PURPOSE: To determine those variables associated with utilization of healthcare resources in epilepsy patients. METHODS: We interviewed 256 epilepsy patients. Target variables included the number of clinic visits, ER visits and in-patient admissions over the past year and AEDs currently being used. Predictor variables were age, race/ethnicity, marital status, education, income, insurance, seizure frequency and QOLIE-10 results. We used univariate analysis to determine those factors associated with the target variables and multivariate analysis to ascertain those independently significant. RESULTS: On univariate analysis, higher seizure frequency and poorer QOLIE-10 scores were associated with the number of clinic visits, ER visits and in-patient admissions. Increased seizure frequency and male gender were associated with higher use of AEDs. Using ordinal logistic regression, QOLIE-10 scores was the only variable associated with the number of clinic visits. Both seizure frequency and QOLIE-10 scores were independently associated with the number of in-patient admissions while seizure frequency and male gender remained independently associated with AED use. Using binary logistic regression, QOLIE-10 scores and seizure frequency were independently associated with the number of ER visits. CONCLUSION: Seizure frequency and quality of life are major factors associated with utilization of healthcare resources in epilepsy patients.
PURPOSE: To determine those variables associated with utilization of healthcare resources in epilepsypatients. METHODS: We interviewed 256 epilepsypatients. Target variables included the number of clinic visits, ER visits and in-patient admissions over the past year and AEDs currently being used. Predictor variables were age, race/ethnicity, marital status, education, income, insurance, seizure frequency and QOLIE-10 results. We used univariate analysis to determine those factors associated with the target variables and multivariate analysis to ascertain those independently significant. RESULTS: On univariate analysis, higher seizure frequency and poorer QOLIE-10 scores were associated with the number of clinic visits, ER visits and in-patient admissions. Increased seizure frequency and male gender were associated with higher use of AEDs. Using ordinal logistic regression, QOLIE-10 scores was the only variable associated with the number of clinic visits. Both seizure frequency and QOLIE-10 scores were independently associated with the number of in-patient admissions while seizure frequency and male gender remained independently associated with AED use. Using binary logistic regression, QOLIE-10 scores and seizure frequency were independently associated with the number of ER visits. CONCLUSION:Seizure frequency and quality of life are major factors associated with utilization of healthcare resources in epilepsypatients.
Authors: Maurizio Pompili; Gianluca Serafini; Marco Innamorati; Franco Montebovi; Dorian A Lamis; Mariantonietta Milelli; Manuela Giuliani; Matteo Caporro; Paolo Tisei; David Lester; Mario Amore; Paolo Girardi; Carla Buttinelli Journal: World J Psychiatry Date: 2014-12-22
Authors: Benjamin D Wissel; Hansel M Greiner; Tracy A Glauser; John P Pestian; Andrew J Kemme; Daniel Santel; David M Ficker; Francesco T Mangano; Rhonda D Szczesniak; Judith W Dexheimer Journal: Acta Neurol Scand Date: 2021-03-26 Impact factor: 3.915
Authors: Erdong Chen; Martha Sajatovic; Hongyan Liu; Ashley Bukach; Curtis Tatsuoka; Elisabeth Welter; Samantha S Schmidt; Yvan A Bamps; Shelley C Stoll; Tanya M Spruill; Daniel Friedman; Charles E Begley; Ross Shegog; Robert T Fraser; Erica K Johnson; Barbara C Jobst Journal: J Clin Neurol Date: 2018-02-28 Impact factor: 3.077
Authors: Adam J Noble; Dee Snape; Sarah Nevitt; Emily A Holmes; Myfanwy Morgan; Catrin Tudur-Smith; Dyfrig A Hughes; Mark Buchanan; Jane McVicar; Elizabeth MacCallum; Steve Goodacre; Leone Ridsdale; Anthony G Marson Journal: BMJ Open Date: 2020-04-16 Impact factor: 2.692