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Abstract Details

Disparities in Timely Child Neurology Outpatient Care Post-inpatient Admission
Child Neurology and Developmental Neurology
P10 - Poster Session 10 (11:45 AM-12:45 PM)
8-001
Neurological disorders often cause hospitalizations among children. Timely follow-up care ensures treatment plan adherence, symptom progression monitoring, and attention to emergent issues.

Identify factors affecting receipt of timely outpatient follow-up child neurology care after a neurology inpatient admission.

We identified patients at one center between 2019-2022 that had seen a child neurologist and had an inpatient admission with a neurologic diagnosis. We defined “timely outpatient follow-up” as 90 days after discharge. Sub-analysis was performed for patients with an epilepsy or recurrent seizures diagnosis.
The cohort included 2,404 patients. 990 (41.2%) had a timely outpatient follow-up visit with a child neurologist. In our sub-analysis for children with epilepsy, 667 (51.8%) had a timely outpatient follow-up visit. Compared to children 0-3 years old,  older age groups with epilepsy were less likely to receive timely outpatient care: 12-17 (Odds Ratio [OR] 0.634, 95% Confidence Interval [CI] 0.450 – 0.892), 18-24 (OR 0.302, 95% CI 0.195 – 0.463), and 25 and above (OR 0.017, 95% CI 0.003 – 0.057). Black, Non-Hispanic (OR 0.693, 95% CI 0.484 – 0.992), Hispanic (OR 0.744 95% CI 0.557 – 0.993), Other (OR 0.510, 95% CI 0.321 – 0.807), and Asian (OR 0.469, 95% CI 0.286 – 0.765) children with epilepsy were less likely to receive timely follow up outpatient visits post discharge with a child neurologist compared to White, Non-Hispanic children.
The rate of timely outpatient child neurology follow-up visits after an inpatient admission with a neurologic diagnosis ranged between 40%-55%, while racial and ethnic minorities admitted with an epilepsy or recurrent seizures diagnosis had lower follow-up rates in comparison to White, Non-Hispanic patients, indicating racial disparities in post-discharge epilepsy and seizure care.

Authors/Disclosures
Alexander Zhao
PRESENTER
Mr. Zhao has nothing to disclose.
Ashwin Mahesh No disclosure on file
Carson Gundlach No disclosure on file
Sarah Chowdhury (Weill Cornell Medical College) Miss Chowdhury has nothing to disclose.
Nuran Golbasi No disclosure on file
Natasha Basma No disclosure on file
Zachary Grinspan, MD Dr. Grinspan has received personal compensation for serving as an employee of Weill Cornell Medicine. Dr. Grinspan has received personal compensation in the range of $500-$4,999 for serving as a Consultant for Alpha Insights. Dr. Grinspan has received personal compensation in the range of $500-$4,999 for serving as a Consultant for Biopharma LTD (South Korea). Dr. Grinspan has received personal compensation in the range of $500-$4,999 for serving as a Consultant for Encoded Therapeutics. The institution of Dr. Grinspan has received research support from SLC6A1 Connect. The institution of Dr. Grinspan has received research support from STXBP1 Foundation. The institution of Dr. Grinspan has received research support from Clara Inspired. The institution of Dr. Grinspan has received research support from Horizon Therapeutics. The institution of Dr. Grinspan has received research support from NINDS. Dr. Grinspan has received intellectual property interests from a discovery or technology relating to health care.