Bautista Ramon Edmundo D, Wludyka Peter
Comprehensive Epilepsy Program, Department of Neurology, University of Florida Health Sciences Center/Jacksonville, 580 West Eighth Street, Tower One, Ninth Floor, Jacksonville, FL 32209, USA.
Epilepsy Behav. 2006 Dec;9(4):625-31. doi: 10.1016/j.yebeh.2006.08.020. Epub 2006 Oct 6.
The goal of the work described here was to determine the prevalence of driving and associated variables among patients followed at a level 4 epilepsy center.
A survey was mailed out to patients seen at the University of Florida/Jacksonville Comprehensive Epilepsy Program.
The study population comprised 308 respondents. Nearly 20% of patients with poorly controlled seizures continued to drive. Although several demographic and clinical variables were associated with driving, on univariate analysis, using multiple logistic regression, being employed, not receiving disability benefits, having less frequent seizures, and taking fewer antiepileptic drugs were the variables independently associated with driving. A subset analysis of patients with poorly controlled seizures indicated that being employed was still an independent factor associated with driving, along with higher annual household income and absence of convulsions and waking seizures.
A significant number of patients with poorly controlled seizures drive. Being employed is a major reason these patients continue to drive.
本文所述工作的目标是确定在一家四级癫痫中心接受随访的患者中驾驶及相关变量的患病率。
向在佛罗里达大学/杰克逊维尔综合癫痫项目就诊的患者邮寄了一份调查问卷。
研究人群包括308名受访者。癫痫发作控制不佳的患者中近20%仍在开车。尽管几个人口统计学和临床变量与驾驶有关，但单因素分析显示，使用多元逻辑回归，就业、未领取残疾福利、癫痫发作频率较低以及服用抗癫痫药物较少是与驾驶独立相关的变量。对癫痫发作控制不佳的患者进行的亚组分析表明，就业仍然是与驾驶相关的独立因素，此外还有较高的家庭年收入以及无惊厥和清醒期癫痫发作。
相当数量的癫痫发作控制不佳的患者仍在开车。就业是这些患者继续开车的主要原因。
