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Updated: Aug 11, 2025

A Behavioral Screen for Heat-Induced Seizures in Mouse Models of Epilepsy
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Variability in Resource Utilization in the Evaluation and Management of Simple Febrile Seizures Inpatients in US

Dane Saksa1, Lena S Sun2, Jonathan Rodean3

  • 1David Geffen School of Medicine at UCLA, 10833 Le Conte Ave, Los Angeles, CA.

Journal of Neurosurgical Anesthesiology
|February 6, 2023
PubMed

Insights

Hospitalized simple febrile seizure (SFS) patients often undergo unnecessary evaluations like MRI and EEG. Resource utilization varied widely across hospitals, with no clear factors explaining these differences.

Area of Science:

  • Pediatric Neurology
  • Healthcare Resource Utilization
  • Clinical Practice Variation

Background:

  • Simple febrile seizures (SFS) are common in young children.
  • Evaluation and treatment protocols for hospitalized SFS patients can vary.
  • Understanding resource use is crucial for optimizing pediatric healthcare.

Purpose of the Study:

  • To characterize resource utilization in the evaluation and treatment of hospitalized SFS patients.
  • To identify variations in the use of MRI, EEG, and anticonvulsants.
  • To examine hospital-level differences in managing SFS.

Main Methods:

  • Retrospective cohort study using the Pediatric Health Information System (2010-2015).
  • Included inpatients aged 6 months to 5 years with SFS diagnosis.
  • Compared resource utilization (MRI, EEG, anticonvulsants) between patient groups and across hospitals.

Main Results:

  • 8.4% of SFS patients presenting to the ED were hospitalized.
  • Over half (57.8%) of hospitalized SFS patients received no further MRI/EEG or anticonvulsant treatment.
  • Significant inter-hospital variation was observed in MRI, EEG, and anticonvulsant utilization rates.

Conclusions:

  • Wide variation exists in resource utilization for hospitalized SFS patients.
  • No specific hospital-level factors were identified to explain this variation.
  • Further research may be needed to understand and standardize SFS management.
Abstract

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