Prevalence and Incidence of Epilepsy in an Elderly and Low-Income Population in the United States

Autor: Derek H. Tang, Marion K. Slack, Terri L. Warholak, David M. Labiner, Edward P. Armstrong, Jenny Chong, Daniel C. Malone, Chiu Hsieh Hsu
Jazyk: angličtina
Rok vydání: 2015
Předmět:
Zdroj: Journal of Clinical Neurology (Seoul, Korea)
ISSN: 2005-5013
1738-6586
Popis: BACKGROUND AND PURPOSE The purpose of this study was to estimate the incidence and prevalence of epilepsy among an elderly and poor population in the United States. METHODS Arizona Medicaid claims data from January 1, 2008 to December 31, 2010 were used for this analysis. Subjects who were aged ≥65 years and were continuously enrolled in any Arizona Medicaid health plans (eligible to patients with low income) for ≥12 months between January 1, 2008 and December 31, 2009 were considered eligible for inclusion in the study cohort. In addition to meeting the aforementioned criteria, incident and prevalent cases must have had epilepsy-related healthcare claims. Furthermore, incident cases were required to have a 1-year "clean" period immediately preceding the index date. Negative binomial and logistic regression models were used to assess the factors associated with epilepsy incidence and prevalence. RESULTS The estimated epilepsy incidence and prevalence for this population in 2009 were 7.9 and 19.3 per 1,000 person-years, respectively. The incidence and prevalence rates were significantly higher for patients with comorbid conditions that were potential risk factors for epilepsy and were of younger age than for their non-comorbid and older counterparts (p
Databáze: OpenAIRE