30-Day readmission rates in pediatric patients with functional seizures.

Autor: Fox J; Department of Neurology, Vanderbilt University Medical Center, Nashville, TN, United States. Electronic address: jonah.fox@vumc.org., Reddy SB; Department of Pediatric Neurology, Monroe Carell Jr. Children's Hospital at Vanderbilt University Medical Center, Nashville, TN, United States., Nobis WP; Department of Neurology, Vanderbilt University Medical Center, Nashville, TN, United States.
Jazyk: angličtina
Zdroj: Epilepsy & behavior : E&B [Epilepsy Behav] 2022 Dec; Vol. 137 (Pt A), pp. 108956. Date of Electronic Publication: 2022 Oct 31.
DOI: 10.1016/j.yebeh.2022.108956
Abstrakt: Purpose: To ascertain the rates of 30-day readmissions and emergency department presentations among pediatric patients with an index admission for functional seizures.
Method: A retrospective chart review of pediatric patients with an index discharge from the pediatric epilepsy monitoring unit (EMU) or general neurology service for functional seizures. Data collected included demographics, comorbidities, risk factors, and treatment during the index admission.
Results: A total of one hundred and two patients were included, of which nearly one in five had a 30-day readmission or emergency department presentation. Index admission to the general neurology service was independently associated with more re-presentations to the hospital (t = 3.26, p < 0.0015). The univariate analysis indicated that cognitive impairment and autism were associated with a lower likelihood of readmission, while a neurology referral and being started on an anti-seizure medication were associated with a greater likelihood of readmission.
Conclusion: A substantial proportion of pediatric patients with FS return to the hospital within 30 days of discharge. Our data suggest that patients admitted to the EMU service have a lower likelihood of readmission. We speculate that this may be due to differences in patient clinical characteristics as well as the comprehensiveness of the diagnostic evaluation and management in the EMU compared to the general neurology service.
Competing Interests: Declaration of Competing Interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper.
(Copyright © 2022 Elsevier Inc. All rights reserved.)
Databáze: MEDLINE
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