Authors: Ashwin N Ananthakrishnan Emily L McGinley David G Binion Kia Saeian
Publish Date: 2010/11/25
Volume: 15, Issue: 2, Pages: 267-276
Abstract
We identified hospitalizations with a diagnosis of IBD using data from the Nationwide Inpatient Sample a national US discharge database We compared the proportion of hospitalizations resulting in surgery in the entire cohort and within each disease severity stratum for the years 1998 2004 and 2007There were an estimated 89673 hospitalizations for CD in 1998 increasing to 150593 hospitalizations in 2007 UC hospitalizations increased from 56911 in 1998 to 86611 in 2007 This increase was primarily among low or intermediate severity hospitalizations not requiring surgery For CD the proportion of bowel surgeries during hospitalization decreased from 173 in 1998 to 124 in 2007 p 0001 while for UC the proportion of colectomy decreased from 95 in 1998 to 62 in 2007 p 0001 For both diagnoses this reduction was significant in those with a low severity of disease but not with in those with the highest severity stratumThere continues to be an increase in the number of hospitalizations in patients with IBD The numbers of nonelective bowel surgeries among those with the highest severity of disease continues to increase suggesting need for further research into improving outcomes in this cohort at high risk for adverse outcome
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