{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,6]],"date-time":"2026-10-06T12:34:02Z","timestamp":1791290042155,"version":"4.3.0"},"reference-count":30,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2022,5,13]],"date-time":"2022-05-13T00:00:00Z","timestamp":1652400000000},"content-version":"vor","delay-in-days":12,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["shmpublications.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of Hospital Medicine"],"published-print":{"date-parts":[[2022,5]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Current guidelines recommend against neurodiagnostic testing for the evaluation of simple febrile seizures.<\/jats:p><\/jats:sec><jats:sec><jats:title>Objectives<\/jats:title><jats:p>(1) Assess overall and institutional rates of neurodiagnostic testing and (2) establish achievable benchmarks of care (ABCs) for children evaluated for simple febrile seizures at children's hospitals.<\/jats:p><\/jats:sec><jats:sec><jats:title>Design, Setting, and Participants<\/jats:title><jats:p>Cross\u2010sectional study of children 6 months to 5 years evaluated in the emergency department (ED) 2016\u20132019 with simple febrile seizures at 38 children's hospitals in Pediatric Health Information System database. We excluded children with epilepsy, complex febrile seizures, complex chronic conditions, and intensive care.<\/jats:p><\/jats:sec><jats:sec><jats:title>Outcome Measures<\/jats:title><jats:p>Proportions of children who received neuroimaging, electroencephalogram (EEG), or lumbar puncture (LP) and rates of hospitalization for study cohort and individual hospitals. Hospital\u2010specific outcomes were adjusted for patient demographics and severity of illness. We utilized hospital\u2010specific values for each measure to calculate ABCs.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>We identified 51,015 encounters. Among the study cohort 821 (1.6%) children had neuroimaging, 554 (1.1%) EEG, 314 (0.6%) LP, and 2023 (4.0%) were hospitalized. Neurodiagnostic testing rates varied across hospitals: neuroimaging 0.4%\u20136.7%, EEG 0%\u20138.2%, LP 0%\u201312.7% in patients &lt;1\u2010year old and 0%\u20133.1% in patients \u22651 year. Hospitalization rate ranged from 0%\u201314.5%. Measured outcomes were higher among hospitalized versus ED\u2010only patients: neuroimaging 15.3% versus 1.0%, EEG% 24.7 versus 0.1% (<jats:italic>p<\/jats:italic>\u2009&lt;\u2009.001). Calculated ABCs were 0.6% for neuroimaging, 0.1% EEG, 0% LP, and 1.0% hospitalization.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Rates of neurodiagnostic testing and hospitalization for simple febrile seizures were low but varied across hospitals. Calculated ABCs were 0%\u20131% for all measures, demonstrating that adherence to current guidelines is attainable.<\/jats:p><\/jats:sec>","DOI":"10.1002\/jhm.12833","type":"journal-article","created":{"date-parts":[[2022,5,13]],"date-time":"2022-05-13T05:59:32Z","timestamp":1652421572000},"page":"327-341","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Establishment of achievable benchmarks of care in the neurodiagnostic evaluation of simple febrile seizures"],"prefix":"10.1002","volume":"17","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4174-6744","authenticated-orcid":false,"given":"John R.","family":"Stephens","sequence":"first","affiliation":[{"name":"Department of Pediatrics North Carolina Children's Hospital, University of North Carolina School of Medicine  Chapel Hill North Carolina 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