Post-Traumatic Epilepsy: Observations from an Urban Level 1 Trauma Center

被引:0
|
作者
Kotas, Daniel [1 ]
Zhao, Huaqing [2 ,3 ]
Turella, John [3 ]
Kasoff, Willard S. [1 ]
机构
[1] Temple Univ, Lewis Katz Sch Med, Dept Neurosci, Philadelphia, PA 19140 USA
[2] Temple Univ, Lewis Katz Sch Med, Dept Biomed Educ & Data Sci, Philadelphia, PA 19140 USA
[3] Temple Univ, Ctr Biostat & Epidemiol, Lewis Katz Sch Med, Philadelphia, PA 19140 USA
来源
NEUROLOGY INTERNATIONAL | 2024年 / 16卷 / 04期
关键词
post-traumatic epilepsy; traumatic brain injury; follow-up; BRAIN-INJURY; RISK-FACTORS; HEAD-INJURY; EPIDEMIOLOGY; SEIZURES;
D O I
10.3390/neurolint16040063
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
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.
引用
收藏
页码:845 / 852
页数:8
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