Post-Traumatic Epilepsy: Observations from an Urban Level 1 Trauma Center
被引:0
|
作者:
Kotas, Daniel
论文数: 0引用数: 0
h-index: 0
机构:
Temple Univ, Lewis Katz Sch Med, Dept Neurosci, Philadelphia, PA 19140 USATemple Univ, Lewis Katz Sch Med, Dept Neurosci, Philadelphia, PA 19140 USA
Kotas, Daniel
[1
]
Zhao, Huaqing
论文数: 0引用数: 0
h-index: 0
机构:
Temple Univ, Lewis Katz Sch Med, Dept Biomed Educ & Data Sci, Philadelphia, PA 19140 USA
Temple Univ, Ctr Biostat & Epidemiol, Lewis Katz Sch Med, Philadelphia, PA 19140 USATemple Univ, Lewis Katz Sch Med, Dept Neurosci, Philadelphia, PA 19140 USA
Zhao, Huaqing
[2
,3
]
Turella, John
论文数: 0引用数: 0
h-index: 0
机构:
Temple Univ, Ctr Biostat & Epidemiol, Lewis Katz Sch Med, Philadelphia, PA 19140 USATemple Univ, Lewis Katz Sch Med, Dept Neurosci, Philadelphia, PA 19140 USA
Turella, John
[3
]
Kasoff, Willard S.
论文数: 0引用数: 0
h-index: 0
机构:
Temple Univ, Lewis Katz Sch Med, Dept Neurosci, Philadelphia, PA 19140 USATemple Univ, Lewis Katz Sch Med, Dept Neurosci, Philadelphia, PA 19140 USA
Kasoff, Willard S.
[1
]
机构:
[1] Temple Univ, Lewis Katz Sch Med, Dept Neurosci, Philadelphia, PA 19140 USA
[2] Temple Univ, Lewis Katz Sch Med, Dept Biomed Educ & Data Sci, Philadelphia, PA 19140 USA
[3] Temple Univ, Ctr Biostat & Epidemiol, Lewis Katz Sch Med, Philadelphia, PA 19140 USA
There are approximately 2.5 million cases of traumatic brain injury (TBI) in the U.S. each year. Post-traumatic epilepsy (PTE), a sequela of TBI, has been shown to occur in approximately 15% of TBI patients. Pre-disposing risk factors for the development of PTE include severe TBI and penetrating head injury. PTE is associated with poor functional outcomes, increased negative social factors, and mental illness. We conducted a retrospective chart review with a 5-year timeframe at an urban Level 1 Trauma Center. Patients with ICD-10-CM codes associated with TBI were identified. Patients were coded as TBI with or without PTE by the presence of codes associated with PTE. Datapoints collected included risk factors for PTE and encounters with neurologists. A total of 1886 TBI patients were identified, with 178 (9.44%) classified as TBI with PTE. The most significant risk factor associated with PTE was severe brain injury, with an odds ratio (OR) of 2.955 (95% CI [2.062,4.236]; p < 0.0001). Only 19 of 178 patients (10.7%) visited a neurologist beyond 6 months after TBI. Our results suggest the presence of a significant population of patients with PTE and the need for better follow-up.
机构:
Greater Los Angeles Healthcare Syst, Dept Neurol, Dept Vet Affairs VA, Los Angeles, CA 90073 USA
Univ Calif Los Angeles, Dept Neurol, Los Angeles, CA 90024 USAGreater Los Angeles Healthcare Syst, Dept Neurol, Dept Vet Affairs VA, Los Angeles, CA 90073 USA
Hung, Christine
Chen, James W. Y.
论文数: 0引用数: 0
h-index: 0
机构:
Greater Los Angeles Healthcare Syst, Dept Neurol, Dept Vet Affairs VA, Los Angeles, CA 90073 USA
Univ Calif Los Angeles, Dept Neurol, Los Angeles, CA 90024 USAGreater Los Angeles Healthcare Syst, Dept Neurol, Dept Vet Affairs VA, Los Angeles, CA 90073 USA
机构:
Queen Alexandra Hosp, Maxillofacial Unit, Portsmouth PO6 3LY, Hants, EnglandQueen Alexandra Hosp, Maxillofacial Unit, Portsmouth PO6 3LY, Hants, England
Bater, MC
Ramchandani, PL
论文数: 0引用数: 0
h-index: 0
机构:
Queen Alexandra Hosp, Maxillofacial Unit, Portsmouth PO6 3LY, Hants, EnglandQueen Alexandra Hosp, Maxillofacial Unit, Portsmouth PO6 3LY, Hants, England
Ramchandani, PL
Brennan, PA
论文数: 0引用数: 0
h-index: 0
机构:
Queen Alexandra Hosp, Maxillofacial Unit, Portsmouth PO6 3LY, Hants, EnglandQueen Alexandra Hosp, Maxillofacial Unit, Portsmouth PO6 3LY, Hants, England
Brennan, PA
BRITISH JOURNAL OF ORAL & MAXILLOFACIAL SURGERY,
2005,
43
(05):
: 410
-
416