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Retrospective observational study on hospital readmission for status epilepticus in the United States over 2016
Author(s) -
AmengualGual Marta,
Sánchez Fernández Iván,
Vasquez Alejandra,
Loddenkemper Tobias
Publication year - 2020
Publication title -
epilepsia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.687
H-Index - 191
eISSN - 1528-1167
pISSN - 0013-9580
DOI - 10.1111/epi.16586
Subject(s) - medicine , confidence interval , hazard ratio , observational study , status epilepticus , retrospective cohort study , epilepsy , pediatrics , cumulative incidence , emergency medicine , healthcare cost and utilization project , incidence (geometry) , refractory (planetary science) , health care , cohort , psychiatry , physics , optics , economics , economic growth , astrobiology
Objective Describe hospital readmission for status epilepticus (SE) in the United States, and study potential risk factors for readmission. Methods This is a retrospective observational study using the Healthcare Cost and Utilization Project's 2016 Nationwide Readmissions Database. We studied patients of all ages admitted to the hospital due to SE. Results We included 32 327 patients admitted for SE in 2016. 8.4% of these patients were readmitted for SE at least one more time within 2016 (cross‐sectional analysis). The incidence rate was 18 readmissions for SE per 1000 patient‐months. Among the survivors of the index admission for SE who had at least 6 months of follow‐up within this database (16 043 patients), the cumulative probability of having a readmission for SE at 1, 3, and 6 months from the index admission was approximately 3.5%, 7.5%, and 11%, respectively (time‐to‐event analysis). Patients with refractory epilepsy were more likely to have a readmission for SE compared to patients without refractory epilepsy (hazard ratio [HR] 1.49, 95% confidence interval [CI] 1.23‐1.82, adjusted P =.0006), and pediatric patients were more likely to have a readmission for SE compared to adult patients (HR 1.53, 95% CI 1.26‐1.87, adjusted P = .0003) during 6‐month follow‐up. Significance Hospital readmissions for SE in the United States are frequent. Independent factors associated with readmission in this database were refractory epilepsy and pediatric age.