{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T06:54:10Z","timestamp":1777877650957,"version":"3.51.4"},"reference-count":13,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[2025,2,13]],"date-time":"2025-02-13T00:00:00Z","timestamp":1739404800000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2025,2,13]],"date-time":"2025-02-13T00:00:00Z","timestamp":1739404800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"DOI":"10.13039\/100000065","name":"National Institute of Neurological Disorders and Stroke","doi-asserted-by":"publisher","award":["K23NS116128"],"award-info":[{"award-number":["K23NS116128"]}],"id":[{"id":"10.13039\/100000065","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000049","name":"National Institute on Aging","doi-asserted-by":"publisher","award":["5R01AG056715"],"award-info":[{"award-number":["5R01AG056715"]}],"id":[{"id":"10.13039\/100000049","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100005339","name":"American Academy of Neurology","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100005339","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["The Neurohospitalist"],"published-print":{"date-parts":[[2025,7]]},"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To examine the association between housing status and healthcare utilization in individuals presenting with seizure.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We performed a retrospective cross-sectional analysis of all adults (age &gt;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.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      There were 6483 individuals (2092 [32.3%] PEH). Compared to people with housing, PEH were younger (48.2 vs 50.9,\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; .0001), more likely to be a person of color (80.9 vs 75.1%,\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; .0001), and have Medicaid (51.4% vs 42.9%,\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; .0001). People with housing had a higher prevalence of admission to the intensive care unit (3.6% vs 1.8%,\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; .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 \u0392-12.87, 95% CI: \u221222.62, \u22123.11), and lower odds of being discharged to a facility (aOR 0.37, 95% CI: .26, .55) compared to people with housing.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion and Relevance<\/jats:title>\n                    <jats:p>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.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/19418744251321877","type":"journal-article","created":{"date-parts":[[2025,2,13]],"date-time":"2025-02-13T15:57:56Z","timestamp":1739462276000},"page":"281-285","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Housing Status and Healthcare Utilization in People Presenting With Seizure"],"prefix":"10.1177","volume":"15","author":[{"given":"Sandeepa S.","family":"Mullady","sequence":"first","affiliation":[{"name":"Stanford University"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andrew J.","family":"Wood","sequence":"additional","affiliation":[{"name":"University of California San Francisco"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Elan L.","family":"Guterman","sequence":"additional","affiliation":[{"name":"University of California San Francisco"},{"name":"University of California San Francisco"},{"name":"University of California San Francisco"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2431-5440","authenticated-orcid":false,"given":"Nicole","family":"Rosendale","sequence":"additional","affiliation":[{"name":"University of California San Francisco"},{"name":"University of California San Francisco"},{"name":"University of California San Francisco"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2025,2,13]]},"reference":[{"key":"e_1_3_5_2_2","volume-title":"The 2022 Annual Homelessness Assessment Report (AHAR)","author":"de Sousa T","year":"2022","unstructured":"de Sousa T, Andrichik A, Cuellar M, Marson J, Prestera E, Rush K. The 2022 Annual Homelessness Assessment Report (AHAR). Washington, DC: The U.S. Department of Public Health; 2022."},{"key":"e_1_3_5_3_2","volume-title":"Fact Sheet: Homelessness in California","author":"Committee CSH","year":"2021","unstructured":"Committee CSH. Fact Sheet: Homelessness in California. Sacramento, CA: Committee CSH; 2021."},{"key":"e_1_3_5_4_2","doi-asserted-by":"publisher","DOI":"10.1001\/jama.285.2.200"},{"key":"e_1_3_5_5_2","doi-asserted-by":"publisher","DOI":"10.1212\/WNL.0000000000007645"},{"key":"e_1_3_5_6_2","doi-asserted-by":"publisher","DOI":"10.2147\/NDT.S234852"},{"key":"e_1_3_5_7_2","doi-asserted-by":"publisher","DOI":"10.1212\/WNL.0000000000006746"},{"key":"e_1_3_5_8_2","doi-asserted-by":"publisher","DOI":"10.1212\/CPJ.0000000000000688"},{"key":"e_1_3_5_9_2","doi-asserted-by":"publisher","DOI":"10.1097\/MLR.0b013e318206c50d"},{"key":"e_1_3_5_10_2","volume-title":"California Statwide Study of People Experiencing Homelessness","author":"University of California SF","year":"2023","unstructured":"University of California SF. California Statwide Study of People Experiencing Homelessness. Berkeley, CA: University of California SF; 2023."},{"key":"e_1_3_5_11_2","doi-asserted-by":"publisher","DOI":"10.1111\/hsc.12682"},{"key":"e_1_3_5_12_2","doi-asserted-by":"publisher","DOI":"10.1684\/epd.2015.0739"},{"key":"e_1_3_5_13_2","doi-asserted-by":"publisher","DOI":"10.1136\/bmjoq-2021-001367"},{"issue":"9","key":"e_1_3_5_14_2","first-page":"1","article-title":"Interventions to improve access to primary care for people who are homeless: a systematic review","volume":"16","author":"Ontario HQ","year":"2016","unstructured":"Ontario HQ. Interventions to improve access to primary care for people who are homeless: a systematic review. Ont Health Technol Assess Ser. 2016;16(9):1-50.","journal-title":"Ont Health Technol Assess Ser"}],"container-title":["The Neurohospitalist"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/19418744251321877","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/19418744251321877","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/19418744251321877","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,30]],"date-time":"2026-04-30T22:57:54Z","timestamp":1777589874000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/19418744251321877"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,2,13]]},"references-count":13,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2025,7]]}},"alternative-id":["10.1177\/19418744251321877"],"URL":"https:\/\/doi.org\/10.1177\/19418744251321877","relation":{},"ISSN":["1941-8744","1941-8752"],"issn-type":[{"value":"1941-8744","type":"print"},{"value":"1941-8752","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,2,13]]}}}