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Abstract Details

Are seizures associated with increased odds of 30-day readmission after Traumatic Brain Injury? Evidence from the National Readmission Database 2014.
Epilepsy/Clinical Neurophysiology (EEG)
P15 - Poster Session 15 (12:00 PM-1:00 PM)
12-003
To assess the frequency of seizures and independent association with 30-day readmission among patients with a primary discharge diagnosis of Traumatic Brain Injury (TBI).
Seizures are common complications of Traumatic Brain Injury but little is known on the association of seizures with 30-day readmission after hospitalization for Traumatic Brain Injury. 
The 2014 Nationwide Readmission Database was used as data source. We included adults (Age ≥18 years) with a primary discharge diagnosis of, identified using the International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM) codes 800.0, 801.9, 803.0, 804.9, 850.0, 854.1 and 959.01. Seizures were diagnosed using the ICD-9-CM codes of 345.x and 780.39. Overall and across pre-specified groups 30-readmission rate were computed. Logistic regression analysis was used to identify independent predictors of 30-day readmission.

Among 76,062 unweighted adults discharged with a diagnosis of TBI, 7776(10.14%) had a secondary discharge diagnosis of seizures. 1746 (2.3%) patients with a primary discharge diagnosis of TBI were readmitted within 30 days. On multivariate logistic analysis, patients discharged with a secondary diagnosis of seizures were 18% more likely to be readmitted with 30 days compared to those without seizures (OR 1.18, 95%CI: 1.01-1.39, P=0.042). Other predictors or 30-day readmission included old age, prolonged hospitalization, and discharge against medical advice. An inverse association was noted for female sex, private insurance beneficiaries, and admission to teaching hospitals.
Approximately, one in 10 patients with TBI have a secondary discharge diagnosis of TBI with 2.3% being readmitted within 30-day of hospital discharge. Having a secondary discharge diagnosis of seizures is associated with an 18% greater likelihood of 30-day readmission. Certain subgroups of patients with TBI have a higher 30-day readmission rate. 
Authors/Disclosures
Alain Z. Lekoubou Looti, MD (Penn StateHealth, Hershey Medical Center)
PRESENTER 		Dr. Lekoubou Looti has nothing to disclose.
No disclosure on file
No disclosure on file
Bruce I. Ovbiagele, MD, MSc, FÂ鶹´«Ã½Ó³»­ (San Francisco VA) Dr. Ovbiagele has received personal compensation in the range of $50,000-$99,999 for serving as an Editor, Associate Editor, or Editorial Advisory Board Member for American Stroke Association. Dr. Ovbiagele has received research support from National Institutes of Health. Dr. Ovbiagele has a non-compensated relationship as a President with Society for Equity Neuroscience that is relevant to Â鶹´«Ã½Ó³»­ interests or activities. Dr. Ovbiagele has a non-compensated relationship as a Board Member with World Stroke Organization that is relevant to Â鶹´«Ã½Ó³»­ interests or activities.