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Diagnosis, costs, and utilization for psychogenic non-epileptic seizures in a US health care setting
- Source :
- Psychosomatics. 54(1)
- Publication Year :
- 2012
-
Abstract
- Background Psychogenic non-epileptic seizures (PNES) pose a substantial burden to patients and the health care system, due to long diagnostic and treatment delays. Methods This study used medical chart notes from 103 patients to shed light on the diagnostic process. Electronic medical records and cost data from a US health system were also used to investigate costs and utilization for the 12-months before and after PNES diagnosis. Results The results show that accurate diagnosis was typically achieved via the use of multiple medical tests, including vEEG, magnetic resonance imaging (MRI), and computed tomography (CT) scans, as well as historical diagnostic and clinical information. In the year following PNES diagnosis, a decline in average visits (−1.45) and costs (−$1784) were observed. The largest cost savings were seen in neurology care and inpatient stays. Conclusions This study has implications for timely and accurate diagnosis of PNES, which may decrease the overall health care burden for individuals and the health care system.
- Subjects :
- Adult
Male
medicine.medical_specialty
Neurology
MEDLINE
Diagnostic Techniques, Neurological
Young Adult
Arts and Humanities (miscellaneous)
Seizures
Psychogenic non-epileptic seizures
Health care
medicine
Psychogenic disease
Humans
Young adult
Somatoform Disorders
Applied Psychology
Retrospective Studies
business.industry
Medical record
Retrospective cohort study
Health Care Costs
Health Services
Middle Aged
medicine.disease
United States
Psychiatry and Mental health
Emergency medicine
Female
Medical emergency
business
Subjects
Details
- ISSN :
- 15457206
- Volume :
- 54
- Issue :
- 1
- Database :
- OpenAIRE
- Journal :
- Psychosomatics
- Accession number :
- edsair.doi.dedup.....16a37fbda5a7ceb98ea2696dac2c6b2f