TY -的T1 -颅内趋势监测儿科医学难治性癫痫JF -神经学乔-神经病学SP - e771 LP - e778做- 10.1212 / WNL。首页0000000000005021六世- 90 - 9 AU -托尼·r·王盟拉塞尔·c·贝利AU -霍华德·p·Goodkin盟凯利b Mahaney Y1 - 2018/02/27 UR - //www.ez-admanager.com/content/90/9/e771.abstract N首页2 -目的回顾性分析颅内的全国趋势监测(ICM)儿科医学难治性癫痫(米氏)从2000年到2012年。方法医疗项目成本和利用孩子们的住院数据库进行了分析确定招生ICD-9-CM编码对应米氏和ICM从2000年到2012年,包容性。独立变量和结果之间的联系进行了测试使用χ2测试或Fisher精确检验。多元逻辑回归分析的变量与ICM使用逐步完成选择。Cochran-Armitage测试用来测试一个变量在研究期间的趋势。结果ICM程序数量的增加在研究期间;然而,二次在米氏招生的数量大量增加,ICM的速度从2000年的5.39%下降到2012年的2.56% (p & lt;0.001)。尽管这种下降趋势,ICM越来越导致resective癫痫过程。2000年,只有45.18%的ICM例导致resective癫痫手术,到2012年增加到75.83% (p & lt;0.001)。 ICM complication rates were comparable to, if not lower than, standard resective surgery. Disparities in access to ICM exist, with African American individuals and those with Medicaid significantly less likely to undergo ICM.Conclusion In this nationwide characterization of pediatric ICM trends, we identified a slight, significant downward trend in the rate of utilization of ICM for MIE. This was secondary to substantial increases in the number of hospital admissions for MIE. Reasons for this large increase and why it has not led to increased rates of ICM warrant further investigation.CI=confidence interval; HCUP=Healthcare Cost and Utilization Project; ICD-9-CM=International Classification of Diseases, Ninth Revision, Clinical Modification; ICM=intracranial monitoring; ILAE=International League Against Epilepsy; KID=Kids' Inpatient Database; MIE=medically intractable epilepsy ER -