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首页> 外文期刊>Journal of stroke and cerebrovascular diseases: The official journal of National Stroke Association >Association of Prevalent Stroke with Hospitalization for Seizure: Patterns and Prognoses
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Association of Prevalent Stroke with Hospitalization for Seizure: Patterns and Prognoses

机译：患有癫痫发作的普遍卒中的关联：模式和预测

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Introduction: Despite the close relationship between stroke and seizures, little is known about stroke trends and inpatient mortality among patients with seizures. Materials and Methods: The National Inpatient Sample was used to analyze the prevalence and trends of stroke among patients discharged with a primary diagnosis of seizures between 2006 and 2014. International Classification of Diseases, Ninth Revision, Clinical Modification was used to identify patients discharged with a primary diagnosis of seizures and those with a secondary diagnosis of stroke. Multivariable logistic regression was used to examine the association between inpatient hospital mortality and stroke. Adjusted prediction of mortality post estimates of logistic regression was used to analyze mortality by stroke status overtime. Findings: A total of 400,391 (weighted 1,980,707) patients with seizures were identified between 2006 and 2014, including 61,039 weighted (3%) with a secondary diagnosis of stroke patients. Among patients with a primary diagnosis of seizures, having a secondary diagnosis of stroke doubled the odds of in-hospital death (odds ratio = 2.02; 95% confidence interval: 1.74-2.34; P<.001). Overall, between 2006 and 2014, the prevalence of stroke among patients discharged with a primary diagnosis of seizures remained stable at 3% amid fluctuations across years. Among patients with a primary discharge diagnosis of seizures who had stroke, in-hospital mortality increased from 2.3% in 2006 to 3.6% in 2014 but decreased from .8% in 2006 to .7% in 2014 in those without stroke. Conclusions: Stroke is prevalent and is associated with increased mortality among patients who are discharged with a primary diagnosis of seizure, with a stable prevalence but suggested increased mortality across time.
机译：介绍：尽管行程与癫痫发作之间的关系密切相关，但癫痫发作患者的中风趋势和住院死亡率几乎都很着。材料和方法：国家入住性样品用于分析患者在2006年至2014年间癫痫发作的患者初步诊断的患病率和趋势。使用疾病的国际分类，第九次修订，临床修改用于鉴定患者癫痫发作的初步诊断与中风次要诊断的鉴定。多变量逻辑回归用于检查住院病时死亡率和中风之间的关联。调整后的死亡率预测逻辑回归的估计用于通过笔划状态加班分析死亡率。结果：2006年至2014年共鉴定了400,391名（加权1,980,707岁的癫痫发作患者，其中61,039加权（3％），具有卒中患者的二次诊断。在癫痫发作初步诊断的患者中，卒中的二次诊断增加了医院内死亡的几率（差价率= 2.02; 95％置信区间：1.74-2.34; P <.001）。总的来说，在2006年至2014年期间，患有初级诊断癫痫发作的患者中风的患病率在多年来波动的波动下保持稳定。在患有中风的癫痫发作的初级放电诊断的患者中，院内死亡率从2006年的2.3％增加到2014年的3.6％，但2014年在2006年的2006年减少到0.7％。结论：中风是普遍的，与癫痫发作初步诊断的患者的死亡率增加，患病率稳定，但在跨时提出了增加的死亡率。

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