{"id":4875,"date":"2023-03-29T03:40:04","date_gmt":"2023-03-29T01:40:04","guid":{"rendered":"https:\/\/www.jphres.org\/?p=4875"},"modified":"2023-04-02T14:02:00","modified_gmt":"2023-04-02T12:02:00","slug":"spatial-patterns-of-epilepsy-related-emergency-department-visits-in-california","status":"publish","type":"page","link":"https:\/\/www.jphres.us.com\/index.php\/jphres\/article\/view\/441\/","title":{"rendered":"Spatial patterns of epilepsy-related emergency department visits in California"},"content":{"rendered":"<div class=\"item doi\"><span class=\"value\"><a href=\"https:\/\/doi.org\/10.4081\/jphr.2015.441\">https:\/\/doi.org\/10.4081\/jphr.2015.441<\/a><\/span><\/div>\n<ul class=\"item authors\">\n<li><span class=\"name\"><strong>Jim E. Banta<\/strong><br \/>\n<\/span><span class=\"name\">School of Public Health, Loma Linda University, CA, United States.<\/span><\/li>\n<li><span class=\"name\"><strong>Askari Addison<\/strong><br \/>\n<\/span><span class=\"affiliation\">Arizona Department of Health Service, Phoenix, AZ, United States.<\/span><\/li>\n<li><span class=\"name\"><strong>W. Lawrence Beeson<\/strong><br \/>\n<\/span><span class=\"affiliation\">School of Public Health, Loma Linda University, CA, United States.<\/span><\/li>\n<\/ul>\n<div class=\"item abstract\">\n<h3 class=\"label\">ABSTRACT<\/h3>\n<p><em>Background<\/em>. Socio-demographic factors are associated with increased emergency department (ED) use among patients with epilepsy. However, there has been limited spatial analysis of such visits.<br \/>\n<em>Design and methods.<\/em>\u00a0California ED visit at the patient ZIP Code level were examined using Kulldorf\u2019s spatial scan statistic to identify clusters of increased risk for epilepsy-related visits. Logistic regression was used to examine the relative importance of patient socio-demographics, Census-based and hospital measures.<br \/>\n<em>Results<\/em>. During 2009-2011 there were 29,715,009 ED visits at 330 hospitals, of which 139,235 (0.5%) had epilepsy (International Classification of Disease-9 345.xx) as the primary diagnosis. Three large urban clusters of high epilepsy-related ED visits were centred in the cities of Los Angeles, Oakland and Stockton and a large rural clus- ter centred in Kern County. No consistent pattern by age, race\/ethnicity, household structure, and income was observed among all clusters. Regression found only the Los Angeles cluster significant after adjusting for other measures.<br \/>\n<em>Conclusions.<\/em>\u00a0Geospatial analysis within a large and geographically diverse region identified a cluster within its most populous city having an increased risk of ED visits for epilepsy independent of selected socio-demographic and hospital measures. Additional research is necessary to determine whether elevated rates of ED visits represent increased prevalence of epilepsy or an inequitable system of epilepsy care.<\/p>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>https:\/\/doi.org\/10.4081\/jphr.2015.441 Jim E. Banta School of Public Health, Loma Linda University, CA, United States. Askari Addison Arizona Department of Health Service, Phoenix, AZ, United States. W. Lawrence Beeson School of Public Health, Loma Linda University, CA, United States. ABSTRACT Background. Socio-demographic factors are associated with increased emergency department (ED) use among patients with epilepsy. However, &#8230; <a title=\"Spatial patterns of epilepsy-related emergency department visits in California\" class=\"read-more\" href=\"https:\/\/www.jphres.us.com\/index.php\/jphres\/article\/view\/441\/\" aria-label=\"More on Spatial patterns of epilepsy-related emergency department visits in California\">Read more<\/a><\/p>\n","protected":false},"author":3,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"open","ping_status":"open","template":"","meta":{"footnotes":""},"class_list":["post-4875","page","type-page","status-publish"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.2 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Spatial patterns of epilepsy-related emergency department visits in California - Journal of Public Health Research<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.jphres.us.com\/index.php\/jphres\/article\/view\/441\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Spatial patterns of epilepsy-related emergency department visits in California - Journal of Public Health Research\" \/>\n<meta property=\"og:description\" content=\"https:\/\/doi.org\/10.4081\/jphr.2015.441 Jim E. Banta School of Public Health, Loma Linda University, CA, United States. Askari Addison Arizona Department of Health Service, Phoenix, AZ, United States. W. Lawrence Beeson School of Public Health, Loma Linda University, CA, United States. ABSTRACT Background. Socio-demographic factors are associated with increased emergency department (ED) use among patients with epilepsy. However, ... 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Banta School of Public Health, Loma Linda University, CA, United States. Askari Addison Arizona Department of Health Service, Phoenix, AZ, United States. W. Lawrence Beeson School of Public Health, Loma Linda University, CA, United States. ABSTRACT Background. Socio-demographic factors are associated with increased emergency department (ED) use among patients with epilepsy. However, ... 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