ArticleNeurology. Clinical practice2016
Reduction of emergency department visits using an urgent clinic for children with established epilepsy.
Article in Neurology. Clinical practice, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.
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The trial behind it
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Who cites it
11 citing papers in PubMed, 19 citations in OpenAlex.
- Implementing American Academy of Neurology Quality Measures in Antigua Using Quality Improvement Methodology.Neurology. Clinical practice · 2024Article
- Article
- Disparities in adherence and emergency department utilization among people with epilepsy: A machine learning approach.Seizure · 2023Article
- Measuring medically unjustified hospitalizations in Switzerland.BMC health services research · 2022Article
- Decreasing Emergency Department Visits for Children With Epilepsy.Neurology. Clinical practice · 2021Article
- Bridging the childhood epilepsy treatment gap in northern Nigeria (BRIDGE): Rationale and design of pre-clinical trial studies.Contemporary clinical trials communications · 2019Article
- Hospital Utilization Among Rural Children Served by Pediatric Neurology Telemedicine Clinics.JAMA network open · 2019Observational
- Appointment completion in pediatric neurology telemedicine clinics serving underserved patients.Neurology. Clinical practice · 2019Article
- Neurologic care ... anytime?Neurology. Clinical practice · 2016Article
- Measuring the Barriers to Adherence With Neurology Clinic Appointments for Children With Epilepsy: A Pilot Study.Child neurology openArticle
- Identifying Barriers to Care in the Pediatric Acute Seizure Care Pathway.International journal of integrated careArticle
Corrections and comments
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Authors and funding
7 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundEmergency department (ED) visits and hospitalizations account for a large portion of the cost of care in people with established epilepsy. In an attempt to decrease seizure-related ED visits, we created an urgent epilepsy clinic (UEC) for children with epilepsy. Our aim was to decrease ED visits for patients seen in the clinic by 30% and decrease unplanned hospitalizations by 10% 3 months following an appointment.
methodsChildren at risk for an ED visit or unplanned hospitalization were referred and seen by a nurse practitioner and social worker. Factors influencing the need for the appointment and actions taken were recorded. Cost savings were also calculated.
resultsA total of 317 patients were seen in the UEC clinic from October 2013 to July 2015. Ninety-three percent of scheduled patients completed their appointment, compared to 84% in other neurology clinics. Eighty-three percent of patients were seen in the clinic within 5 days of the referral. Children were significantly less likely to come to the ED in the 3 months after an appointment compared to the 3 months before.
conclusionsAn urgent clinic for children with established epilepsy was associated with a reduction in ED visits for seizures and improved adherence to outpatient clinic appointments for seizures. Further research is needed to evaluate the cost-effectiveness of UECs, and to compare health services and clinical outcomes to those of children without access to such services.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.