Work

Housing Status and Healthcare Utilization in People Presenting With Seizure

Year: 2025

Type: article

Abstract: Objective To examine the association between housing status and healthcare utilization in individuals presenting with seizure. Methods We performed a retrospective cross-sectional analysis of all adults (age >18) presenting to a public hospital emergency department with seizures, defined by ICD-9/10 codes, between 1/1/2016 and 8/03/2019. They were categorized by housing status (people experiencing homelessness [PEH], people with housing). Healthcare utilization outcomes were 30-day re-visit to acute care, discharge disposition, and hospital length of stay for those admitted. We used multivariable linear and logistic regression models adjusting for age, comorbidities, and insurance status. Results There were 6483 individuals (2092 [32.3%] PEH). Compared to people with housing, PEH were younger (48.2 vs 50.9, P < .0001), more likely to be a person of color (80.9 vs 75.1%, P < .0001), and have Medicaid (51.4% vs 42.9%, P < .0001). People with housing had a higher prevalence of admission to the intensive care unit (3.6% vs 1.8%, P < .0001). After adjustment, admitted PEH had higher odds of 30-day re-visit (adjusted odds ratio [aOR] 1.87, 95% confidence interval [CI] 1.58, 2.21), shorter length of stay (coef Β-12.87, 95% CI: −22.62, −3.11), and lower odds of being discharged to a facility (aOR 0.37, 95% CI: .26, .55) compared to people with housing. Conclusion and Relevance PEH with seizures had increased healthcare utilization. Further analysis, including imaging findings, anti-seizure medications prescribed, and presumed etiology, is needed to understand the drivers of healthcare utilization and identify appropriate interventions.

Source: The Neurohospitalist

DOI: 10.1177/19418744251321877

Authors: Sandeepa S. Mullady, Andrew J. Wood, Elan L. Guterman, Nicole Rosendale

Institutions: Stanford University, University of California, San Francisco, Philip R. Lee Institute for Health Policy Studies

Language: English

Topic: Homelessness and Social Issues

Subfield: General Health Professions

Field: Health Professions

Domain: Health Sciences

SDGs: Good health and well-being, Reduced inequalities, Sustainable cities and communities

Open Access status: hybrid

Estimated APC paid: $4,150