Post-Traumatic Epilepsy: Observations from an Urban Level 1 Trauma Center
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作者:
Kotas, Daniel
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Temple Univ, Lewis Katz Sch Med, Dept Neurosci, Philadelphia, PA 19140 USATemple Univ, Lewis Katz Sch Med, Dept Neurosci, Philadelphia, PA 19140 USA
Kotas, Daniel
[1
]
Zhao, Huaqing
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机构:
Temple Univ, Lewis Katz Sch Med, Dept Biomed Educ & Data Sci, Philadelphia, PA 19140 USA
Temple Univ, Ctr Biostat & Epidemiol, Lewis Katz Sch Med, Philadelphia, PA 19140 USATemple Univ, Lewis Katz Sch Med, Dept Neurosci, Philadelphia, PA 19140 USA
Zhao, Huaqing
[2
,3
]
Turella, John
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机构:
Temple Univ, Ctr Biostat & Epidemiol, Lewis Katz Sch Med, Philadelphia, PA 19140 USATemple Univ, Lewis Katz Sch Med, Dept Neurosci, Philadelphia, PA 19140 USA
Turella, John
[3
]
Kasoff, Willard S.
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Temple Univ, Lewis Katz Sch Med, Dept Neurosci, Philadelphia, PA 19140 USATemple Univ, Lewis Katz Sch Med, Dept Neurosci, Philadelphia, PA 19140 USA
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
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.
机构:
Chi Mei Med Ctr, Dept Chinese Med, Tainan, Taiwan
Natl Sun Yat Sen Univ, Dept Postbaccalaureate Med, Kaohsiung 813414, TaiwanChi Mei Med Ctr, Dept Chinese Med, Tainan, Taiwan
Kuo, Jinn-Rung
Su, Bei-Yi
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机构:
Chung Shan Med Univ, Dept Psychol, Taichung, Taiwan
Chung Shan Med Univ Hosp, Clin Psychol Room, Taichung, TaiwanChi Mei Med Ctr, Dept Chinese Med, Tainan, Taiwan
机构:
Interregional Department of Paroxysmal States No. 2, City Clinical Hospital No. 12, Moscow
Department of Neurorehabilitation No. 2, City Clinical Hospital No. 12, MoscowPirogov Russian National Research Medical University, Moscow
Kaimovskii I.L.
Lebedeva A.V.
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Pirogov Russian National Research Medical University, MoscowPirogov Russian National Research Medical University, Moscow
Lebedeva A.V.
Mutaeva R.Sh.
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Interregional Department of Paroxysmal States No. 2, City Clinical Hospital No. 12, MoscowPirogov Russian National Research Medical University, Moscow
Mutaeva R.Sh.
Gorshkov K.M.
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Department of Neurorehabilitation No. 2, City Clinical Hospital No. 12, MoscowPirogov Russian National Research Medical University, Moscow
Gorshkov K.M.
Krylov V.V.
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机构:
Sklifosovskii Research Institute of First Aid, MoscowPirogov Russian National Research Medical University, Moscow
Krylov V.V.
Talypov A.E.
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Sklifosovskii Research Institute of First Aid, MoscowPirogov Russian National Research Medical University, Moscow
Talypov A.E.
Puras Yu.V.
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机构:
Sklifosovskii Research Institute of First Aid, MoscowPirogov Russian National Research Medical University, Moscow
Puras Yu.V.
Trifonov I.S.
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机构:
Sklifosovskii Research Institute of First Aid, MoscowPirogov Russian National Research Medical University, Moscow
机构:
Zunyi Med Univ, Dept Neurol, Affiliated Hosp, Zunyi, Peoples R China
Chuantou Xichang Hosp, Sichuan Prov Peoples Hosp Med Grp, Xichang, Peoples R ChinaZunyi Med Univ, Dept Neurol, Affiliated Hosp, Zunyi, Peoples R China
Fang, Mingzhu
Liu, Wanyu
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机构:
Zunyi Med Univ, Dept Neurol, Affiliated Hosp, Zunyi, Peoples R ChinaZunyi Med Univ, Dept Neurol, Affiliated Hosp, Zunyi, Peoples R China
Liu, Wanyu
Tuo, Jinmei
论文数: 0引用数: 0
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机构:
Zunyi Med Univ, Dept Neurol, Affiliated Hosp, Zunyi, Peoples R China
Zunyi Med Univ, Dept Nursing, Affiliated Hosp, Zunyi, Peoples R China
Zunyi Med Univ, Collaborat Innovat Ctr Tissue Damage Repair & Rege, Zunyi, Peoples R ChinaZunyi Med Univ, Dept Neurol, Affiliated Hosp, Zunyi, Peoples R China
Tuo, Jinmei
Liu, Mei
论文数: 0引用数: 0
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机构:
Zunyi Med Univ, Dept Neurol, Affiliated Hosp, Zunyi, Peoples R China
Zunyi Med Univ, Collaborat Innovat Ctr Tissue Damage Repair & Rege, Zunyi, Peoples R ChinaZunyi Med Univ, Dept Neurol, Affiliated Hosp, Zunyi, Peoples R China
Liu, Mei
Li, Fangjing
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Zunyi Med Univ, Dept Neurol, Affiliated Hosp, Zunyi, Peoples R ChinaZunyi Med Univ, Dept Neurol, Affiliated Hosp, Zunyi, Peoples R China
Li, Fangjing
Zhang, Lijia
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Zunyi Med Univ, Dept Neurol, Affiliated Hosp, Zunyi, Peoples R ChinaZunyi Med Univ, Dept Neurol, Affiliated Hosp, Zunyi, Peoples R China
Zhang, Lijia
Yu, Changyin
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机构:
Zunyi Med Univ, Dept Neurol, Affiliated Hosp, Zunyi, Peoples R China
Zunyi Med Univ, Collaborat Innovat Ctr Tissue Damage Repair & Rege, Zunyi, Peoples R ChinaZunyi Med Univ, Dept Neurol, Affiliated Hosp, Zunyi, Peoples R China
Yu, Changyin
Xu, Zucai
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机构:
Zunyi Med Univ, Dept Neurol, Affiliated Hosp, Zunyi, Peoples R China
Zunyi Med Univ, Collaborat Innovat Ctr Tissue Damage Repair & Rege, Zunyi, Peoples R ChinaZunyi Med Univ, Dept Neurol, Affiliated Hosp, Zunyi, Peoples R China
机构:
Univ Calif San Francisco, Dept Neurol Surg, Epilepsy Res Lab, San Francisco, CA USAUniv Calif San Francisco, Dept Neurol Surg, Epilepsy Res Lab, San Francisco, CA USA
Hunt, Robert F.
Boychuk, Jeffery A.
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机构:
Univ Kentucky, Coll Med, Dept Physiol, Lexington, KY 40536 USAUniv Calif San Francisco, Dept Neurol Surg, Epilepsy Res Lab, San Francisco, CA USA
Boychuk, Jeffery A.
Smith, Bret N.
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机构:
Univ Kentucky, Coll Med, Dept Physiol, Lexington, KY 40536 USA
Univ Kentucky, Spinal Cord & Brain Injury Res Ctr, Lexington, KY 40536 USAUniv Calif San Francisco, Dept Neurol Surg, Epilepsy Res Lab, San Francisco, CA USA