Abstract：
To assess the demographic and geographic variations in access time - defined as years between the date of symptom onset and initial date of neurological care - in pediatric patients presenting with staring spells.
We conducted a secondary analysis of a retrospective chart review study from 2011 to 2021. A total of 1,353 staring spell patients, aged 0 to 17.9 years, were analyzed for age, sex, race/ethnicity, insurance, county, average county annual per capita personal income, and access time.
Patients aged 0-2.9 years had the shortest median access time of 0.3 years, compared to 1.2 years in patients aged 3-12.9 years and 1.0 year in patients aged 13-17.9 years. Statistically significant differences were seen based on race/ethnicity and insurance with White patients having shorter access time of 0.5 years compared to Black patients with 1.0 year and self-pay patients having the shortest access time of 0.4 years compared to patients with private insurance (0.7 years). Warren County had the largest annual per capita personal income of $65,855 and access time of 0.5 years compared to Preble county with the least annual per capita personal income of $45,016 and access time of 1.1 years.
Demographic parameters of age, race/ethnicity, insurance, and annual county per capita personal income appeared to be associated with access time to initial neurological care in patients with staring spells. These associations need to be investigated further to ensure timely access to neurological care and to ensure equity in health care.
We conducted a secondary analysis of a retrospective chart review study from 2011 to 2021. A total of 1,353 staring spell patients, aged 0 to 17.9 years, were analyzed for age, sex, race/ethnicity, insurance, county, average county annual per capita personal income, and access time.
Patients aged 0-2.9 years had the shortest median access time of 0.3 years, compared to 1.2 years in patients aged 3-12.9 years and 1.0 year in patients aged 13-17.9 years. Statistically significant differences were seen based on race/ethnicity and insurance with White patients having shorter access time of 0.5 years compared to Black patients with 1.0 year and self-pay patients having the shortest access time of 0.4 years compared to patients with private insurance (0.7 years). Warren County had the largest annual per capita personal income of $65,855 and access time of 0.5 years compared to Preble county with the least annual per capita personal income of $45,016 and access time of 1.1 years.
Demographic parameters of age, race/ethnicity, insurance, and annual county per capita personal income appeared to be associated with access time to initial neurological care in patients with staring spells. These associations need to be investigated further to ensure timely access to neurological care and to ensure equity in health care.
摘要：
目的：评估出现凝视法术的儿科患者的访问时间的人口统计学和地理差异-定义为症状发作日期与神经护理初始日期之间的年份。
方法：我们对2011年至2021年的回顾性图表回顾研究进行了二次分析。共有1353名凝视法术患者，0至17.9岁，分析了年龄，性别,种族/民族,保险,县,县人均年个人收入，和访问时间。
结果：0-2.9岁患者的最短中位访问时间为0.3年，3-12.9岁的患者为1.2年，13-17.9岁的患者为1.0年。在种族/民族和保险方面，存在统计学上的显着差异，白人患者的访问时间为0.5年，黑人患者的访问时间为1.0年，而自费患者的访问时间最短，为0.4年。私人保险（0.7年）。沃伦县的年人均个人收入最高，为65,855美元，访问时间为0.5年，而Preble县的年人均个人收入最低，为45,016美元，访问时间为1.1年。
结论：年龄的人口统计学参数，种族/民族,保险,每年的县人均个人收入似乎与凝视法术患者获得初始神经护理的时间有关。需要进一步调查这些关联，以确保及时获得神经学护理，并确保卫生保健的公平性。
方法：我们对2011年至2021年的回顾性图表回顾研究进行了二次分析。共有1353名凝视法术患者，0至17.9岁，分析了年龄，性别,种族/民族,保险,县,县人均年个人收入，和访问时间。
结果：0-2.9岁患者的最短中位访问时间为0.3年，3-12.9岁的患者为1.2年，13-17.9岁的患者为1.0年。在种族/民族和保险方面，存在统计学上的显着差异，白人患者的访问时间为0.5年，黑人患者的访问时间为1.0年，而自费患者的访问时间最短，为0.4年。私人保险（0.7年）。沃伦县的年人均个人收入最高，为65,855美元，访问时间为0.5年，而Preble县的年人均个人收入最低，为45,016美元，访问时间为1.1年。
结论：年龄的人口统计学参数，种族/民族,保险,每年的县人均个人收入似乎与凝视法术患者获得初始神经护理的时间有关。需要进一步调查这些关联，以确保及时获得神经学护理，并确保卫生保健的公平性。
