Yi Minju, Sherzai Ayesha Z, Ani Chizobam, Shavlik David, Ghamsary Mark, Lazar Evelyn, Sherzai Dean
From the School of Public Health, Loma Linda University, Loma Linda, Calif. (MY, D. Shavlik, MG); the Department of Neurology, Loma Linda University (AZS, EL, D. Sherzai); and the Department of Internal Medicine, Loma Linda University (CA).
J Neuropsychiatry Clin Neurosci. 2019 Winter;31(1):43-48. doi: 10.1176/appi.neuropsych.17120353. Epub 2018 Oct 11.
The purpose of this article was to explore sex- and race-specific variables and comorbidities associated with transient global amnesia (TGA) using a nationally representative database. Data were obtained from the Nationwide Inpatient Sample using ICD-9 and procedure codes. Descriptive and survey logistic regression analyses were conducted and adjusted for influence of comorbidities, demographic characteristics, and hospitalization-related factors. Patients with migraines were 5.98 times more likely to also have a diagnosis of TGA compared with patients without migraines. Similarly, patients with TGA were more likely to have hypertension, precerebral disease, and hyperlipidemia. The odds of being diagnosed with TGA was lower among African Americans and Hispanics as well as among patients classified as Asian/Other, compared with Caucasians. TGA was associated with lower hospital charges ($14,242 versus $21,319), shorter hospital stays (mean days: 2.49 [SE=0.036] versus 4.72 [SE=0.025]), and routine hospital discharges (91.4% versus 74.5%). Patients with migraines and patients classified as Caucasian had higher odds of being diagnosed with TGA. All minority populations showed a lower rate of diagnosis that fell short of statistical significance.
本文旨在利用全国代表性数据库,探究与短暂性全面性遗忘症(TGA)相关的性别和种族特异性变量及合并症。数据通过使用ICD - 9和手术编码,从全国住院患者样本中获取。进行了描述性分析和调查逻辑回归分析,并对合并症、人口统计学特征和住院相关因素的影响进行了调整。与无偏头痛的患者相比,偏头痛患者被诊断为TGA的可能性高5.98倍。同样,TGA患者更易患高血压、脑前疾病和高脂血症。与白种人相比,非裔美国人和西班牙裔以及被归类为亚洲/其他种族的患者被诊断为TGA的几率较低。TGA与较低的住院费用(14,242美元对21,319美元)、较短的住院时间(平均天数:2.49 [标准误 = 0.036]对4.72 [标准误 = 0.025])以及常规出院(91.4%对74.5%)相关。偏头痛患者和被归类为白种人的患者被诊断为TGA的几率较高。所有少数族裔群体的诊断率较低,但未达到统计学显著性。