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首页> 外文期刊>Psychosomatics >Diagnosis, costs, and utilization for psychogenic non-epileptic seizures in a US health care setting.
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Diagnosis, costs, and utilization for psychogenic non-epileptic seizures in a US health care setting.

机译：在美国卫生保健机构中，因心理原因导致的非癫痫性癫痫发作的诊断，费用和利用率。

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Psychogenic non-epileptic seizures (PNES) pose a substantial burden to patients and the health care system, due to long diagnostic and treatment delays.This study used medical chart notes from 103 patients to shed light on the diagnostic process. Electronic medical records and cost data from a US health system were also used to investigate costs and utilization for the 12-months before and after PNES diagnosis.The results show that accurate diagnosis was typically achieved via the use of multiple medical tests, including vEEG, magnetic resonance imaging (MRI), and computed tomography (CT) scans, as well as historical diagnostic and clinical information. In the year following PNES diagnosis, a decline in average visits (-1.45) and costs (-$1784) were observed. The largest cost savings were seen in neurology care and inpatient stays.This study has implications for timely and accurate diagnosis of PNES, which may decrease the overall health care burden for individuals and the health care system.
机译：由于长期的诊断和治疗延误，精神病性非癫痫性癫痫发作（PNES）给患者和医疗保健系统带来了沉重负担。本研究使用了103名患者的病历记录来阐明诊断过程。电子病历和来自美国卫生系统的费用数据也被用于调查PNES诊断前后12个月的费用和使用情况。结果表明，准确的诊断通常是通过使用多种医学测试（包括vEEG，磁共振成像（MRI）和计算机断层扫描（CT）扫描以及历史诊断和临床信息。在进行PNES诊断之后的一年，平均访问量（-1.45）和费用（-$ 1784）下降。在神经内科护理和住院期间节省的费用最大。这项研究对及时，准确地诊断PNES具有重要意义，它可以减轻个人和医疗系统的整体医疗负担。

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