Wishes Help Keep Pediatric Patients Out of the Hospital

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Cimone Stills, 15, has a medical condition that has caused her to have multiple seizures a day for most of her life. Specifically, she has treatment-resistant generalized epilepsy because of a genetic variation. Like many patients with such a serious illness, it affects her daily life and as a result, she was diagnosed with clinical depression. But Cimone’s outlook on life completely changed for the better after her wish of going to Paris. Cimone says that the wish helped provide her perspective and hope. It also helped reduced her number of seizures over time.

Cimone Stills, 15, has a medical condition that has caused her to have multiple seizures a day for most of her life. Specifically, she has treatment-resistant generalized epilepsy because of a genetic variation. Like many patients with such a serious illness, it affects her daily life and as a result, she was diagnosed with clinical depression. But Cimone’s outlook on life completely changed for the better after her wish of going to Paris. Cimone says that the wish helped provide her perspective and hope. It also helped reduced her number of seizures over time.

As a member of the Medical Advisory Council of Make-A-Wish America, Anup Patel, MD, section chief of Neurology at Nationwide Children’s Hospital, anecdotally could attest that wishes like Cimone’s positively affected the patients he saw in the Complex Epilepsy Clinic at Nationwide Children’s. As a clinician, he sought evidence to support his hypothesis that these experiences provided children with progressive, life-threatening, or critical illnesses more than hope – that in fact, they had a clinical benefit.

Whatever a child has wished for – a puppy, seeing snow for the first time or to meet their favorite celebrity – a recent study led by Nationwide Children’s demonstrates that experiences, or “wishes,” granted to pediatric patients can actually reduce health care utilization. In the retrospective study published online by Pediatric Research, patients granted a wish were 2.5 times more likely to have fewer unplanned hospital admissions and 1.9 times more likely not to have to use the emergency department. This led to a decline in cost of care even after accounting for the average cost of the wish.

Read more at Nationwide Children's Hospital

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