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Epilepsy and fracture risk: a meta-analysis

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单位: [1]Department of Orthopedics,Tongji Hospital,Tongji Medical College,Huazhong University of Science and Technology,Wuhan 430030,China
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关键词: Epilepsy fracture risk meta-analysis epileptic seizure antiepileptic drugs

摘要:
Objective: To investigate the influence of epilepsy seizure on the fracture risk through a retrospective literature review. Methods: Published studies August 1, 2015 were acquired from the PubMed, EMBASE, Springer Link, Ovid using the key words "epilepsy" and "fracture". A total of 828 papers were picked up, which were further screened to select the most relevant ones. Three selection criteria for inclusion were decided, and finally 11 studies fulfilled the criteria and were included in the study. The procedure of meta-analysis was determined before beginning the study by a group discussion, and at least three studies each for hip, spinal, and forearm fractures were considered for the analysis. The random effect model based on DerSimonian and Laird estimation was utilized in the fracture risk analysis. The weights analysis was conducted to analyze the risk of fracture caused by epilepsy seizures. The publication bias was tested by funnel plots. Results: The general fracture risk increased significantly for epilepsy patients than for fracture patients without epilepsy [relative risk (RR) = 1.97, 95% confidence interval (CI): 1.89-2.05; from five papers]; and six, six, and three papers described the hip fracture risk (RR = 4.43, 95% CI: 2.84-6.92), forearm fracture risk (RR = 1.71, 95% CI: 1.29-2.27), and spinal fracture risk (RR = 3.51, 95% CI: 1.69-7.29), respectively. Among all factors, around 35% fractures were associated with epilepsy seizures. Conclusion: Patients with epilepsy may encounter a higher risk of fracture, especially on the spine and the hip.

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出版当年[2015]版:
大类 | 4 区 医学
小类 | 4 区 医学:研究与实验
最新[2025]版:
大类 | 4 区 医学
小类 | 4 区 医学:研究与实验
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出版当年[2014]版:
Q4 MEDICINE, RESEARCH & EXPERIMENTAL
最新[2023]版:
Q4 MEDICINE, RESEARCH & EXPERIMENTAL

影响因子: 最新[2023版] 最新五年平均 出版当年[2014版] 出版当年五年平均 出版前一年[2013版] 出版后一年[2015版]

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第一作者单位: [1]Department of Orthopedics,Tongji Hospital,Tongji Medical College,Huazhong University of Science and Technology,Wuhan 430030,China
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通讯机构: [1]Department of Orthopedics,Tongji Hospital,Tongji Medical College,Huazhong University of Science and Technology,Wuhan 430030,China [*1]Department of Orthopedics,Tongji Hospital,Tongji Medical College,Huazhong University of Science and Technology,Wuhan 430030,China.
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