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RISS 인기검색어
- 검색키워드
- 저자 : Eugen Trinka (검색결과 2 건)
- 무료
- 기관 내 무료
- 유료
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Wolfgang Hitzl,Eugen Trinka,Leonard Seyfang,Sebastian Mutzenbach,Katharina Stadler,Slaven Pikija,Monika Killer,Erasmia Broussalis 대한신경과학회 2016 Journal of Clinical Neurology Vol.12 No.4
Background and Purpose This study analyzed the number of patients with ischemic strokes recorded in the Austrian Stroke-Unit Registry with the aim of projecting this number from 2012 to 2075 and to highlight that the Austrian health system will face a dramatic in¬crease in older patients within the next few decades. Methods Current demographic information was obtained from EUROSTAT, and informa¬tion on age- and sex-stratified 1-year incidence rates of ischemic stroke were obtained from the Austrian Stroke-Unit Registry. Sensitivity analysis was performed by analyzing the pro¬jections based on predicted ageing, main, and growth population scenarios, and with stratifi¬cation by age and gender. Results The total number of ischemic strokes recorded in the Austrian Stroke-Unit Regis¬try was 8,690 in 2012 and is expected to increase to 15,826, 15,626, or 18,134 in 2075 accord¬ing to the ageing, main, and growth scenarios, respectively. The corresponding numbers of patients are projected to increase or decrease within different age strata as follows (100%=num¬ber of registered ischemic strokes in 2012): 0–40 years, 100%/99% (males/females); 40–50 years, 83%/83%; 50–60 years, 98%/97%; 60–70 years, 126%/119%; 70–80 years, 159%/139%; 80–90 years, 307%/199%; and 90+ years, 894%/413%. Conclusions The ageing population in Austria will result in the number of patients increasing considerably from 2012 to 2075, to 182%, 180%, or 208% (relative to 100% in 2012) according to the ageing, main, and growth scenarios, respectively; the corresponding value among those aged 80+ years is 315%, 290%, or 347%. These figures demonstrated the importance of improving pri¬mary preventive measures. The results of this study should provide a basis for discussions among health-care professionals and economists to face the future large financial burden of ischemic stroke on the Austrian health system.
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Acute Symptomatic Seizures Caused by Electrolyte Disturbances
Raffaele Nardone,Francesco Brigo,Eugen Trinka 대한신경과학회 2016 Journal of Clinical Neurology Vol.12 No.1
In this narrative review we focus on acute symptomatic seizures occurring in subjects with electrolyte disturbances. Quite surprisingly, despite its clinical relevance, this issue has received very little attention in the scientifc literature. Electrolyte abnormalities are commonly encountered in clinical daily practice, and their diagnosis relies on routine laboratory fndings. Acute and severe electrolyte imbalances can manifest with seizures, which may be the sole presenting symptom. Seizures are more frequently observed in patients with sodium disorders (especially hyponatremia), hypocalcemia, and hypomagnesemia. Tey do not entail a diagnosis of epilepsy, but are classifed as acute symptomatic seizures. EEG has little specifcity in differentiating between various electrolyte disturbances. Te prominent EEG feature is slowing of the normal background activity, although other EEG fndings, including various epileptiform abnormalities may occur. An accurate and prompt diagnosis should be established for a successful management of seizures, as rapid identifcation and correction of the underlying electrolyte disturbance (rather than an antiepileptic treatment) are of crucial importance in the control of seizures and prevention of permanent brain damage.
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