TY - T1的差距在难治性癫痫患者手术中全民医疗系统JF -神经学乔-神经病学SP - 72 LP - 78 - 10.1212 / WNL。首页0000000000002249六世- 86 - 1 AU -豪尔赫·g·Burneo AU - z Salimah Shariff盟Kuan刘盟-肖恩·伦纳德盟Gustavo Saposnik AU -阿米特x加戈Y1 - 2016/01/05 UR - //www.ez-admanager.com/content/86/1/72.abstract N2首页 -目的:评估的使用在医学上难治性癫痫患者癫痫手术在一个公共资金资助的全民医疗保健系统。方法:以人群为基础的回顾性队列研究使用有关的卫生保健数据库安大略省,加拿大,2001年和2010年之间。我们确认所有医学难治性癫痫患者,定义为那些没有回应与癫痫发作药物至少2足够的试验。我们评估患者癫痫手术的比例在接下来的两年。我们进一步确认与癫痫手术相关的特征。结果:共有10661名患者被确认与医学难治性癫痫(平均年龄47岁,51%的男性);大多数(74%)没有其他并发症。2年内被定义为医学上棘手的,只有124名患者(1.2%)接受癫痫手术。死亡发生在12%的医学难治性癫痫。那些接受过程是年轻和有更少的比那些没有并发症。Conclusion: In our setting of publicly funded universal health care, more than 10% of patients died within 2 years of developing medically intractable epilepsy. Epilepsy surgery may be an effective treatment for some patients; however, fewer than 2% of patients who may have benefited from epilepsy surgery received it.CI=confidence interval; CIHI-DAD=Canadian Institute for Health Information Discharge Abstract Database; ICD=International Classification of Diseases; ICES=Institute for Clinical and Evaluative Sciences; ILAE=International League Against Epilepsy; NARCS=National Ambulatory Care Reporting System; ODB=Ontario Drug Benefits; OHIP=Ontario Health Insurance Plan; RPDB=Registered Persons Database; RR=relative risk; VNS=vagus nerve stimulator ER -