The Cost Analysis of a 7-Year Cross-Section of Patients with Epilepsy in a Single-Center Child Neurology Outpatient Clinic: A Descriptive Retrospective Analysis

IF 0.2 Q4 PEDIATRICS

Journal of Pediatric Epilepsy Pub Date : 2022-06-13 DOI:10.1055/s-0042-1746428

Arzu Yılmaz

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Abstract

The cost analysis of the 7-year cross-section of the patients in pediatric neurology outpatient clinic including patients with foreign nationality was investigated retrospectively. Between January 10, 2013 and January 10, 2020, the total number of applicants, the nationalities of the patients, and the hospital cost were analyzed. Of 3,338 patients, aged between 0 and 20 years with mean age of 8.7 years at admission to the child neurology had received 17,476 clinical examinations. Of these, 51.6% were male and 93.5% cases were Turkish patients (n = 3,122), with 6.5% foreign nationals (n = 216). There was no difference in terms of gender between nationalities (p > 0.05). The total cost of cases with epilepsy was 1,312,427.73 Turkish Lira (TRY) and 6.2% account belonged to foreign nationals, mostly from Iraq (3.6%, n = 119) and Syria (2.4%, n = 80). The highest proportion of foreigner admissions due to epilepsy was in 2018 (11.1%). Mean average of health expenditures for foreign nationals diagnosed with epilepsy was 6.2% with the highest expenditure in 2019 (27.750,06 TRY). The proportion of admissions for epilepsy was 27.6% (17,476/63,173) among all neurological admissions. The proportion of Turkish patients was 25.6% (6,181/63,173), and 3.8% (1,295/3,398) accounted for foreigners' admissions. The proportion of total epilepsy costs compared with the total neurological admissions was 30% (1.312.427,73 TRY/4.347.592,80 TRY) and among them, the expenditure proportion for epilepsy in Turkish patients compared with that of total foreigner admissions was 3.9% (80.416,44 TRY/201.490,515 TRY). Expenditures for evaluating of epileptic children with foreign nationality cover an average of 6.5% of the entire section of the health expenditures made for patients with the diagnosis of epilepsy in the pediatric neurology outpatient clinic over the 7-year period. Epilepsy accounts for 30% admissions among all neurological admissions with 3.9% belonging to foreign national admissions.

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单中心儿童神经病学门诊7年癫痫患者横断面成本分析:描述性回顾性分析

对小儿神经内科门诊包括外籍患者的7年横断面费用进行回顾性分析。分析2013年1月10日至2020年1月10日期间的申请总人数、患者国籍、住院费用。3338例患者年龄在0 - 20岁之间，入院时平均年龄为8.7岁，接受了17476次临床检查。其中51.6%为男性，93.5%为土耳其患者(n = 3122)， 6.5%为外国人(n = 216)。民族间性别差异无统计学意义(p > 0.05)。癫痫病例总费用为1,312,427.73土耳其里拉(TRY)，外国人占6.2%，主要来自伊拉克(3.6%，n = 119)和叙利亚(2.4%，n = 80)。2018年因癫痫入院的外国人比例最高(11.1%)。被诊断患有癫痫的外国人的平均卫生支出为6.2%，2019年的支出最高(27750,06 TRY)。在所有神经系统住院患者中，癫痫占27.6%(17,476/63,173)。土耳其患者占25.6%(6181 / 63173)，外籍患者占3.8%(1295 / 3398)。癫痫总费用占神经系统住院总费用的比例为30% (1.312.427,73 TRY/4.347.592,80 TRY)，其中土耳其患者癫痫费用占外国人住院总费用的比例为3.9% (80.416,44 TRY/201.490,515 TRY)。在7年期间，用于评估癫痫病外国国籍儿童的支出平均占儿科神经病学门诊诊断为癫痫病患者的整个医疗支出的6.5%。癫痫占所有神经系统住院患者的30%，其中3.9%属于外国住院患者。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Pediatric Epilepsy PEDIATRICS-

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期刊介绍： The Journal of Pediatric Epilepsy is an English multidisciplinary peer-reviewed international journal publishing articles on all topics related to epilepsy and seizure disorders, epilepsy surgery, neurology, neurosurgery, and neuropsychology in childhood. These topics include the basic sciences related to the condition itself, the differential diagnosis, natural history, and epidemiology of seizures, and the investigation and practical management of epilepsy (including drug treatment, neurosurgery and non-medical and behavioral treatments). Use of model organisms and in vitro techniques relevant to epilepsy are also acceptable. Journal of Pediatric Epilepsy provides an in-depth update on new subjects and current comprehensive coverage of the latest techniques used in the diagnosis and treatment of childhood epilepsy.