ArticleEuropean journal of trauma and emergency surgery : official publication of the European Trauma Society2019
Prevalence, risk factors and therapeutic aspects of injuries and accidents in women with epilepsy.
Article in European journal of trauma and emergency surgery : official publication of the European Trauma Society, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 2 of them syntheses that pooled it.
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Who cites it
11 citing papers in PubMed, 2 syntheses or guidelines pooled it, 22 citations in OpenAlex.
- Short-Term Impact of Seizures and Mitigation Opportunities.Current neurology and neuroscience reports · 2024Pooled it
- [Inpatient treatment costs, cost-driving factors and potential reimbursement problems due to fall-related fractures in patients with Parkinson's disease].Der Chirurg; Zeitschrift fur alle Gebiete der operativen Medizen · 2020Pooled it
- Mind the guideline gap: emergent CT in patients with epilepsy for trauma rule-out-A retrospective cohort study.Neurological research and practice · 2025Article
- Seizure related injuries - Frequent injury patterns, hospitalization and therapeutic aspects.Chinese journal of traumatology = Zhonghua chuang shang za zhi · 2022Article
- Automatic Detection of Epilepsy Based on Entropy Feature Fusion and Convolutional Neural Network.Oxidative medicine and cellular longevity · 2022Article
- Fractures in Parkinson's Disease: injury patterns, hospitalization, and therapeutic aspects.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2021Article
- [Inpatient treatment costs, cost-driving factors and potential reimbursement problems due to epileptic seizure-related injuries and fractures].Der Chirurg; Zeitschrift fur alle Gebiete der operativen Medizen · 2021Article
- [Cost-proceeds deficit of outpatient treatment of head lacerations in the emergency department].Der Chirurg; Zeitschrift fur alle Gebiete der operativen Medizen · 2021Article
- [Cost factor "outpatient wound care" in the emergency department : Cost-revenue deficit of outpatient wound treatment in a German university hospital].Der Unfallchirurg · 2021Article
- Risk incidence of fractures and injuries: a multicenter video-EEG study of 626 generalized convulsive seizures.Journal of neurology · 2020Article
- Consequences and treatment aspects of trauma in female patients.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2019Article
Corrections and comments
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Authors and funding
8 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundEpilepsy-related injuries and accidents (ERIA) are a frequent cause of hospitalisation and represent a relevant burden for patients with epilepsy. In particular, osteoporosis and other gender-specific aspects may increase the risk of seizure-related fractures and injuries in women with epilepsy. AIM AND SCOPE: The aim of this analysis is to determine the prevalence and clinical nature of ERIA in a cohort of women with epilepsy, to identify possible determinants including osteoporosis and to give an overview of the current knowledge of clinically important prophylactic and therapeutic aspects.
resultsIn total, 167 women (mean age 39.0 years, range 18-67 years) with established diagnosis of epilepsy (mean disease duration 18.2 years, range 0-64) were analysed for the occurrence of ERIA. Overall, 22 patients (13.2%) reported at least one ERIA (mean number 3.4, ± 3.1) during the last three months prior to enrollment. The most frequent types of ERIA were lacerations (n = 7/22; 31.8%), abrasions, cuts, bruises or hematoma (n = 6/22, 27.3%), burns (n = 3/22, 13.6%), and fractures (n = 3/22, 13.6%). Moreover, one seizure-related road traffic accident with consecutive trauma (4.5%) was reported. Ictal falls, periictal abnormalities of behaviour and missing seizure freedom were associated with ERIA. Furthermore, female patients with ERIA had a significantly reduced quality of life (QoL, p = 0.002) and increased anxiety (p = 0.008) compared to patients without ERIA. A review of the pertinent literature suggests decreased bone mineral density and use of enzyme-inducing AEDs to be risk factors for ERIA in women with epilepsy.
conclusionERIA represent relevant complications for women with epilepsy and are associated with a lower QoL and anxiety compared with non-affected controls. Improvement of anticonvulsive treatment and therapy for osteoporosis or osteomalacia may help to decrease ERIA and the associated burden.
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