Mel and Enid Zuckerman College of Public Health, University of Arizona, Tucson, AZ, USA.
Epilepsy Behav. 2011 Aug;21(4):382-6. doi: 10.1016/j.yebeh.2011.05.027. Epub 2011 Jul 2.
The aim of this study was to describe the epidemiology of epilepsy and characteristics of patients with seizures who presented at the Yuma Regional Medical Center Emergency Department (YRMC ED) from 2005 to 2008. A seizure diagnosis was present in 2.7% of the patients, and accounted for 1.7% of all ED visits. Visits by patients identified as having epilepsy accounted for 0.3% of all ED visits. Patients with seizures were 2.8 times more likely to have used the ED for 2 or more years of the study period compared with control patients. Patients with at least one ED visit because of seizures were more likely to have multiyear visits, 43.6% visiting the ED within 2 or more years. Patients with epilepsy and seizures were significantly younger than the no-seizure control group. Patients who had ever been admitted to the ED for seizures or epilepsy had higher ED utilization even if the subsequent admissions were not seizure related.
本研究旨在描述 2005 年至 2008 年于尤马地区医疗中心急诊部（YRMC ED）就诊的癫痫患者的流行病学和发作特征。在患者中，有 2.7%被诊断为癫痫，占所有 ED 就诊的 1.7%。被诊断为癫痫的患者就诊量占所有 ED 就诊量的 0.3%。与对照组相比，在研究期间有 2 年或以上就诊经历的癫痫患者到 ED 的可能性高出 2.8 倍。至少因癫痫发作而有一次 ED 就诊的患者更有可能在 2 年内再次就诊，43.6%的患者在 2 年内再次就诊。癫痫发作患者的年龄明显小于无癫痫发作的对照组。即使后续就诊与癫痫无关，曾经因癫痫或癫痫发作而住院的患者也会有更高的 ED 就诊率。
