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Potentially preventable complications in epilepsy admissions: The "weekend effect"
Lianne Ho1, Daniel R Kramer2, Timothy Wen1
1Keck School of Medicine of USC, University of Southern California, 1200 North State Street, Suite 3300, Los Angeles, CA 90033, USA.
Epilepsy & Behavior : E&B
|April 15, 2017
Summary
Weekend epilepsy admissions increase the risk of hospital-acquired conditions (HACs) and mortality by 10%. These admissions are associated with higher costs and longer hospital stays, necessitating risk mitigation strategies.
Area of Science:
- Medical research
- Public health
- Health services research
Background:
- Epilepsy affects 1% of the U.S. population, leading to significant healthcare burdens.
- Weekend hospital admissions are linked to poorer patient outcomes and increased preventable complications, including hospital-acquired conditions (HACs).
Purpose of the Study:
- To evaluate the impact of weekend hospital admission on the incidence of HACs and mortality rates in adult patients with epilepsy.
Main Methods:
- Analysis of adult epilepsy admissions from the Nationwide Inpatient Sample (2000-2010).
- Comparison of outcomes between weekend and weekday admissions, focusing on HACs and mortality.
Main Results:
- Weekend epilepsy admissions showed a 10% increased likelihood of HACs (RR=1.10) and mortality (RR=1.10) compared to weekday admissions.
- Hospital-acquired conditions were associated with increased inpatient charges, prolonged length of stay (pLOS), and higher mortality.
Conclusions:
- Weekend admissions for epilepsy are associated with elevated rates of HACs and mortality.
- These findings suggest that weekend epilepsy admissions pose higher risks and require targeted interventions to mitigate adverse outcomes.