Evidence map›Paper›PMID 38226703›Full record

ArticleEpilepsia2024

Characterizing emergency department and inpatient health care utilization after seizure-related hospitalization: A retrospective cohort study.

Kristina L Johnson, Andrew J Wood, Renee Y Hsia, Elan L Guterman

Open access · bronzeAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Epilepsia, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
2.8field-weighted citation impact, top 12% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 4 citations in OpenAlex.

  1. Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 1 institution in 1 country.

Kristina L JohnsonSchool of Public Health, University of California, Berkeley, Berkeley, California, USA.ORCID https://orcid.org/0009-0007-5988-8680
Andrew J WoodDepartment of Neurology, University of California, San Francisco, San Francisco, California, USA.ORCID https://orcid.org/0000-0003-3948-4869
Renee Y HsiaDepartment of Emergency Medicine, University of California, San Francisco, San Francisco, California, USA.ORCID https://orcid.org/0000-0001-9819-6926
Elan L GutermanDepartment of Neurology, University of California, San Francisco, San Francisco, California, USA.ORCID https://orcid.org/0000-0003-0817-3144
University of California, San Francisco · US

Funding

Prehospital Management of Status EpilepticusK23NS116128 · NINDS · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI GUTERMAN, ELAN · 2020 to 2024
$1.1M
NINDS NIH HHS K23 NS116128
6 · The paper itself

Abstract

objectiveSeizure care is a significant driver of health care costs in both emergency department (ED) and inpatient settings, but the majority of studies have focused on inpatient admissions as the only metric of health care utilization. This study aims to better characterize ED and inpatient encounters among patients with seizure to inform care and policy.

methodsUsing statewide administrative data from the Healthcare Cost and Utilization Project State Inpatient Databases and State Emergency Department Databases from Florida and New York, we identified patients with a seizure-related index hospitalization between January 1, 2016, and December 31, 2018. Among this cohort, we examined the incidence and characteristics of subsequent acute care visits in the ED and inpatient settings for 365 days after initial hospital discharge.

resultsA total of 54 456 patients had an eligible seizure-related hospitalization. Patients were 49% female, predominantly White (64%) and non-Hispanic (84%), and used a public primary payer (68%). There were 36 838 (68%) patients with at least one acute care visit in the year following discharge. Overall, patients had a median of 2 (interquartile [IQR] = 1-5) subsequent acute care visits and the median time to first acute care visit was 53 days (IQR = 15-138). Of the 154 369 subsequent acute care visits, 97 399 (63%) were ED-only visits, 56 970 (37%) were readmissions, and 37 176 (24%) were seizure-related. There were 18 786 patients (35%) with four or more acute care visits over 365 days of follow-up. Patients with four or more visits contributed 84% of acute care visits and 78% of costs after initial hospitalization. SIGNIFICANCE: The majority of patients hospitalized for seizure return to the ED or hospital at least once in the year after discharge. A small portion of patients account for the majority of ED and inpatient visits as well as health care costs associated with this population, identifying a subgroup of patients who may benefit from improved inpatient and outpatient management.

Indexed as

HospitalizationInpatientsEmergency Service, HospitalFemaleHealth Care CostsHumansMalePatient Acceptance of Health CareRetrospective StudiesSeizuresepilepsyhealth care costhealth care utilizationseizurestatus epilepticus

Identifiers

PMID38226703
PMCPMC13327811
OpenAlexW4390911178

What OpenQuestion holds

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Registered trials

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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.