Abstract Details

Title Healthcare Utilization, Physical, and Mental Health, and Food Security Among Pediatric Patients with Epilepsy

Topic Child Neurology and Developmental Neurology

Presentation(s) P3 - Poster Session 3 (5:00 PM-6:00 PM)

Poster/Presentation
Number 8-007

Objective To characterize healthcare utilization, physical and mental health, and food security among pediatric patients with epilepsy (PWE) in comparison to children in the general population.

Background Both adult and pediatric PWE often have multiple co-morbidities, including physical and mental health disorders, leading to increased healthcare utilization and worse health outcomes. Data is available for adult PWE struggling with social determinants of health, such as food security, but is limited for pediatric PWE.

Design/Methods Selected National Health and Nutrition Examination Survey Questionnaire (NHANES) database questionnaire results from 2013-2018 were compared between PWE under age eighteen (participants taking antiseizure medications for epilepsy) and children without epilepsy, matched for age and gender, using Pearson Chi-Squared Tests.

Results 44 PWE and 2640 matched controls had a median age of ten, 65.9% male. PWE were more likely to seek medical attention with overnight hospital stays (31.8% vs 2.8%) or ≥10 appointments in the last year (39% vs 4.2%) (p<0.001). PWE have more difficulties with hearing (13.6% vs 0.8%), seeing (13.6% vs 2.2%), and walking (37.8% vs 1.0%) (p<0.001). Regarding mental health, PWE were less likely to perceive their health as “Excellent” (11.4% vs 40.1%) but more likely “Fair” (22.7% vs 5.8%) or “Poor” (11.4% vs 0.3%) (p<0.001). More PWE reported seeing a mental health professional in the last year (26.3% vs 10.0%, p=0.012). There was no significant difference in reported household food security (p=0.51) or food stamps (p=0.91). More PWE received reduced lunch prices (25.9% vs 8.7%, p<0.001) despite there being no significant difference between the proportion of children eating school lunch daily (p=0.636).

Conclusions Data from NHANES further support that pediatric PWE are more likely to have co-morbid physical and mental disabilities, increasing healthcare utilization. Although pediatric PWE are more likely to get reduced lunch prices, overall, there is no significant difference in food security in this dataset.

Authors/Disclosures
Sara Lee, MD PRESENTER	Dr. Lee has nothing to disclose.
Jinyuan Liu, MD (Montefiore Medical Center)	Dr. Liu has nothing to disclose.
Grace S. Opong	Ms. Opong has nothing to disclose.
Amit Ahituv (NYU Langone Health)	Ms. Ahituv has nothing to disclose.
Daniel Jose Correa, MD, MSc, FAAN (Montefiore Medical Center, Comprehensive Epilepsy Center)	Dr. Correa has received personal compensation in the range of $10,000-$49,999 for serving as an Editor, Associate Editor, or Editorial Advisory Board Member for ��ɫ��. Dr. Correa has or had stock in Aidin Inc.Dr. Correa has received research support from Genentech. Dr. Correa has received research support from Psi Upsilon Foundation Inc.
Alexis D. Boro, MD (Montefiore Medical Center / Albert Einstein College of Medicine)	Dr. Boro has nothing to disclose.
Victor Ferastraoaru, MD (Montefiore Medical Ctr-Neurology Dept)	Dr. Ferastraoaru has nothing to disclose.

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