AI Article Synopsis
- * In 2019, there were 304,935 ED visits related to epilepsy, with visit rates significantly higher for these adults compared to those without epilepsy, especially among Medicare and Medicaid beneficiaries.
- * The data revealed a notable increase in ED visits for adults with epilepsy over the years, emphasizing the need for targeted strategies to improve outpatient care and reduce unnecessary ED visits.*
Article Abstract
Objective: We described patterns and trends in ED use among adults with epilepsy in the United States.
Methods: Utilizing inpatient and ED discharge data from seven states, we conducted a cross-sectional analysis to identify adult ED visits diagnosed with epilepsy or seizures from 2010 to 2019. Using ED visit counts and estimates of state-level epilepsy prevalence, we calculated ED visit rates overall and by payer, condition, and year.
Results: Our data captured 304,935 ED visits with epilepsy as a primary or secondary diagnosis in 2019. Across the seven states, visit rates ranged between 366 and 726 per 1000 and were higher than rates for adults without epilepsy in all states but one. ED visit rates were highest among Medicare and Medicaid beneficiaries (vs commercial or self-pay). Adults with epilepsy were more likely to be admitted as inpatients. Visits for nervous system disorders were 6.3-8.2 times higher among people with epilepsy, and visits for mental health conditions were 1.2-2.6 times higher. Increases in ED visit rates from 2010 to 2019 among people with epilepsy exceeded increases among adults without by 6.0-27.3 percentage points.
Conclusion: Adults with epilepsy visit the ED frequently and visit rates have been increasing over time. These results underscore the importance of identifying factors contributing to ED use and designing tailored interventions to improve ambulatory care quality.
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| http://dx.doi.org/10.1016/j.eplepsyres.2024.107427 | DOI Listing |
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