Journal article
Cost-Effectiveness of Evaluation of Children With Epilepsy in the Emergency Department: Need for Investment in Patient Education
Journal of child neurology, v 33(3)
Mar 2018
PMID: 29318927
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
We aimed to study cost-effectiveness of seizure evaluation of children with epilepsy in the emergency department (ED). We reviewed epilepsy patients seen at our ED for 1 year. Age, laboratory and neuroimaging results, treatment, disposition, and usefulness of the visit (need for hospitalization, clinical improvement) were analyzed. We identified 330 patients, aged 23 days-21 years, 190 (57.5%) had blood tests, 45 (13.6%) urinalysis, 2 (0.6%) cerebrospinal fluid testing, and 44 neuroimaging studies (13.3%). Tests' positive yield were 41%, 11%, 0%, and 4.5%, respectively. One-third of patients (n = 122) were treated with antiepileptic drugs. Other treatments were administered to 44 (13.3%). One hundred eighteen patients (35.7%) were admitted to our hospital, 208 (63%) discharged to home. Two hundred eight visits were useful (63%). One-third of visits did not provide useful patient care. Their visits were expensive and not very cost-effective. Investment in patient education could decrease unnecessary ED visits.
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Details
- Title
- Cost-Effectiveness of Evaluation of Children With Epilepsy in the Emergency Department: Need for Investment in Patient Education
- Creators
- Karen S Carvalho - St. Christopher's Hospital for ChildrenAnthony L Fine - 2 Division of Child Neurology, Department of Neurology, Mayo Clinic, Rochester, MN, USA.Christopher J Haines - Children's Specialized HospitalIgnacio Valencia - St. Christopher's Hospital for ChildrenDivya S Khurana - St. Christopher's Hospital for ChildrenAgustin Legido - St. Christopher's Hospital for Children
- Publication Details
- Journal of child neurology, v 33(3)
- Publisher
- Sage
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Pediatrics
- Web of Science ID
- WOS:000424757500001
- Scopus ID
- 2-s2.0-85043327639
- Other Identifier
- 991019168157204721
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- Collaboration types
- Domestic collaboration
- Web of Science research areas
- Clinical Neurology
- Pediatrics