Authors :
Presenting Author: Ahmad Sawalha, MD – Philadelphia College of Osteopathic Medicine.
Khalid Sawalha, MD – Associate professor, University of Massachusetts
Rationale:
Several studies evaluating the predictors of mortality in status epilepticus patients data on the effect of weekend admission on mortality in status epilepticus patients is limited. We intended to
evaluate whether important outcomes in status epilepticus, including in-hospital mortality, differ between patients admitted on weekends versus weekdays in the United States. Methods:
Retrospective cohort study of adult patients hospitalized between 2016 through 2020 with status epilepticus in acute-care hospitals across the United States. Patients were selected from the Nationwide Inpatient Sample (NIS) database. Patients who are 18 years old or above were included. Primary outcomes were In-hospital mortality, length of stay, and total hospitalization charges.
Results:
A total of
34,970 patients who were admitted with status epilepticus were included. The in-hospital mortality was 3.5% (1220 patients). Compared with patients admitted on weekdays, patients with status epilepticus admitted on weekends had a decrease in length of stay by a mean of 0.27 days while adjusting for age and gender. That was statistically significant (P=0.017), however, there was no difference in hospitalization charges compared to patients who presented on weekdays while adjusted for gender and age (P=0.2). It was noted that for each one-year of age increase, there was an increase in total hospitalization charge by a mean of 669$ and in the length of stay increased by 0.8 days (P=<