{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,4]],"date-time":"2026-06-04T07:54:56Z","timestamp":1780559696698,"version":"3.54.1"},"reference-count":42,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2024,4,30]],"date-time":"2024-04-30T00:00:00Z","timestamp":1714435200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Epilepsia"],"published-print":{"date-parts":[[2024,6]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>Although disparities have been described in epilepsy care, their contribution to status epilepticus (SE) and associated outcomes remains understudied.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We used the 2010\u20132019 National Inpatient Sample to identify SE hospitalizations using International Classification of Diseases, Ninth Revision, Clinical Modification (ICD\u20109\u2010CM)\/ICD\u201010\u2010CM codes. SE prevalence was stratified by demographics. Logistic regression was used to assess factors associated with electroencephalographic (EEG) monitoring, intubation, tracheostomy, gastrostomy, and mortality.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      There were 486\u2009861 SE hospitalizations (2010\u20132019), primarily at urban teaching hospitals (71.3%). SE prevalence per 10\u2009000 admissions was 27.3 for non\u2010Hispanic (NH)\u2010Blacks, 16.1 for NH\u2010Others, 15.8 for Hispanics, and 13.7 for NH\u2010Whites (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u2009.01). SE prevalence was higher in the lowest (18.7) compared to highest income quartile (18.7 vs. 14,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u2009.01). Older age was associated with intubation, tracheostomy, gastrostomy, and in\u2010hospital mortality. Those \u226580 years old had the highest odds of intubation (odds ratio [OR] =\u20091.5, 95% confidence interval [CI] =\u20091.43\u20131.58), tracheostomy (OR\u2009=\u20092, 95% CI\u2009=\u20091.75\u20132.27), gastrostomy (OR\u2009=\u20093.37, 95% CI\u2009=\u20092.97\u20133.83), and in\u2010hospital mortality (OR\u2009=\u20096.51, 95% CI\u2009=\u20095.95\u20137.13). Minority populations (NH\u2010Black, NH\u2010Other, and Hispanic) had higher odds of tracheostomy and gastrostomy compared to NH\u2010White populations. NH\u2010Black people had the highest odds of tracheostomy (OR\u2009=\u20091.7, 95% CI\u2009=\u20091.57\u20131.86) and gastrostomy (OR\u2009=\u20091.78, 95% CI\u2009=\u20091.65\u20131.92). The odds of receiving EEG monitoring rose progressively with higher income quartile (OR\u2009=\u20091.47, 95% CI\u2009=\u20091.34\u20131.62 for the highest income quartile) and was higher for those in urban teaching compared to rural hospitals (OR\u2009=\u200912.72, 95% CI\u2009=\u20098.92\u201318.14). Odds of mortality were lower (compared to NH\u2010Whites) in NH\u2010Blacks (OR = .71, 95% CI = .67\u2013.75), Hispanics (OR = .82, 95% CI = .76\u2013.89), and those in the highest income quartiles (OR = .9, 95% CI = .84\u2013.97).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Significance<\/jats:title>\n                    <jats:p>Disparities exist in SE prevalence, tracheostomy, and gastrostomy utilization across age, race\/ethnicity, and income. Older age and lower income are also associated with mortality. Access to EEG monitoring is modulated by income and urban teaching hospital status. Older adults, racial\/ethnic minorities, and populations of lower income or rural location may represent vulnerable populations meriting increased attention to improve health outcomes and reduce disparities.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/epi.17965","type":"journal-article","created":{"date-parts":[[2024,4,30]],"date-time":"2024-04-30T09:09:36Z","timestamp":1714468176000},"page":"1589-1604","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Health care disparities in morbidity and mortality in adults with acute and remote status epilepticus: A national study"],"prefix":"10.1111","volume":"65","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7911-7900","authenticated-orcid":false,"given":"Gabriela B.","family":"Tantillo","sequence":"first","affiliation":[{"name":"Department of Neurology Baylor College of Medicine  Houston Texas USA"},{"name":"Center of Excellence in Health Equity, Training, and Research Baylor College of Medicine  Houston Texas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Deepa","family":"Dongarwar","sequence":"additional","affiliation":[{"name":"Center of Excellence in Health Equity, Training, and Research Baylor College of Medicine  Houston Texas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chethan P.","family":"Venkatasubba\u00a0Rao","sequence":"additional","affiliation":[{"name":"Department of Neurology Baylor College of Medicine  Houston Texas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amari","family":"Johnson","sequence":"additional","affiliation":[{"name":"Center of Excellence in Health Equity, Training, and Research Baylor College of Medicine  Houston Texas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stephanie","family":"Camey","sequence":"additional","affiliation":[{"name":"Center of Excellence in Health Equity, Training, and Research Baylor College of Medicine  Houston Texas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Oriana","family":"Reyes","sequence":"additional","affiliation":[{"name":"Center of Excellence in Health Equity, Training, and Research Baylor College of Medicine  Houston Texas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mariana","family":"Baroni","sequence":"additional","affiliation":[{"name":"Center of Excellence in Health Equity, Training, and Research Baylor College of Medicine  Houston Texas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8608-1352","authenticated-orcid":false,"given":"Jaideep","family":"Kapur","sequence":"additional","affiliation":[{"name":"Department of Neurology University of Virginia School of Medicine  Charlottesville Virginia USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hamisu M.","family":"Salihu","sequence":"additional","affiliation":[{"name":"Center of Excellence in Health Equity, Training, and Research Baylor College of Medicine  Houston Texas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1351-5866","authenticated-orcid":false,"given":"Nathalie","family":"Jett\u00e9","sequence":"additional","affiliation":[{"name":"Department of Neurology Icahn School of Medicine at Mount Sinai  New York New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2024,4,30]]},"reference":[{"key":"e_1_2_12_2_1","doi-asserted-by":"publisher","DOI":"10.1007\/s12028-012-9695-z"},{"key":"e_1_2_12_3_1","doi-asserted-by":"publisher","DOI":"10.1177\/2324709619848816"},{"key":"e_1_2_12_4_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamaneurol.2015.0188"},{"key":"e_1_2_12_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/S1474-4422(15)00042-3"},{"key":"e_1_2_12_6_1","doi-asserted-by":"publisher","DOI":"10.1007\/s12028-013-9935-x"},{"key":"e_1_2_12_7_1","doi-asserted-by":"publisher","DOI":"10.1212\/WNL.46.4.1029"},{"key":"e_1_2_12_8_1","doi-asserted-by":"publisher","DOI":"10.1212\/WNL.0000000000004025"},{"key":"e_1_2_12_9_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1528-1167.2009.02282.x"},{"key":"e_1_2_12_10_1","doi-asserted-by":"publisher","DOI":"10.1212\/01.WNL.0000150829.89586.25"},{"key":"e_1_2_12_11_1","volume-title":"HCUP Nationwide Inpatient Sample (NIS). 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