Reduction of emergency department visits using an urgent clinic for children with established epilepsy

Neurology. Clinical Practice
Anup D PatelDaniel M Cohen

Abstract

Emergency department (ED) visits and hospitalizations account for a large portion of the cost of care in people with established epilepsy. In an attempt to decrease seizure-related ED visits, we created an urgent epilepsy clinic (UEC) for children with epilepsy. Our aim was to decrease ED visits for patients seen in the clinic by 30% and decrease unplanned hospitalizations by 10% 3 months following an appointment. Children at risk for an ED visit or unplanned hospitalization were referred and seen by a nurse practitioner and social worker. Factors influencing the need for the appointment and actions taken were recorded. Cost savings were also calculated. A total of 317 patients were seen in the UEC clinic from October 2013 to July 2015. Ninety-three percent of scheduled patients completed their appointment, compared to 84% in other neurology clinics. Eighty-three percent of patients were seen in the clinic within 5 days of the referral. Children were significantly less likely to come to the ED in the 3 months after an appointment compared to the 3 months before. An urgent clinic for children with established epilepsy was associated with a reduction in ED visits for seizures and improved adherence to outpatient clinic appointmen...Continue Reading

References

Jan 1, 1993·Health Affairs·J BillingsL Newman
Sep 20, 2008·Epilepsy Research·William O TatumThomas L Orth
Nov 5, 2008·Annals of Internal Medicine·Frank DavidoffUNKNOWN SQUIRE Development Group
Oct 18, 2014·Journal of the American Medical Informatics Association : JAMIA·Kensaku KawamotoVivian S Lee
Oct 27, 2015·American Journal of Medical Quality : the Official Journal of the American College of Medical Quality·Greg OgrincDavid Stevens

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Citations

Oct 5, 2019·Neurology. Clinical Practice·Parul DayalJames P Marcin
Oct 24, 2020·Journal of Child Neurology·Jea Young MinZachary M Grinspan
May 3, 2019·Contemporary Clinical Trials Communications·Muktar H AliyuUNKNOWN BRIDGE Advisory Panel
Jan 11, 2019·Epilepsy & Behavior : E&B·Rima NabboutPeter Camfield
Dec 1, 2016·Neurology. Clinical Practice·Jamie L AdamsE Ray Dorsey

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