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Updated: Jun 11, 2025
05:54
MRI-guided Focused Ultrasound Thalamotomy for Patients with Medically-refractory Essential Tremor
Published on: December 13, 2017
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Reasons for Hospitalizations and Emergency Department Visits Among Patients with Essential Tremor
Susanna Howard1, Ellie Gabriel2, Ritesh Karsalia2
1Department of Neurosurgery, University of Pennsylvania, Philadelphia, PA, USA.
Tremor and Other Hyperkinetic Movements (New York, N.Y.)
|September 30, 2024
Summary
Essential tremor (ET) patients show increased healthcare use, primarily driven by surgical treatments for tremor. Excluding these procedures reveals similar healthcare utilization compared to controls, indicating surgery is a key factor.
Area of Science:
- Neurology
- Healthcare Management
Background:
- Essential tremor (ET) is associated with higher healthcare utilization.
- The underlying reasons for this increased healthcare use in ET patients remain unclear.
Purpose of the Study:
- To investigate the specific reasons for increased healthcare utilization among patients with essential tremor (ET).
- To compare healthcare use patterns between ET patients and matched control individuals.
Main Methods:
- Retrospective cross-sectional study of ET patients with hospital admissions or ED visits (2018-2023).
- Propensity score matching was used to compare ET patients with controls based on demographics and comorbidities.
- Primary outcome was the odds of encounter for various diagnostic categories.
Main Results:
- Inpatient admissions for neurologic diagnoses were significantly higher in ET patients (OR 3.73).
- After excluding admissions for tremor surgery, the likelihood of neurologic admissions was similar between ET and control groups (OR 0.96).
Conclusions:
- Surgical treatment for essential tremor is a primary driver of increased healthcare utilization in ET patients.
- Further research should analyze healthcare use patterns pre- and post-tremor surgery.
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