb01733.x
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发表时间：
1997-04-01
期刊：
影响因子：
5.6
通讯作者：
Chadwick, DW
中科院分区：
文献类型：
--
作者：
Buck, D;Baker, GA;Chadwick, DW
目的：癫痫患者死亡风险的增加已得到充分证明；癫痫患者比一般人群更有可能死于事故。尽管非致命事故比致命伤害更常见，但有关非致命事故发生率及其相关因素的数据并不容易获得。我们报告了在癫痫发作期间遭受各种伤害的人的比例和预测伤害的关键变量。方法：邮寄问卷给未选定的社区癫痫患者。问卷包括临床和人口统计细节，先前验证的社会心理健康量表，以及有关癫痫相关伤害的问题。结果：在过去一年中至少有一次癫痫发作的患者中，24%的患者至少有一次头部损伤，16%的患者有烧伤或烫伤，10%的患者有牙齿损伤，6%的患者有其他骨折。发作类型、发作严重程度和发作频率是持续至少这四种发作相关损伤之一的关键预测因素。烧伤/烫伤的主要预测因素为癫痫发作严重程度、发作频率和性别；头部损伤者癫痫发作的严重程度和类型；牙损伤为癫痫发作严重程度；其他骨折患者癫痫发作的严重程度、癫痫持续时间以及三种或三种以上药物相关不良反应。结论：这些数据有助于识别与癫痫相关损伤相关的重要危险因素，从而为如何将此类损伤的风险降至最低提供明智的患者咨询。
Purpose: The increased risk of mortality among people with epilepsy is well documented; people with epilepsy are more likely than the general population to die as a result of an accident. Data about incidence of nonfatal accidents and associated factors are not so readily available, even though such accidents are more common than fatal injuries. We report the proportion of people who sustain various injuries during a seizure and the key variables predicting injury.Methods: Questionnaires were mailed to an unselected, community-based population of patients with epilepsy. The questionnaire included clinical and demographic details, previously validated scales of psychosocial well-being, and questions about seizure-related injuries.Results: Of patients who had had at least one seizure during the previous year, 24% sustained at least one head injury, 16% sustained a burn or scald, 10% a dental injury, and 6% some other fracture. Seizure type, seizure severity, and seizure frequency were key predictors of having sustained at least one of these four seizure-related injuries. Key predictors of burn/scald were seizure severity, seizure frequency and sex; those of head injury were seizure severity and type; that of dental injury was seizure severity; and those of some other fracture were seizure severity, duration of epilepsy, and three or more drug-related adverse effects.Conclusions: These data help identify significant risk factors associated with seizure-related injuries and so facilitate sensible patient counseling about how the risks of such injuries can be minimized.