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癫痫与功能性发作患者的驾驶率。

Driving rate in patients with seizures: Epilepsy vs. functional seizures.

机构信息

Epilepsy Research Center, Shiraz University of Medical Sciences, Shiraz, Iran; Jefferson Comprehensive Epilepsy Center, Department of Neurology, Thomas Jefferson University, Philadelphia, PA, USA.

Epilepsy Research Center, Shiraz University of Medical Sciences, Shiraz, Iran.

出版信息

Epilepsy Behav. 2021 Jun;119:107985. doi: 10.1016/j.yebeh.2021.107985. Epub 2021 Apr 30.

DOI:10.1016/j.yebeh.2021.107985
PMID:33940523
Abstract

OBJECTIVES

We investigated the rate of driving in patients with seizures [i.e., epilepsy or functional seizures (FS)]. We also investigated the factors that may be associated with NOT driving a motor vehicle.

METHODS

This was a retrospective study of an electronic database of patients with seizures that has been built prospectively over more than a decade. All patients, 20 years of age or older, with a diagnosis of idiopathic generalized epilepsy (IGE), focal epilepsy, or FS were studied at the outpatient epilepsy clinic at Shiraz University of Medical Sciences, Shiraz, Iran, from 2008 until 2020.

RESULTS

One thousand four hundred and ninety-two patients were studied (918 patients with focal epilepsy, 338 people with IGE, and 236 individuals with FS). In total, 387 patients (25.9%) reported driving a motor vehicle. Driving rate in patients with IGE was 26.9%, in people with focal epilepsy was 27.0%, and in individuals with FS was 20.3%; the difference was not significant (p = 0.10). Female sex and a younger age at the onset of seizures were significantly associated with not driving a motor vehicle. Being married and having any education were significantly inversely associated with not driving a motor vehicle.

CONCLUSION

Most patients with seizures (either people with epilepsy or those with FS alike) do not drive a motor vehicle in their routine daily lives. Demographic factors (e.g., sex, marital status, and education) have significant associations with not driving a motor vehicle.

摘要

目的

我们调查了癫痫患者(即癫痫或功能性癫痫[FS])的驾驶率。我们还研究了可能与不驾驶机动车相关的因素。

方法

这是一项对前瞻性建立了十余年的癫痫患者电子数据库的回顾性研究。所有年龄在 20 岁及以上、被诊断为特发性全面性癫痫(IGE)、局灶性癫痫或 FS 的患者,均在伊朗设拉子沙希德贝赫什提大学医学科学分校的癫痫门诊接受了研究。研究时间为 2008 年至 2020 年。

结果

共研究了 1492 名患者(918 名局灶性癫痫患者、338 名 IGE 患者和 236 名 FS 患者)。共有 387 名患者(25.9%)报告驾驶过机动车。IGE 患者的驾驶率为 26.9%,局灶性癫痫患者为 27.0%,FS 患者为 20.3%;差异无统计学意义(p=0.10)。女性性别和癫痫发作的发病年龄较小与不驾驶机动车显著相关。已婚和接受过任何教育与不驾驶机动车显著负相关。

结论

大多数癫痫患者(无论是癫痫患者还是 FS 患者)在日常生活中都不驾驶机动车。人口统计学因素(如性别、婚姻状况和教育)与不驾驶机动车有显著关联。

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