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• W2337223816 abstract "Objective: To estimate the number of U.S. emergency department (ED) visits between 2008-2011 related to epilepsy and convulsions and the characteristics of those visits. Background: About 30[percnt] of patients with epilepsy do not achieve sustained seizure control. These patients may experience seizures that result in unplanned ED visits, which can be expensive and stressful for patients and caregivers. Methods: Descriptive cohort analysis using 2008-2011 data from the National Hospital Ambulatory Medical Care Survey (NHAMCS-ED component). ED visits with a clinician diagnosis of epilepsy or non-febrile convulsion were selected and NHAMCS sample weights were used to calculate national estimates. Results: More than 4.8 million qualifying ED visits over four years were identified; 60[percnt] had visited the same ED in the prior 12 months (mean: 2.3 prior visits). The majority of visits were coded as epilepsy-unspecified or general convulsion. Mean patient age: 36 years; 51.2[percnt] male; Medicaid and commercial insurance were the most common sources of payment. Of all visits: 60.3[percnt] arrived by ambulance; 78.8[percnt] received blood testing, 62.1[percnt] diagnostic testing/screening services (e.g. cardiac monitoring, urinalysis), and 54.7[percnt] diagnostic imaging services (e.g., CT scan, X-ray, <2[percnt] received MRI). Anticonvulsant medications were used/prescribed during 52.5[percnt] of visits; lorazepam, phenytoin, and levetiracetam were most commonly recorded. At ED discharge, the majority of patients (63.0[percnt]) were advised to follow up directly with their physician; 22.6[percnt] of ED visits resulted in a hospital admission (average stay 4.7 days). Conclusions: With more than 1.3 million ED visits annually for patients with epilepsy and convulsions, the data suggests there continues to be an unmet need in seizure management and coordination of care. Understanding ED resource utilization for this population at a national level may assist in evaluating methods to help reduce unplanned ED visits such as rescue treatment options or seizure action plans. Disclosure: Dr. Petrilla has received personal compensation for activities with Avalere Health as an employee. Dr. Ning has received personal compensation for activities with Upsher-Smith Laboratories. Dr. Sullivan has received personal compensation for activities with Avalere Health as an employee. Dr. Osterhaus has received personal compensation for activities with Upsher-Smith Laboratories as a consultant. Dr. Mosso has received personal compensation for activities with Avalere Health as an employee. Dr. Gilmet has received personal compensation for activities with Upsher-Smith Laboratories as an employee." @default.
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• W2337223816 date "2016-04-05" @default.
• W2337223816 modified "2023-09-23" @default.
• W2337223816 title "Characteristics and Resource Utilization of U.S. Emergency Department Visits (2008-2011) for Patients with Epilepsy and Convulsions (I14.002)" @default.
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