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- W1224729647 abstract "OBJECTIVE:To estimate the emergency department (ED) and inpatient healthcare resource utilization of patients diagnosed with conversion disorder.BACKGROUND: Conversion disorder is characterized by involuntary neurological symptoms that cannot be explained by organic disease. The social, occupational, emotional and physical consequences are substantial, yet the health care utilization is unclear.DESIGN/METHODS: We identified all patients discharged from California, New York, and Florida EDs and acute care hospitals between 2005 and 2012 with a primary discharge diagnosis of conversion disorder, as defined by International Classification of Diseases, 9th Revision, Clinical Modification (ICD-9-CM) code 300.11. Patients discharged with a primary diagnosis of seizures (345.x) or transient global amnesia (TGA) (437.7) served as our control groups. Our primary outcome was the rate of repeat ED visits and hospital admissions after initial presentation. We also counted the total number of visits throughout follow-up. Descriptive statistics and Poisson regression with robust standard errors were used to report outcomes and compare rates between diagnosis groups while adjusting for demographic characteristics.RESULTS:We identified 7,946 patients discharged with a primary diagnosis of conversion disorder. During a mean follow-up of 3.0 (±1.6) years, patients with conversion disorder had a median of 3 (interquartile range [IQR], 1-9) repeat ED or inpatient revisits, compared with 0 (IQR, 0-2) in patients with TGA and 3 (IQR, 1-7) in those with seizures. Repeat visit rates were 18.25 (95[percnt] CI, 18.10-18.40) visits per 100 patients per month in those with conversion disorder, 3.90 (95[percnt] CI, 3.84-3.95) in those with TGA, and 17.78 (95[percnt] CI, 17.75-17.81) in those with seizures. As compared to the conversion group, the incidence rate ratio for repeat ED visits or hospitalizations was 0.89 (95[percnt] CI, 0.86-0.93) for seizure disorder and 0.32 (95[percnt] CI 0.31-0.34) for TGA.CONCLUSIONS: Conversion disorder is associated with substantial hospital-based health care utilization. Disclosure: Dr. Merkler has nothing to disclose. Dr. Parikh has nothing to disclose. Dr. Chaudhry has nothing to disclose. Dr. Chait has nothing to disclose. Dr. Allen has nothing to disclose. Dr. Navi has nothing to disclose. Dr. Kamel has received personal compensation for activities with Genentech as a scientific advisory board member and/or speaker. Dr. Kamel has received personal compensation in an editorial capacity for Journal Watch Neurology." @default.
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- W1224729647 date "2015-04-06" @default.
- W1224729647 modified "2023-09-25" @default.
- W1224729647 title "Healthcare Utilization after a Diagnosis of Conversion Disorder (P5.036)" @default.
- W1224729647 hasPublicationYear "2015" @default.
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