Association of hospital location and academic variations with status epilepticus outcomes: A national cohort study.
Status epilepticus mortality was similar across academic and non-academic hospitals despite higher severity
Association of hospital location and academic variations with status epilepticus outcomes: A national cohort study.
In status epilepticus (SE) depend on rapid seizure control, yet transport times/resources differ by hospital type.
We hypothesized that hospital outcomes vary across hospital types: metro-academic (metro-academic), metro-nonacademic (metro-nonacademic), and non-metro hospitals (NM).
Retrospective cohort of adults with SE from the 2016-2022 NRD.
SE hospitalizations occurred predominantly at metro-academic hospitals, whereas NM hospitals disproportionately served patients in the lowest income quartile (64%).
Metro-academic hospitalizations had higher illness severity, characterized by coma (7.4%), use of mechanical ventilators (<24 h: 15.1%, 24-96 h: 20.8%, >96 h: 10.1%), cardiac arrest (1.6%), sepsis (5.5%), vasopressor infusion (2.3%), and tracheostomy placement (2.1%).
Despite higher illness severity at metro-academic hospitals, in-hospital mortality and discharge disposition were similar across hospital types.
Increased readmissions, LOS, and costs at metro-academic centers likely reflect greater case complexity and may inform resource allocation and interhospital transfer practices.