The effects of COVID‐19 measures on the hospitalization of patients with epilepsy and status epilepticus in Thailand: An interrupted time series analysis

Abstract Objective To investigate the effect of Coronavirus disease 2019 (COVID‐19) measures on the hospitalization of patients with epilepsy and status epilepticus (SE). Methods This interrupted time series design included data from the Thai Universal Coverage Scheme electronic database between Jan...

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Main Authors: Prapassara Sirikarn, Siriporn Tiamkao, Somsak Tiamkao
Format: Article
Language:English
Published: Wiley 2022-06-01
Series:Epilepsia Open
Subjects:
Online Access:https://doi.org/10.1002/epi4.12600
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author Prapassara Sirikarn
Siriporn Tiamkao
Somsak Tiamkao
author_facet Prapassara Sirikarn
Siriporn Tiamkao
Somsak Tiamkao
author_sort Prapassara Sirikarn
collection DOAJ
description Abstract Objective To investigate the effect of Coronavirus disease 2019 (COVID‐19) measures on the hospitalization of patients with epilepsy and status epilepticus (SE). Methods This interrupted time series design included data from the Thai Universal Coverage Scheme electronic database between January 2017 and September 2020. The monthly hospitalization rate of epilepsy and SE was calculated by the number of hospitalizations divided by the midyear population. Segmented regression fitted by ordinary least squares (OLS) was used to detect the immediate and overtime effects of COVID‐19 measures on the hospitalization rate. Results During January 2017 and September 2020, the numbers of epilepsy and SE patients admitted to the hospital were 129 402 and 15 547 episodes, respectively. The monthly trend of the hospitalization rate in epilepsy decreased immediately after the COVID‐19 measure (0.739 per 100 000 population [95% CI: 0.219 to 1.260]). In particular, the number of children declined to 1.178 per 100 000 population, and the number of elderly individuals dropped to 0.467 per 100 000 population, while there was a nonstatistically significant change in SE. Significance COVID‐19 measures reduced the hospital rate in epilepsy, particularly in children and adults. However, there was no change in SE patients.
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spelling doaj.art-d9c9e04c43644f93bde32ee2417ded5d2022-12-22T00:23:38ZengWileyEpilepsia Open2470-92392022-06-017232533110.1002/epi4.12600The effects of COVID‐19 measures on the hospitalization of patients with epilepsy and status epilepticus in Thailand: An interrupted time series analysisPrapassara Sirikarn0Siriporn Tiamkao1Somsak Tiamkao2Department of Epidemiology and Biostatistics, Faculty of Public Health Khon Kaen University Khon Kaen ThailandIntegrated Epilepsy Research Group Khon Kaen University Khon Kaen ThailandIntegrated Epilepsy Research Group Khon Kaen University Khon Kaen ThailandAbstract Objective To investigate the effect of Coronavirus disease 2019 (COVID‐19) measures on the hospitalization of patients with epilepsy and status epilepticus (SE). Methods This interrupted time series design included data from the Thai Universal Coverage Scheme electronic database between January 2017 and September 2020. The monthly hospitalization rate of epilepsy and SE was calculated by the number of hospitalizations divided by the midyear population. Segmented regression fitted by ordinary least squares (OLS) was used to detect the immediate and overtime effects of COVID‐19 measures on the hospitalization rate. Results During January 2017 and September 2020, the numbers of epilepsy and SE patients admitted to the hospital were 129 402 and 15 547 episodes, respectively. The monthly trend of the hospitalization rate in epilepsy decreased immediately after the COVID‐19 measure (0.739 per 100 000 population [95% CI: 0.219 to 1.260]). In particular, the number of children declined to 1.178 per 100 000 population, and the number of elderly individuals dropped to 0.467 per 100 000 population, while there was a nonstatistically significant change in SE. Significance COVID‐19 measures reduced the hospital rate in epilepsy, particularly in children and adults. However, there was no change in SE patients.https://doi.org/10.1002/epi4.12600coronavirus diseasehospital admissionnoncommunicable diseasespublic measuresseizure
spellingShingle Prapassara Sirikarn
Siriporn Tiamkao
Somsak Tiamkao
The effects of COVID‐19 measures on the hospitalization of patients with epilepsy and status epilepticus in Thailand: An interrupted time series analysis
Epilepsia Open
coronavirus disease
hospital admission
noncommunicable diseases
public measures
seizure
title The effects of COVID‐19 measures on the hospitalization of patients with epilepsy and status epilepticus in Thailand: An interrupted time series analysis
title_full The effects of COVID‐19 measures on the hospitalization of patients with epilepsy and status epilepticus in Thailand: An interrupted time series analysis
title_fullStr The effects of COVID‐19 measures on the hospitalization of patients with epilepsy and status epilepticus in Thailand: An interrupted time series analysis
title_full_unstemmed The effects of COVID‐19 measures on the hospitalization of patients with epilepsy and status epilepticus in Thailand: An interrupted time series analysis
title_short The effects of COVID‐19 measures on the hospitalization of patients with epilepsy and status epilepticus in Thailand: An interrupted time series analysis
title_sort effects of covid 19 measures on the hospitalization of patients with epilepsy and status epilepticus in thailand an interrupted time series analysis
topic coronavirus disease
hospital admission
noncommunicable diseases
public measures
seizure
url https://doi.org/10.1002/epi4.12600
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