Sapkota Sanjeeb, Kobau Rosemarie, Pastula Daniel M, Zack Matthew M
G2S Corporation, Epilepsy Program, Division of Population Health, National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention (CDC), Mail Stop F-78, 4770 Buford Hwy, 30341 GA, United States.
Epilepsy Program, Division of Population Health, National Center for Chronic Disease Prevention and Health Promotion, CDC, Mail Stop F-78, 4770 Buford Hwy, 30341 GA, United States.
Epilepsy Behav. 2018 Feb;79:244-246. doi: 10.1016/j.yebeh.2017.11.004. Epub 2017 Dec 15.
The distribution of epilepsy types varies by age, etiology, provider diagnostic capabilities, and assessment criteria. No recent US study has examined the distribution of epilepsy types in a large, population-based sample of people with epilepsy. We used MarketScan data from January 1, 2010 through September 30, 2015, to estimate the proportion of epilepsy types among all (N=370,570) individuals diagnosed with epilepsy. We identified cases of epilepsy as individuals with at least one International Classification of Disease, 9th version (ICD-9) diagnostic code of 345.X and the use of at least one antiseizure drug described in the 2015 MarketScan Redbook. Unspecified epilepsy was more common (36.8%) than focal-localized epilepsy (24.6%), generalized convulsive epilepsy (23.8%), generalized nonconvulsive epilepsy (8.9%), other forms of epilepsy (5.2%), infantile spasm (0.3%), and epilepsia partialis continua (0.3%). The high proportion of epilepsy classified as unspecified might be lowered by improved training in epilepsy diagnosis and coding.
癫痫类型的分布因年龄、病因、医疗服务提供者的诊断能力以及评估标准而异。美国最近没有研究在一个基于人群的大型癫痫患者样本中调查癫痫类型的分布情况。我们使用了2010年1月1日至2015年9月30日的MarketScan数据，来估计在所有（N = 370,570）被诊断为癫痫的个体中癫痫类型的比例。我们将癫痫病例确定为具有至少一个国际疾病分类第九版（ICD - 9）诊断代码345.X且使用了2015年MarketScan红皮书中描述的至少一种抗癫痫药物的个体。未分类癫痫比局灶性 - 局限性癫痫（24.6%）、全身性惊厥性癫痫（23.8%）、全身性非惊厥性癫痫（8.9%）、其他形式的癫痫（5.2%）、婴儿痉挛（0.3%）和持续性部分性癫痫（0.3%）更为常见（36.8%）。通过改善癫痫诊断和编码方面的培训，归类为未分类的癫痫的高比例可能会降低。
