Incidence of injuries in persons with and without epilepsy

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1、Epilepsia,51(11):2247–2253,2010doi:10.1111/j.1528-1167.2010.02697.xFULL-LENGTHORIGINALRESEARCHTheincidenceofinjuriesinpersonswithandwithoutepilepsy—Apopulation-basedstudy*Churl-SuKwon,yMingfuLiu,zHudeQuan,*zSamuelWiebe,*JaneMcChesney,xElaineWirrell,{LorieHamiwka,and*zNathalieJette´*DepartmentofClini

2、calNeurosciences,UniversityofCalgary,Calgary,Alberta,Canada;yAlbertaHealthServices,Calgary,Alberta,Canada;zDepartmentofCommunityHealthSciences,UniversityofCalgary,Calgary,Alberta,Canada;xDepartmentofPediatrics,MayoClinic,Rochester,Minnesota,U.S.A.;and{DepartmentofPediatrics,OhioStateUniversityColleg

3、eofMedicine,Columbus,Ohio,U.S.A.Scontrolsforageandsex.Themeanagewas37.4yearsUMMARY(range0.0196.4years),and51.3%ofsubjectswerePurpose:Tocomparethe1-yearpopulation-basedinci-male.The1-yearincidenceofoneormoreinjurieswasdenceandtypesofinjuriesinpersonswithandwithout20.6%amongpersonswithepilepsyand16.1%

4、amongepilepsy.thosewithoutepilepsy(p<0.001).Ofthe16typesofMethods:Threeadministrativedatabases(inpatientvis-injuriesstudied,11werehigherinpersonswithepilepsyits,physicianclaims,andemergencyroomvisits)werecomparedtothosewithoutepilepsy,andincludedfrac-linkedfromfiscalyears19962003usingaprovincialinsur

5、-tures,crushinginjuries,intracranialinjuries,othertypesanceplanregistry,whichcaptures99%ofapopulationofofheadinjuries,andmultipleinjuries.Thedifference1.4millioninalargeCanadianhealthregion.Epilepsywasstillsignificantafteradjustingforage,gender,andcases(allagegroups)fromfiscalyear19962002werecomorbidi

6、ties.identified.ThreepeoplewithoutepilepsywerematchedDiscussion:The1-yearincidenceofinjuriesinthisstudytoonepersonwithepilepsyforage(±1year)andsex.Inju-wasgreaterinpersonswithepilepsycomparedtothoseriesweredefinedasanyof16typesofinjuriesforwhichwithoutepilepsy,fornearlyallinjurytypes.Injurypreven-medi

7、calattentionwassoughtthatoccurredwithinfiscaltionshouldbediscussedduringroutinevisitsinpersonsyear2003.withepilepsy.Results:EightthousandeighthundredninetysubjectsKEYWORDS:Epilepsy,Injury,Population-ba