Impact of RNS on Epilepsy Health Utilization: A Preliminary Analysis
Abstract number :
3.221
Submission category :
4. Clinical Epilepsy / 4D. Prognosis
Year :
2023
Submission ID :
1055
Source :
www.aesnet.org
Presentation date :
12/4/2023 12:00:00 AM
Published date :
Authors :
Presenting Author: Ayman Alboudi, MD – Staten Island University Hospital/Lenox Hill Hospital
Robert Goodman, MD – Lenox Hill Hospital; Samar Geblawi, MD – Detroit Medical Center; Sean Hwang, MD – Hofstra Northwell Comprehensive Epilepsy Center; Fred Lado, MD – North Shore University Hospital; Ashesh Mehta, MD – Lenox Hill Hospital; Derek Chong, MD – Lenox Hill Hospital; Ruben Kuzniecky, MD – Lenox Hill Hospital
Rationale:
Data about RNS impact on health-care resources utilization is very limited. Few studies have specifically analyzed the impact of RNS on ED visits, Neurophysiology utilization and hospital admission in refractory epilepsy patients before and after RNS implantation.
Methods:
We reviewed the files of all epilepsy patients implanted with an RNS device in the adult Northwell Health Epilepsy program between 1/1/2015 and1/5/2023. Patients with complete data two years before and two years (or to the most recent visit, which closer to two years) after RNS impaltation were included in the study. Demographic data, ED visits, hospital admission, office visits, and the number of routine and ambulatory EEGs were documented and compared pre and post implantation. RNS complications were also documented.
Results:
There were 27 adult patients with available data before and after the procedure. 29.6 % male, with median age 41, IQR (32.5-47). Data showed a significant decrease for hospital admissions for video EEG studies (P< 0.001), routine EEG (p= 0.001), ambulatory EEG (p=0.02). Although ED visits were less frequent after RNS implantation, the difference was not significant (p= 0.21). As expected, there were significantly more office visits after the RNS implantation for programing and adjustments (P=0.02).
Clinical Epilepsy