Financial Burden of Nonconvulsive Status Epilepticus in the United States During 1993-2014
Abstract number :
3.461
Submission category :
13. Health Services (Delivery of Care, Access to Care, Health Care Models)
Year :
2022
Submission ID :
2232880
Source :
www.aesnet.org
Presentation date :
12/5/2022 12:00:00 PM
Published date :
Nov 22, 2022, 05:28 AM
Authors :
Carlos Garcia Rodriguez, MD – garciarodric@uthscsa.edu; Shwetha Menon, BS – University of Texas Health Science Center at San Antonio; Ali Seifi, MD, FNCS, FCCM – University of Texas Health Science Center at San Antonio
This is a Late Breaking abstract
Rationale: Non-convulsive status epilepticus (NCSE) refers to a prolonged seizure that manifests as altered mental status as opposed to the normal convulsions seen in a seizure.1 Due to the unremarkable presentation of this disease, it is a diagnosis that confers a high-financial burden on healthcare by being late diagnosed. The goal of this study is to determine the financial burden of NCSE in the United States’ healthcare for two decades._x000D_
Methods: This is a retrospective cohort study of inpatient subjects from 1993-2014 with NCSE that was collected from the Agency for Healthcare Research and Quality (AHRQ) via the Healthcare Cost and Utilization Project (HCUP). Patients were evaluated for demographics, length of stay, hospital charges, and aggregated charges. Statistical Z-testing was conducted for the analysis. _x000D_
Results: During the study period, 27,056 NCSE subjects were studied, with 55.04% being female and mean age of 33.14 (+/-2.51) years old. The mean number of patient’s diagnosed each year was 1,229.84 (+/-146), with an increase from 1119 to 2024 during the study ( P=0.00). The mean length of stay was 3.67 days (+/- 0.41) with a significant decrease during study (p-value:0.00).
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During the study period, United States’ healthcare spent $432,418,466 on NCSE. The mean hospital charges for each patient over the decade were $14,779.16 (+/- 1824.73) with a significant increase during study period (p value: 0.00). _x000D_
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Conclusions: Our data show that NCSE has a robust impact on healthcare expenditure. Hospital charges have significantly increased over the decades even though length of stay is decreasing. This data supports the thought that NCSE is a very expensive medical diagnosis, that requires a broad differential, development of surveillance ECG protocols, and focus on preventative methods. Further studies are warranted to minimize costs in healthcare.
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Reference:_x000D_
1. Chang AK, Shinnar S. Nonconvulsive status epilepticus. Emerg Med Clin North Am. 2011;29(1):65-72. doi: 10.1016/j.emc.2010.08.006_x000D_
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Funding: None
Health Services (Delivery of Care, Access to Care, Health Care Models)