Elan L. Guterman

Interhospital transfers for status epilepticus (SE) are common, and some are avoidable and likely lower yield. The use of interhospital transfer may differ in emergency department (ED) and inpatient settings, which contend with differing clinical resources and financial incentives. However, transfer from these two settings is understudied, leaving gaps in our ability to improve the hospital experience, cost, and triage for this neurologic emergency.

Status epilepticus outcomes varied between hospitals, for example, median 25% 30-day death rate (interquartile range = 0%–38%, maximum = 100%) However, hospital-to-hospital variation explained only 1%–8% of variation in intubation, mortality, readmission, and facility discharge Certain patient factors such as cardiac arrest (odds ratio for death = 10.1) were stronger predictors compared with hospital factors 1 INTRODUCTION Status epilepticus is a neurological emergency.

DATA AVAILABILITY STATEMENT The Healthcare Cost and Utilization Project State Inpatient Databases and State Emergency Department Databases are publicly available datasets.