Change in Patient Flow in the Epilepsy Care Network Due to Novel Coronavirus Infection: An Opportunity to Strengthen Local Interdisciplinary Epilepsy Care With General Physicians

Abstract

Introduction: Novel coronavirus disease 2019 (COVID-19) infection caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) is spreading worldwide. We hypothesized that patient flow in epilepsy care would change as a result of the COVID-19 pandemic. The purpose of this study was to compare the number of patients who visited our epilepsy center before and during the first peak of the pandemic. Methods: We recorded the number of patients with epilepsy referred from general physicians (GPs) to our hospital (GP–H group), the number of patients who visited our hospital on a regular basis (R group), and the number of patients referred from our hospital to GPs (H–GP group) between July 2019 and June 2020. Results: A total of 1,839 epilepsy patients made 4,197 visits to our hospital: 979 males and 860 females (age range, 0–94 years; mean age, 37.6 years; median age, 34 years). There were 433 patients in the GP–H group (247 before the pandemic, 186 during the first peak of the pandemic; p = 0.008). In the R group, 1,406 patients made 3,764 visits (1,992 visits before the pandemic, 1,772 during the first peak of the pandemic). In the H–GP group, 135 patients were referred to GPs (47 patients before the pandemic, 88 patients during the first peak of the pandemic; p = 0.023). Conclusion: Patient flow in the epilepsy care network changed as a result of the COVID-19 pandemic. These changes might present an opportunity to strengthen local interdisciplinary epilepsy care.