在患有异常性普遍性的患者中,状态
Joanna Gesche1,2,3, Guido Rubboli3,4, Christoph P Beier1,2
1Department of Neurology, Odense University Hospital, Odense, Denmark.
在异常性普遍性 (IGE) 中,状态 (SE) 影响4.5%的成年人,导致药物耐药性和增加死亡率. 虽然SE的短期社会影响有限,但它与第一个发作之前的社会地位和精神问题有关.
科学领域:
- 神经学 神经学
- 流行病学 流行病学
背景情况:
- 异常性普遍性 (IGE) 是一种常见的综合征.
- 状态 (SE) 是一种神经紧急情况,具有潜在的长期后果.
- 在IGE成年人中SE的发生率和影响尚未得到充分证实.
研究的目的:
- 估计IGE成人的SE发病率.
- 确定SE在这个人群中的后果,包括社会地位,耐药性和死亡率.
主要方法:
- 使用丹麦国家患者登记册数据 (2005-2018) 进行的回顾性队列研究.
- 确定了6295名IGE患者,并将他们与62,950名人口对照进行了匹配.
- 结局的比较,包括存活率,耐药性,病史和社会地位标志物之间的IGE患者与没有SE.
主要成果:
- SE发生在4.5%的IGE患者中,57.2%的患者经历了复发性发作.
- 患有SE的患者年龄较高,社会地位标志物较低,严重IGE (耐药性) 指标增加,精神病并发症更大.
- 与对照组 (6.2%) 相比,SE患者的IGE患者的全因死亡率明显高 (17.7%).
结论:
- 在成年人中,SE是IGE的常见并发症.
- 在第一次SE发作之前,SE与耐药性,较差的社会地位和精神病相关疾病有关.
- 虽然SE具有暂时的社会影响,但它显著增加了IGE患者的长期死亡率.
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