We analyzed the costs of 198 inpatients at our hospital classified with DRG 26 as having 'epilepsy' (45%), 'febrile convulsions' (43%) 'headache' (12%). Thirty medical records from these cases were selected with systematic sampling criteria: 10 cases of epilepsy (33%), 18 cases of febrile convulsions (60%), 2 cases of headache (7%). Mean length of stay was 2 days in the case of headache, 6.3 days for febrile convulsions and 9,5 days for epilepsy. The italian government rate for hospitalization is 2042$ for each day beyond the treshold value of 15 days. Cost analysis demonstrated that, while the cost of 'headache' is below the rate, the cost of 'febrile convulsiuons' was 30% higher than the government rate and the cost of' epilepsy' was 127% higher. In addition, we compared the costs of hospitalization for 'epilepsy' in pediatric wards with those in Neurologic ward, the former being considered diagnostic and the latter high level . The difference was statistically significant, with an average cost of 1667$ in paediatric wards and 5606$ in neurologic ward. Lastly, when the patients were divided into tractable and intractable cases, the intractable cases were found to have an average cost of almost 1917$ higher than the tractable cases. These data show that, at present, epilepsy in an economically disadvantageous disease just as the high level centres are further disincentived by being particularly involved in the management of patients that are difficult to treat.
|Translated title of the contribution||Epilepsy in a children's hospital: Cost analysis|
|Number of pages||4|
|Journal||Bollettino - Lega Italiana contro l'Epilessia|
|Publication status||Published - 1996|
ASJC Scopus subject areas
- Clinical Neurology