Cost of Inpatient Treatment of Patients with Status Epilepticus in Turkey
Objectives:Status epilepticus (SE) is a neurological emergency with high mortality. As there are no data on the cost of treatment of SE in this country, the aim of this study was to investigate and analyze these costs.Methods:Patients who were hospitalized in the neurology intensive care unit betwee...
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| Format: | Article |
| Language: | English |
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Galenos Yayinevi
2019-04-01
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| Series: | Archives of Epilepsy |
| Subjects: | |
| Online Access: |
http://archepilepsy.org/archives/archive-detail/article-preview/cost-of-npatient-treatment-of-patients-with-status/54875
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| _version_ | 1797767381007728640 |
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| author | Selda KESKİN GÜLER Recep SAĞLAM Tahir YOLDAŞ Ümmühan EMEKTAR Burcu Gökçe ÇOKAL Sertaç GÜLER Hafize Nalan GÜNEŞ |
| author_facet | Selda KESKİN GÜLER Recep SAĞLAM Tahir YOLDAŞ Ümmühan EMEKTAR Burcu Gökçe ÇOKAL Sertaç GÜLER Hafize Nalan GÜNEŞ |
| author_sort | Selda KESKİN GÜLER |
| collection | DOAJ |
| description | Objectives:Status epilepticus (SE) is a neurological emergency with high mortality. As there are no data on the cost of treatment of SE in this country, the aim of this study was to investigate and analyze these costs.Methods:Patients who were hospitalized in the neurology intensive care unit between January and August 2018 were retrospectively evaluated. Demographic data, SE type, etiological factors, antiepileptic drugs used, duration of hospitalization, total cost of hospitalization, and the cost of medication(s) were recorded.Results:The records of 15 patients (male/female: 4/11) with a mean age of 46.73 years were examined. Seven patients had no previous history of epilepsy and their first seizure was SE-like. The seizures were classified as primary generalized convulsive (n=5), focal onset generalized convulsive (n=6), focal motor (n=1), and non-convulsive (n=3) SE. Medication mismatch (n=4), systemic infection (n=4), previous stroke (n=2), acute stroke (n=3), metabolic causes (n=1), and iatrogenic causes (n=1) were found in the seizure etiology. Two patients died during followup. The mean length of time of hospitalization in the neurology service and intensive care unit was 5.7 and 13.2 days, respectively. The mean total cost of the treatment per patient was TL 22,202.86 and the mean drug cost was TL 4,630.73.Conclusion:The presence of an acute central nervous system etiology and advanced age of the patient are 2 important factors that significantly increased the cost. More comprehensive data are needed to investigate the risk factors that contribute to the cost of larger patient numbers in our country. |
| first_indexed | 2024-03-12T20:38:54Z |
| format | Article |
| id | doaj.art-28f113da3f474e4d8a3a0e2424ec5aac |
| institution | Directory Open Access Journal |
| issn | 2792-0550 |
| language | English |
| last_indexed | 2024-03-12T20:38:54Z |
| publishDate | 2019-04-01 |
| publisher | Galenos Yayinevi |
| record_format | Article |
| series | Archives of Epilepsy |
| spelling | doaj.art-28f113da3f474e4d8a3a0e2424ec5aac2023-08-01T11:13:22ZengGalenos YayineviArchives of Epilepsy2792-05502019-04-0125181210.14744/epilepsi.2019.7160113049054Cost of Inpatient Treatment of Patients with Status Epilepticus in TurkeySelda KESKİN GÜLER0Recep SAĞLAM1Tahir YOLDAŞ2Ümmühan EMEKTAR3Burcu Gökçe ÇOKAL4Sertaç GÜLER5Hafize Nalan GÜNEŞ6 Department of Neurology, Health Sciences University, Ankara Training and Research Hospital, Ankara, Turkey Department of Neurology, Health Sciences University, Ankara Training and Research Hospital, Ankara, Turkey Department of Neurology, Health Sciences University, Ankara Training and Research Hospital, Ankara, Turkey Department of Neurology, Health Sciences University, Ankara Training and Research Hospital, Ankara, Turkey Department of Neurology, Health Sciences University, Ankara Training and Research Hospital, Ankara, Turkey Department of Emergency Medicine, Health Sciences University, Ankara Training And Research Hospital, Ankara, Turkey Department of Neurology, Health Sciences University, Ankara Training and Research Hospital, Ankara, Turkey Objectives:Status epilepticus (SE) is a neurological emergency with high mortality. As there are no data on the cost of treatment of SE in this country, the aim of this study was to investigate and analyze these costs.Methods:Patients who were hospitalized in the neurology intensive care unit between January and August 2018 were retrospectively evaluated. Demographic data, SE type, etiological factors, antiepileptic drugs used, duration of hospitalization, total cost of hospitalization, and the cost of medication(s) were recorded.Results:The records of 15 patients (male/female: 4/11) with a mean age of 46.73 years were examined. Seven patients had no previous history of epilepsy and their first seizure was SE-like. The seizures were classified as primary generalized convulsive (n=5), focal onset generalized convulsive (n=6), focal motor (n=1), and non-convulsive (n=3) SE. Medication mismatch (n=4), systemic infection (n=4), previous stroke (n=2), acute stroke (n=3), metabolic causes (n=1), and iatrogenic causes (n=1) were found in the seizure etiology. Two patients died during followup. The mean length of time of hospitalization in the neurology service and intensive care unit was 5.7 and 13.2 days, respectively. The mean total cost of the treatment per patient was TL 22,202.86 and the mean drug cost was TL 4,630.73.Conclusion:The presence of an acute central nervous system etiology and advanced age of the patient are 2 important factors that significantly increased the cost. More comprehensive data are needed to investigate the risk factors that contribute to the cost of larger patient numbers in our country. http://archepilepsy.org/archives/archive-detail/article-preview/cost-of-npatient-treatment-of-patients-with-status/54875 epilepsycostsstatus epilepticus |
| spellingShingle | Selda KESKİN GÜLER Recep SAĞLAM Tahir YOLDAŞ Ümmühan EMEKTAR Burcu Gökçe ÇOKAL Sertaç GÜLER Hafize Nalan GÜNEŞ Cost of Inpatient Treatment of Patients with Status Epilepticus in Turkey Archives of Epilepsy epilepsy costs status epilepticus |
| title | Cost of Inpatient Treatment of Patients with Status Epilepticus in Turkey |
| title_full | Cost of Inpatient Treatment of Patients with Status Epilepticus in Turkey |
| title_fullStr | Cost of Inpatient Treatment of Patients with Status Epilepticus in Turkey |
| title_full_unstemmed | Cost of Inpatient Treatment of Patients with Status Epilepticus in Turkey |
| title_short | Cost of Inpatient Treatment of Patients with Status Epilepticus in Turkey |
| title_sort | cost of inpatient treatment of patients with status epilepticus in turkey |
| topic | epilepsy costs status epilepticus |
| url |
http://archepilepsy.org/archives/archive-detail/article-preview/cost-of-npatient-treatment-of-patients-with-status/54875
|
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