Prevalence and Causes of Seizure-Related Hospitalization in Epileptic Patient at Saraburi Hospital
Keywords:
Epilepsy, Hospitalization, PrevalenceAbstract
Background: Epilepsy is an ambulatory care sensitive condition. The hospitalization for epilepsy may be avoided if the patients receive treatment based on quality health care system in primary level. From 2008 to 2010, Health Insurance System Research Office reported that an epilepsy-related hospitalization was increased. However, there was no research focusing on the epilepsy-related hospitalization rate in Saraburi hospital.
Objective: The aim of this study was to determine the prevalence and the causes of the seizure-related hospitalization in this hospital.
Method: Retrospective chart review was conducted in adult epileptic patients aged 15 years or older, who admitted with some seizures at Saraburi hospital between 1 January and 31 December 2017. There were 402 patients who received outpatient medical treatment in Saraburi hospital at least 2 visits during the study period.
Result: The seizure-related hospitalization of 67 patients was about 16.7%. Non-adherence was a major cause of the seizure-related hospitalization as 50.8%. An average number of hospitalization was 1.8 times per year (SD, 1.3), and median of length of stay was 2.0 days (IQR, 2.0-3.0). Total direct medical cost was 5,215 Baht per admission (SD, 2,826). Most patients (95.5%) improved and 65.2% of subjects received anti-epileptic drugs similar to that received at the last visit. Although easy epilepsy clinic can improve quality of service delivery in health care system, there is no easy epileptic clinic in Saraburi hospital. This strategy can reduce some problem in special group including epileptic patients. Appropriate preventative and early management in ambulatory care may increase seizure-free rate and decrease hospitalization rate as well as health care utilization.
Conclusion: Prevalence of seizure-related hospitalization in epileptic patient at Saraburi hospital was 16.7% and non-adherence was a major cause of these patients.
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