好色先生

好色先生

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Abstract Details

Health Care Status and Utilization in Young Adults with Epilepsy
Epilepsy/Clinical Neurophysiology (EEG)
P1 - Poster Session 1 (8:00 AM-9:00 AM)
11-007
We aimed to (1) describe the profile of transition-age people (12-25 years) with epilepsy, and (2) examine HCU patterns during the transition period, according to baseline factors such as intellectual disability, autism spectrum disorder, place of care, and socio-economic status. 

The transition from pediatric to adult healthcare is a complex and vulnerable period for young adults with epilepsy. There can be care discontinuity, reduced adherence to antiseizure medications, and psychosocial challenges, influencing healthcare utilization (HCU).

This was a cohort study using administrative data from the Alberta Health Services databases, with 18 years of follow-up (2007-2025). Eligible participants are those with epilepsy diagnosed by 2020 and at or before age 16 years. The primary outcome was a composite of HCU, defined as the total number of healthcare encounters per year (number of hospitalizations and emergency department visits). We describe our study cohort at baseline and mean (95% CI) HCU across follow-up. 

 Among the 84,998 individuals with epilepsy, 4,712 met predefined calendar year and age criteria. Mean age was 10 years (SD: 4.1), and 2,496 (53%) were male. Healthcare utilization patterns varied based on comorbidities, place of care, and socioeconomic status. Individuals in specialized epilepsy centers showed higher healthcare use with a mean HCU of 13.72 visits (95% CI 12.92-14.53), while individuals with comorbidities exhibited higher utilization patterns with a mean HCU of 13.96 visits (95% CI 13.52-14.40). 

This study highlights how identifying comorbidities, place of care, and socioeconomic factors influence healthcare use in young people with epilepsy that are transitioning from pediatric to adult care. Understating the HCU patterns will enable the development of tailored interventions and better planning and allocation of healthcare resources. We are currently finalizing separate generalized additives models for each explanatory variable to estimate the HCU patterns across the transition period. 
Authors/Disclosures
Milenia M. Rivera Campusano, MD, MSc (c)
PRESENTER 		Dr. Rivera Campusano has nothing to disclose.
Marie-Pierre Sylvestre, PhD Prof. Sylvestre has nothing to disclose.
Mark R. Keezer, MD, PhD (Centre Hospitalier Universite de Montreal) The institution of Dr. Keezer has received research support from TD Bank. The institution of Dr. Keezer has received research support from Savoy Foundation. The institution of Dr. Keezer has received research support from Canadian Institutes of Health Research. The institution of Dr. Keezer has received research support from Fonds de Recherche Québec Santé. The institution of Dr. Keezer has received research support from Canadian Institutes of Health Research. The institution of Dr. Keezer has received research support from Precision Child Health Partnership Catalyst Program.
Colin B. Josephson, MD The institution of Dr. Josephson has received research support from Paladin Pharma. The institution of Dr. Josephson has received research support from Jazz Pharmaceutical.