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癫痫相关损伤与住院治疗:来自 2010 年澳大利亚癫痫纵向调查的自我报告数据。

Seizure-related injuries and hospitalizations: self-report data from the 2010 Australian Epilepsy Longitudinal Survey.

机构信息

Disability & Community Inclusion, School of Medicine, Flinders University, South Australia, Australia.

出版信息

Epilepsy Behav. 2013 Jan;26(1):7-10. doi: 10.1016/j.yebeh.2012.10.019. Epub 2012 Nov 29.

Abstract

AIM

To examine self-report data on seizure-related injuries and hospitalizations.

METHOD

We analyzed data from the 2010 Australian Epilepsy Longitudinal Survey, distributed to registrants on the Australian Epilepsy Research Register. 343 responses were received (55% response rate), providing insight into experiences of living with seizures. This article examines self-report data on injuries related to seizures and hospitalizations.

RESULTS

64% of those reporting injuries required hospital treatment. Respondents with seizure-related injuries had significantly earlier seizure onset, with risk of injury related to myoclonic and atonic seizures and currently taking 3 or more AEDs. Soft tissue injuries were the most frequently reported (85%), with 27% indicating facial injuries.

CONCLUSIONS

The high rate of hospitalizations largely for soft tissue injuries suggests that access to more appropriate care was not available. Further research into care-seeking behavior by Australians suffering injury following seizure is required. Additionally, awareness of injury risks is important for appropriate self-management of epilepsy.

摘要

目的

调查与癫痫发作相关的伤害和住院的自我报告数据。

方法

我们分析了澳大利亚癫痫纵向研究 2010 年的调查数据,该调查分发给澳大利亚癫痫研究登记处的注册人员。共收到 343 份回复(回应率为 55%),深入了解了癫痫患者的生活经历。本文检查了与癫痫发作和住院相关的自我报告数据。

结果

报告受伤的人中,有 64%需要住院治疗。有癫痫发作相关伤害的受访者癫痫发作的起始时间明显更早,发生肌阵挛和失神发作以及目前正在服用 3 种或更多抗癫痫药物的风险更高。软组织损伤是最常报告的(85%),有 27%的人表示面部受伤。

结论

大部分因软组织损伤而住院的高比例表明,无法获得更合适的治疗。需要进一步研究澳大利亚人在癫痫发作后受伤时的寻求治疗行为。此外,了解受伤风险对于癫痫的适当自我管理很重要。

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