西班牙裔/拉丁裔退伍军人患有的并发症
Erin Sullivan-Baca1, Gabriela Tantillo2, Richard Zhou2
1Department of Neurology, Baylor College of Medicine, 1 Baylor Plaza, Houston, TX 77030, United States; Michael E. DeBakey VA Medical Center, 2002 Holcombe Blvd., Houston, TX 77030, United States.
Epilepsy & behavior : E&B
|June 4, 2024
概括
与非HL-VWE相比,拉丁裔/拉丁裔退伍军人患 (HL-VWE) 患病率较高,但精神疾病并发症率较高. 这凸显了针对性查和干预措施的必要性,以解决这个研究不足的人群中的精神疾病负担.
科学领域:
- 神经学 神经学
- 精神病学是一个精神病学.
- 医疗保健服务研究 医疗服务研究
背景情况:
- 并发症严重影响生活质量和结果.
- 拉丁裔/拉丁裔退伍军人 (HL-VWE) 是一个研究不足的人群,潜在的风险差异.
- 由于遗传,环境,社会文化和护理因素,了解HL-VWE的并发症至关重要.
研究的目的:
- 调查拉丁裔/拉丁裔退伍军人患者 (HL-VWE) 的医疗和精神病相关疾病.
- 为了比较HL-VWE和非HL-VWE之间的并发病概况.
主要方法:
- 利用退伍军人卫生管理局的行政数据进行全国性的横截面研究.
- 使用ICD代码识别了56,556名患有的退伍军人 (VWE),其中包括5.7%的HL-VWE.
- 计算Elixhauser并发症指数得分和精神病诊断;采用基平方,t测试和回归分析,考虑年龄.
主要成果:
- 在考虑年龄后,患有的西班牙裔/拉丁裔退伍军人出现了更高的抑郁症 (OR 1.21) 和精神分裂症 (OR 1.56) 诊断的可能性.
- 在HL-VWE组和非HL-VWE组之间没有观察到医学并发症的显著差异.
- 这项研究代表了迄今为止已知的最大规模的对拉丁裔/西班牙裔患者共同疾病的调查.
结论:
- 拉丁裔/西班牙裔退伍军人患有有类似的医疗并发症,但精神疾病的发病率高于非HL-VWE.
- 这些发现强调了需要加强HL-VWE中精神疾病的查和干预.
- 解决精神疾病负担对于改善这一群体的健康状况至关重要.
相关概念视频
01:13Seizures: Classification
336
Epilepsy is primarily characterized by unpredictable seizures, either provoked by an identifiable factor, such as injury or illness, or unprovoked, occurring spontaneously without apparent cause.
Seizures are typically classified into two main categories: focal and generalized seizures.
Focal Seizures
Focal seizures originate from specific regions of the brain. These seizures are further sub-classified into two types:
Seizures are typically classified into two main categories: focal and generalized seizures.
Focal Seizures
Focal seizures originate from specific regions of the brain. These seizures are further sub-classified into two types:
336
01:14Antiepileptic Drugs: Glutamate Antagonists
320
Glutamate is a fundamental neurotransmitter in the central nervous system, playing a vital role in neuronal communication and various cognitive processes. Glutamate stands as the principal excitatory neurotransmitter in the brain. Its presence is crucial for the communication between neurons, underpinning essential processes such as synaptic transmission, neuronal excitability, and plasticity. These functions are vital for higher-order cognitive processes, including learning and memory. The...
320
01:30Electroconvulsive Therapy
33
Electroconvulsive therapy (ECT), or shock therapy, remains a critical biomedical intervention for severe, treatment-resistant depression. While its origins can be traced back to Hippocrates' observations that malaria-induced convulsions alleviated mental illness, modern ECT has evolved significantly from its earlier, more primitive applications. First introduced in 1938 by Ugo Cerletti and his colleagues, ECT involves inducing controlled seizures using electrical currents. In its early...
33
01:20Antiepileptic Drugs: Potassium Channel Activators
171
Ezocgabine or retigabine, an antiepileptic drug of remarkable efficacy, has revolutionized the management of seizures. It is a potassium channel activator, explicitly targeting the family of Q subtype potassium channels. It enhances the transmembrane potassium currents, regulating neuronal excitability. This action stabilizes the resting membrane potential, a pivotal factor in mitigating the hyperexcitability that characterizes epilepsy.
Ezogabine has gained approval as an adjunctive treatment...
Ezogabine has gained approval as an adjunctive treatment...
171
01:24Arteries of the Lower Limbs
188
Epilepsy is a chronic neurological disease marked by recurrent, unpredictable seizures. These seizures are caused by abnormal electrical discharges in the brain, leading to behavior, sensation, or consciousness alterations. They can also cause transient impairment of awareness, interfering with daily activities.
Various factors can trigger epilepsy, including genetic factors, brain damage, metabolic causes, and unknown etiology. Diagnosis of epilepsy involves electroencephalography (EEG), which...
Various factors can trigger epilepsy, including genetic factors, brain damage, metabolic causes, and unknown etiology. Diagnosis of epilepsy involves electroencephalography (EEG), which...
188
01:27Post-traumatic Stress Disorder
31
Post-traumatic stress disorder (PTSD) is a psychiatric condition that arises following exposure to traumatic events such as natural disasters, forced displacement, or severe accidents. It significantly impairs individuals' ability to cope with daily activities and disrupts their emotional and psychological equilibrium.
Symptoms and Behavioral Manifestations
A spectrum of distressing symptoms characterizes PTSD. Recurrent flashbacks, where individuals involuntarily relive traumatic events,...
Symptoms and Behavioral Manifestations
A spectrum of distressing symptoms characterizes PTSD. Recurrent flashbacks, where individuals involuntarily relive traumatic events,...
31