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首页> 外文期刊>Epilepsy & Seizure >Psychogenic non-epileptic seizures in Japan: Trends in prevalence, delay in diagnosis, and frequency of hospital visits
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Psychogenic non-epileptic seizures in Japan: Trends in prevalence, delay in diagnosis, and frequency of hospital visits

机译：日本的精神性非癫痫性癫痫发作：流行趋势，诊断延迟和就诊频率

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Purpose : Psychogenic non-epileptic seizures (PNES) are psychogenic disorders that often resemble epileptic seizures. Herein, we describe the recent clinical trends of PNES by using the data from a large, claims-based Japanese database obtained from the Japan Medical Data Center. Methods : A 10-year epidemiological study of patients of all ages with newly diagnosed PNES was conducted. Data were extracted using the International Classification of Diseases 10th Revision (ICD-10) diagnostic codes. Prevalence in new epilepsy patients and period of the diagnostic delay of PNES after epilepsy diagnosis were retrieved from the data. The study endpoint was change in frequency of hospital visits. Data of 413 patients with PNES were retrieved using the criterion of “PNES diagnosis after epilepsy diagnosis.” Results : The highest PNES prevalence in new epilepsy patients was observed in the 40-49 year age group (4.3%) for males, and in the 30-39 age group (4.9%) for females. The ratio of the prevalence in males to that in females was 1:2 for 0-9, 10-19, and 60 age groups, and 1:1 for the other age groups. A significant and positive correlation was found between the frequency of hospital visits and duration of the diagnostic delay of PNES. After PNES diagnosis, the average number of monthly hospital visits decreased over time. Discussion : The differences in the duration of diagnostic delay of PNES among cases and also a decrease in the frequency of hospital visits after PNES diagnosis highlight the importance of early differentiation between epilepsy and PNES.
机译：目的：精神性非癫痫性癫痫发作（PNES）是精神性疾病，通常类似于癫痫性癫痫发作。在此，我们使用来自日本医疗数据中心的大型，基于索赔的日本数据库中的数据来描述PNES的最新临床趋势。方法：对所有年龄的新诊断为PNES的患者进行了为期10年的流行病学研究。使用国际疾病分类第十修订版（ICD-10）诊断代码提取数据。从数据中检索出新癫痫患者的患病率和癫痫诊断后PNES的诊断延迟期。研究终点是医院就诊频率的变化。使用“癫痫诊断后的PNES诊断”标准检索了413例PNES患者的数据。结果：在40-49岁年龄段的男性中，新癫痫患者的PNES患病率最高（4.3％），在30-39岁年龄段的女性中（4.9％）。在0-9、10-19和> 60岁年龄段，男性患病率与女性患病率之比为1：2，其他年龄段的患病率为1：1。在医院就诊的频率和PNES诊断延迟的持续时间之间发现显着正相关。在进行PNES诊断之后，平均每月就诊次数随时间减少。讨论：病例间PNES的诊断延迟持续时间的差异以及PNES诊断后医院就诊频率的减少都突出了癫痫和PNES早期鉴别的重要性。

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