Impact of the COVID-19 Pandemic on Epilepsy Center Practice in the United States.
AuthorAhrens, Stephanie M
Ostendorf, Adam P
Lado, Fred Alexander
Arnold, Susan T
Bensalem-Owen, Meriem K
Chapman, Kevin E
Clarke, Dave F
Fountain, Nathan B
Gray, Johanna M
Gunduz, Muhammed Talha
Hopp, Jennifer L
Schuele, Stephan U
Herman, Susan T
PublisherWolters Kluwer Health
MetadataShow full item record
AbstractBACKGROUND AND OBJECTIVES: Persons with epilepsy, especially those with drug resistant epilepsy (DRE), may benefit from inpatient services such as admission to the epilepsy monitoring unit (EMU) and epilepsy surgery. The COVID-19 pandemic caused reductions in these services within the US during 2020. This article highlights changes in resources, admissions, and procedures among epilepsy centers accredited by the National Association of Epilepsy Centers (NAEC). METHODS: We compared data reported in 2019, prior to the COVID-19 pandemic, and 2020 from all 260 level 3 and level 4 NAEC accredited epilepsy centers. Data were described using frequency for categorical variables and median for continuous variables and were analyzed by center level, center population category, and geographical location. Qualitative responses from center directors to questions regarding the impact from COVID-19 were summarized utilizing thematic analysis. Responses from the NAEC center annual reports as well as a supplemental COVID-19 survey were included. RESULTS: EMU admissions declined 23% (-21,515) in 2020, with largest median reductions in level 3 centers [-55 admissions (-44%)] and adult centers [-57 admissions (-39%)]. The drop in admissions was more substantial in the East North Central, East South Central, Mid Atlantic, and New England US Census divisions. Survey respondents attributed reduced admissions to re-assigning EMU beds, restrictions on elective admissions, reduced staffing, and patient reluctance for elective admission. Treatment surgeries declined by 371 cases (5.7%), with the largest reduction occurring in VNS implantations [-486 cases (-19%)] and temporal lobectomies [-227 cases (-16%)]. All other procedure volumes increased, including a 35% (54 cases) increase in corpus callosotomies. DISCUSSION: In the US, access to care for persons with epilepsy declined during the COVID-19 pandemic in 2020. Adult patients, those relying on level 3 centers for care, and many persons in the eastern half of the US were most affected.
Rights/TermsCopyright © 2022 The Author(s). Published by Wolters Kluwer Health, Inc. on behalf of the American Academy of Neurology.
Identifier to cite or link to this itemhttp://hdl.handle.net/10713/18996
- United States Epilepsy Center Characteristics: A Data Analysis From the National Association of Epilepsy Centers.
- Authors: Ostendorf AP, Ahrens SM, Lado FA, Arnold ST, Bai S, Bensalem Owen MK, Chapman KE, Clarke DF, Eisner M, Fountain NB, Gray JM, Hopp JL, Riker E, Schuele SU, Small BV, Herman ST
- Issue date: 2022 Feb 1
- Epilepsy surgery in the United States: Analysis of data from the National Association of Epilepsy Centers.
- Authors: Kaiboriboon K, Malkhachroum AM, Zrik A, Daif A, Schiltz NM, Labiner DM, Lhatoo SD
- Issue date: 2015 Oct
- The Impact of Halting Elective Admissions in Anticipation of a Demand Surge Due to the Coronavirus Pandemic (COVID-19).
- Authors: Martin BI, Brodke DS, Wilson FA, Chaiyakunapruk N, Nelson RE
- Issue date: 2021 Mar 1
- The safety and efficacy of modifying the admission protocol to the epilepsy monitoring unit in response to the COVID-19 pandemic.
- Authors: Babtain F, Atteyah D, Milyani H, Banjer T, Alqadi K, Baeesa S, Al Said Y
- Issue date: 2021 Sep
- Emergent Admissions to the Epilepsy Monitoring Unit in the Setting of COVID-19 Pandemic-related, State-mandated Restrictions: Clinical Decision Making and Outcomes.
- Authors: Zepeda R, Lee Y, Agostini M, Alick Lindstrom S, Dave H, Dieppa M, Ding K, Doyle A, Harvey J, Hays R, Perven G, Podkorytova I, Das RR
- Issue date: 2021 Jun