High risk of developing subsequent epilepsy in patients with sleep-disordered breathing
Sleep-disordered breathing (SDB) is often associated with other medical disorders. Whether SDB interacts with other factors for developing subsequent epilepsy remains unclear. This population-based cohort study was conducted using the National Health Insurance Research Database of Taiwan. Patients a...
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| creator | Harnod, Tomor Wang, Yu-Chiao Lin, Cheng-Li Tseng, Chun-Hung |
| description | Sleep-disordered breathing (SDB) is often associated with other medical disorders. Whether SDB interacts with other factors for developing subsequent epilepsy remains unclear.
This population-based cohort study was conducted using the National Health Insurance Research Database of Taiwan. Patients aged >20 years and diagnosed with SDB between 2000 and 2010 comprised the SDB cohort (n = 138,507), and their data were compared with those of the comparison cohort (n = 138,507). The adjusted hazard ratio (aHR) for epilepsy was calculated using a multivariate Cox proportional hazards model.
The SDB cohort had an increased risk of epilepsy (aHR = 1.50, 95% confidence interval [CI] = 1.36-1.66). The sex-stratified analysis revealed a significant adjusted hazard ratio (aHR) for epilepsy with a 1.51-fold higher risk for female patients, and also a significantly 1.49-fold higher risk for male patients in the SDB cohort. Although epilepsy incidence increased with age in both cohorts, different age groups in the SDB cohort all had a significantly higher risk of developing epilepsy than comparison cohort.
This population-based cohort study indicates that patients with SDB are at a high risk of developing subsequent epilepsy, in both sexes and all age groups. |
| doi_str_mv | 10.1371/journal.pone.0173491 |
| format | Article |
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This population-based cohort study was conducted using the National Health Insurance Research Database of Taiwan. Patients aged >20 years and diagnosed with SDB between 2000 and 2010 comprised the SDB cohort (n = 138,507), and their data were compared with those of the comparison cohort (n = 138,507). The adjusted hazard ratio (aHR) for epilepsy was calculated using a multivariate Cox proportional hazards model.
The SDB cohort had an increased risk of epilepsy (aHR = 1.50, 95% confidence interval [CI] = 1.36-1.66). The sex-stratified analysis revealed a significant adjusted hazard ratio (aHR) for epilepsy with a 1.51-fold higher risk for female patients, and also a significantly 1.49-fold higher risk for male patients in the SDB cohort. Although epilepsy incidence increased with age in both cohorts, different age groups in the SDB cohort all had a significantly higher risk of developing epilepsy than comparison cohort.
This population-based cohort study indicates that patients with SDB are at a high risk of developing subsequent epilepsy, in both sexes and all age groups.</description><identifier>ISSN: 1932-6203</identifier><identifier>EISSN: 1932-6203</identifier><identifier>DOI: 10.1371/journal.pone.0173491</identifier><identifier>PMID: 28291799</identifier><language>eng</language><publisher>United States: Public Library of Science</publisher><subject>Adult ; Age ; Aged ; Biology and Life Sciences ; Brain research ; Breathing ; Cohort analysis ; Cohort Studies ; Complications and side effects ; Confidence intervals ; Epilepsy ; Epilepsy - complications ; Female ; Hazards ; Health hazards ; Health insurance ; Health risk assessment ; Hospitals ; Humans ; Insomnia ; Male ; Medical research ; Medicine ; Medicine and Health Sciences ; Middle Aged ; Mortality ; Neurology ; Patients ; People and Places ; Population ; Population studies ; Research and Analysis Methods ; Respiration ; Risk ; Risk Factors ; Sleep ; Sleep apnea ; Sleep Apnea Syndromes - complications ; Sleep disorders ; Social Sciences ; Statistical models ; Studies ; Taiwan ; Young Adult</subject><ispartof>PloS one, 2017-03, Vol.12 (3), p.e0173491-e0173491</ispartof><rights>COPYRIGHT 2017 Public Library of Science</rights><rights>2017 Harnod et al. This is an open access article distributed under the terms of the Creative Commons Attribution License: http://creativecommons.org/licenses/by/4.0/ (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>2017 Harnod et al 2017 Harnod et al</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c725t-b204514b2713bc4970f5d3c8a090f655b0abe5fd9855a27734b2350f99a357303</citedby><cites>FETCH-LOGICAL-c725t-b204514b2713bc4970f5d3c8a090f655b0abe5fd9855a27734b2350f99a357303</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC5349663/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC5349663/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,864,885,2100,2926,23864,27922,27923,53789,53791,79370,79371</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/28291799$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><contributor>Forloni, Gianluigi</contributor><creatorcontrib>Harnod, Tomor</creatorcontrib><creatorcontrib>Wang, Yu-Chiao</creatorcontrib><creatorcontrib>Lin, Cheng-Li</creatorcontrib><creatorcontrib>Tseng, Chun-Hung</creatorcontrib><title>High risk of developing subsequent epilepsy in patients with sleep-disordered breathing</title><title>PloS one</title><addtitle>PLoS One</addtitle><description>Sleep-disordered breathing (SDB) is often associated with other medical disorders. Whether SDB interacts with other factors for developing subsequent epilepsy remains unclear.
This population-based cohort study was conducted using the National Health Insurance Research Database of Taiwan. Patients aged >20 years and diagnosed with SDB between 2000 and 2010 comprised the SDB cohort (n = 138,507), and their data were compared with those of the comparison cohort (n = 138,507). The adjusted hazard ratio (aHR) for epilepsy was calculated using a multivariate Cox proportional hazards model.
The SDB cohort had an increased risk of epilepsy (aHR = 1.50, 95% confidence interval [CI] = 1.36-1.66). The sex-stratified analysis revealed a significant adjusted hazard ratio (aHR) for epilepsy with a 1.51-fold higher risk for female patients, and also a significantly 1.49-fold higher risk for male patients in the SDB cohort. Although epilepsy incidence increased with age in both cohorts, different age groups in the SDB cohort all had a significantly higher risk of developing epilepsy than comparison cohort.
This population-based cohort study indicates that patients with SDB are at a high risk of developing subsequent epilepsy, in both sexes and all age groups.</description><subject>Adult</subject><subject>Age</subject><subject>Aged</subject><subject>Biology and Life Sciences</subject><subject>Brain research</subject><subject>Breathing</subject><subject>Cohort analysis</subject><subject>Cohort Studies</subject><subject>Complications and side effects</subject><subject>Confidence intervals</subject><subject>Epilepsy</subject><subject>Epilepsy - complications</subject><subject>Female</subject><subject>Hazards</subject><subject>Health hazards</subject><subject>Health insurance</subject><subject>Health risk assessment</subject><subject>Hospitals</subject><subject>Humans</subject><subject>Insomnia</subject><subject>Male</subject><subject>Medical research</subject><subject>Medicine</subject><subject>Medicine and Health Sciences</subject><subject>Middle Aged</subject><subject>Mortality</subject><subject>Neurology</subject><subject>Patients</subject><subject>People and Places</subject><subject>Population</subject><subject>Population studies</subject><subject>Research and Analysis Methods</subject><subject>Respiration</subject><subject>Risk</subject><subject>Risk Factors</subject><subject>Sleep</subject><subject>Sleep apnea</subject><subject>Sleep Apnea Syndromes - complications</subject><subject>Sleep disorders</subject><subject>Social Sciences</subject><subject>Statistical models</subject><subject>Studies</subject><subject>Taiwan</subject><subject>Young Adult</subject><issn>1932-6203</issn><issn>1932-6203</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2017</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><sourceid>DOA</sourceid><recordid>eNqNk0tv1DAUhSMEoqXwDxBEQkKwmMGP-LVBqiqgI1WqxHNpOclNxoMnDnZS6L_Hw6TVBHVReRHL-c6xfa5vlj3HaImpwO82fgydccved7BEWNBC4QfZMVaULDhB9OHB_Ch7EuMGIUYl54-zIyKJwkKp4-zHuW3XebDxZ-6bvIYrcL63XZvHsYzwa4RuyKG3Dvp4ndsu781g01rMf9thnUcH0C9qG32oIUCdlwHMsE76p9mjxrgIz6bvSfbt44evZ-eLi8tPq7PTi0UlCBsWJUEFw0VJBKZlVSiBGlbTShqkUMMZK5EpgTW1kowZItIlS0IZapQylAmK6En2cu_bOx_1lEnUWCZWEqlYIlZ7ovZmo_tgtyZca2-s_rfgQ6tNGGzlQAsial5QxksBRSm5KRhQjgwmdcUaVSSv99NuY7mFukpJBONmpvM_nV3r1l9plqrDOU0GbyaD4FO4cdBbGytwznTgx925JRacFQrdAxVCMoypTOir_9C7g5io1qS72q7x6YjVzlSfFjLtyZEUiVreQaVRw9ZW6a016THMBW9ngsQM8GdozRijXn35fH_28vucfX3ArsG4YR29GwfruzgHiz1YBR9jgOa2HhjpXavcpKF3raKnVkmyF4e1vBXd9Ab9C5hzDUQ</recordid><startdate>20170314</startdate><enddate>20170314</enddate><creator>Harnod, Tomor</creator><creator>Wang, Yu-Chiao</creator><creator>Lin, Cheng-Li</creator><creator>Tseng, Chun-Hung</creator><general>Public Library of Science</general><general>Public Library of Science (PLoS)</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>IOV</scope><scope>ISR</scope><scope>3V.</scope><scope>7QG</scope><scope>7QL</scope><scope>7QO</scope><scope>7RV</scope><scope>7SN</scope><scope>7SS</scope><scope>7T5</scope><scope>7TG</scope><scope>7TM</scope><scope>7U9</scope><scope>7X2</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8C1</scope><scope>8FD</scope><scope>8FE</scope><scope>8FG</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABJCF</scope><scope>ABUWG</scope><scope>AEUYN</scope><scope>AFKRA</scope><scope>ARAPS</scope><scope>ATCPS</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BGLVJ</scope><scope>BHPHI</scope><scope>C1K</scope><scope>CCPQU</scope><scope>D1I</scope><scope>DWQXO</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>H94</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>KB.</scope><scope>KB0</scope><scope>KL.</scope><scope>L6V</scope><scope>LK8</scope><scope>M0K</scope><scope>M0S</scope><scope>M1P</scope><scope>M7N</scope><scope>M7P</scope><scope>M7S</scope><scope>NAPCQ</scope><scope>P5Z</scope><scope>P62</scope><scope>P64</scope><scope>PATMY</scope><scope>PDBOC</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PTHSS</scope><scope>PYCSY</scope><scope>RC3</scope><scope>7X8</scope><scope>5PM</scope><scope>DOA</scope></search><sort><creationdate>20170314</creationdate><title>High risk of developing subsequent epilepsy in patients with sleep-disordered breathing</title><author>Harnod, Tomor ; Wang, Yu-Chiao ; Lin, Cheng-Li ; Tseng, Chun-Hung</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c725t-b204514b2713bc4970f5d3c8a090f655b0abe5fd9855a27734b2350f99a357303</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2017</creationdate><topic>Adult</topic><topic>Age</topic><topic>Aged</topic><topic>Biology and Life Sciences</topic><topic>Brain research</topic><topic>Breathing</topic><topic>Cohort analysis</topic><topic>Cohort Studies</topic><topic>Complications and side effects</topic><topic>Confidence intervals</topic><topic>Epilepsy</topic><topic>Epilepsy - 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Academic</collection><collection>PubMed Central (Full Participant titles)</collection><collection>DOAJ Directory of Open Access Journals</collection><jtitle>PloS one</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Harnod, Tomor</au><au>Wang, Yu-Chiao</au><au>Lin, Cheng-Li</au><au>Tseng, Chun-Hung</au><au>Forloni, Gianluigi</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>High risk of developing subsequent epilepsy in patients with sleep-disordered breathing</atitle><jtitle>PloS one</jtitle><addtitle>PLoS One</addtitle><date>2017-03-14</date><risdate>2017</risdate><volume>12</volume><issue>3</issue><spage>e0173491</spage><epage>e0173491</epage><pages>e0173491-e0173491</pages><issn>1932-6203</issn><eissn>1932-6203</eissn><abstract>Sleep-disordered breathing (SDB) is often associated with other medical disorders. Whether SDB interacts with other factors for developing subsequent epilepsy remains unclear.
This population-based cohort study was conducted using the National Health Insurance Research Database of Taiwan. Patients aged >20 years and diagnosed with SDB between 2000 and 2010 comprised the SDB cohort (n = 138,507), and their data were compared with those of the comparison cohort (n = 138,507). The adjusted hazard ratio (aHR) for epilepsy was calculated using a multivariate Cox proportional hazards model.
The SDB cohort had an increased risk of epilepsy (aHR = 1.50, 95% confidence interval [CI] = 1.36-1.66). The sex-stratified analysis revealed a significant adjusted hazard ratio (aHR) for epilepsy with a 1.51-fold higher risk for female patients, and also a significantly 1.49-fold higher risk for male patients in the SDB cohort. Although epilepsy incidence increased with age in both cohorts, different age groups in the SDB cohort all had a significantly higher risk of developing epilepsy than comparison cohort.
This population-based cohort study indicates that patients with SDB are at a high risk of developing subsequent epilepsy, in both sexes and all age groups.</abstract><cop>United States</cop><pub>Public Library of Science</pub><pmid>28291799</pmid><doi>10.1371/journal.pone.0173491</doi><tpages>e0173491</tpages><oa>free_for_read</oa></addata></record> |
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| source | PubMed Central (Open Access); MEDLINE; Public Library of Science; DOAJ Directory of Open Access Journals; Free Full-Text Journals in Chemistry; EZB Electronic Journals Library |
| subjects | Adult Age Aged Biology and Life Sciences Brain research Breathing Cohort analysis Cohort Studies Complications and side effects Confidence intervals Epilepsy Epilepsy - complications Female Hazards Health hazards Health insurance Health risk assessment Hospitals Humans Insomnia Male Medical research Medicine Medicine and Health Sciences Middle Aged Mortality Neurology Patients People and Places Population Population studies Research and Analysis Methods Respiration Risk Risk Factors Sleep Sleep apnea Sleep Apnea Syndromes - complications Sleep disorders Social Sciences Statistical models Studies Taiwan Young Adult |
| title | High risk of developing subsequent epilepsy in patients with sleep-disordered breathing |
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