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对图雷特综合征患病率的系统评价和荟萃分析;1986 年至 2022 年。

Systematic Review and Meta-Analysis of Tourette Syndrome Prevalence; 1986 to 2022.

机构信息

Department of Nursing, School of Nursing and Midwifery, Kermanshah University of Medical Sciences, Kermanshah, Iran.

Clinical Research Development Center, Imam Khomeini and Mohammad Kermanshahi and Farabi Hospitals, Kermanshah University of Medical Sciences, Kermanshah, Iran.

出版信息

Pediatr Neurol. 2022 Dec;137:6-16. doi: 10.1016/j.pediatrneurol.2022.08.010. Epub 2022 Sep 5.

Abstract

BACKGROUND

Tourette syndrome (TS) is a disorder characterized by a history of multiple motor tics and the emergence of at least one vocal tic during a period of the disorder. The current investigation sought to clarify the prevalence statistics for TS using a systematic review and meta-analysis.

METHODS

This systematic review and meta-analysis covered the period between 1986 and 2022. Embase, Scopus, PubMed, Web of Science, and Google Scholar were searched to locate articles pertinent to the study topic. The I index was used to examine the heterogeneity of the studies, and a comprehensive meta-analysis was employed to analyze the data.

RESULTS

Ultimately, 30 studies (39 outcomes) were included in the meta-analysis and systematic review. The results showed the global prevalence of TS to be 0.5% (95% confidence interval [CI], 0.3% to 0.8%), with the highest rate of spread observed in the Americas at 0.6% (95% CI, 0.2% to 1.6 %). Analyzing the subgroups of the sample revealed that the highest prevalence was associated with the population of children and adolescents at 0.7% (95% CI, 0.4% to 1.4%) and males at 0.5% (95% CI, 0.2% to 1.0%).

CONCLUSIONS

This comprehensive review and meta-analysis revealed that the prevalence of TS worldwide is sufficiently high, such that attention of medical specialists and health policy makers is warranted.

摘要

背景

妥瑞氏症(TS)是一种障碍,其特征是在障碍期间存在多种运动抽搐,并出现至少一种发声抽搐的病史。目前的研究旨在通过系统评价和荟萃分析来澄清 TS 的流行统计学数据。

方法

本系统评价和荟萃分析涵盖了 1986 年至 2022 年期间。通过 Embase、Scopus、PubMed、Web of Science 和 Google Scholar 搜索与研究主题相关的文章。使用 I 指数来检查研究的异质性,并进行全面的荟萃分析来分析数据。

结果

最终,30 项研究(39 项结果)纳入荟萃分析和系统评价。结果表明,TS 的全球患病率为 0.5%(95%置信区间[CI],0.3%至 0.8%),美洲的传播率最高,为 0.6%(95% CI,0.2%至 1.6%)。分析样本的亚组发现,患病率最高的是儿童和青少年群体,为 0.7%(95% CI,0.4%至 1.4%),男性为 0.5%(95% CI,0.2%至 1.0%)。

结论

这项全面的综述和荟萃分析表明,TS 在全球的患病率相当高,因此需要医疗专家和卫生政策制定者的关注。

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