Racial/ethnic and socioeconomic disparities contribute to frequent emergency division visits for seizures, based on a examine printed on-line July 5 in Epilepsia.
Brad Okay. Kamitaki, M.D., from Rutgers-Robert Wooden Johnson Medical College in New Brunswick, New Jersey, and colleagues performed a retrospective cohort examine of grownup sufferers presenting to the emergency division in 4 U.S. states with a main analysis of seizure or epilepsy to look at whether or not individuals who had been uninsured or had public medical insurance, belonged to minoritized racial/ethnic teams, or resided in low-income zip codes had been extra prone to have frequent emergency division visits.
A complete of 200,962 sufferers had been recognized who visited the emergency division for seizure/epilepsy; of those, 14.7% offered two occasions through the examine interval. The researchers discovered that people with Medicare, Medicaid, or no insurance coverage had elevated odds of excessive emergency division use in contrast with these with non-public insurance coverage (adjusted odds ratios, 1.90, 2.01, and 1.55, respectively).
In contrast with white sufferers, Black sufferers had elevated odds of frequent emergency division visits (adjusted odds ratio, 1.60). For Black sufferers with Medicare and Medicaid versus non-public insurance coverage, nonetheless, these disparities had been attenuated.
Different racial/ethnic teams didn’t have excessive emergency division use. In contrast with these within the highest earnings quartile, sufferers dwelling in low-income zip codes (0 to twenty fifth percentile of median family earnings) had been extra prone to be within the excessive emergency division go to group (adjusted odds ratio, 1.65).
“Eliminating deeply rooted components resembling poverty, well being care prices, and systemic racism requires complete, multisectoral approaches far past the scope of well being care suppliers alone,” the authors write. “Even so, clinicians and researchers can play an important position by advocating for his or her sufferers, partaking policymakers, and offering assets and evidence-based methods to handle these systemic challenges.”
Extra info:
Brad Okay. Kamitaki et al, Frequent seizure and epilepsy‐associated emergency division visits in the USA: A retrospective cohort examine, Epilepsia (2025). DOI: 10.1111/epi.18525
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Socioeconomic disparities contribute to frequent ED visits for seizure (2025, July 14)
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