Effect of Hospital Teaching Status on Outcomes of Patients With Acute Pancreatitis

Abstract

IntroductionMultiple studies have shown that outcomes of various diseases differ by the hospital teaching status. However, not much is known about the effects of hospital teaching status on outcomes of acute pancreatitis (AP). The aim of this study was to identify if there was an effect of hospital teaching status on the outcomes of AP. MethodsThe National Inpatient Sample (NIS) database was used to identify patients with a discharge diagnosis of AP from 2016 to 2019. Patients were classified according to whether they were admitted to teaching hospitals (TH) or non-teaching hospitals (NTH). Study outcomes were the length of stay (LOS), total hospitalization cost and charge, sepsis, shock, acute kidney injury, ICU admission, and mortality. ResultsA total of 1,689,334 patients were included in the study. Of these, 65.06% were in the TH group, while 34.94% were in the NTH group. Patients admitted to TH had a higher incidence of AKI (18.84% vs. 15.79%, p<0.001), shock (4.32% vs. 2.7%, p<0.001), sepsis (4.48% vs. 3.65%, p<0.001), and ICU admissions (4.78% vs. 2.90%, p<0.001) than NTH. Patients admitted to TH also had a higher length of stay (5.82 vs. 4.54 days, p<0.001) and higher hospitalization charges ($47,390 vs. $65,380, p<0.001). The mortality rate in TH was 2.25% compared to 1.5% in NTH (p<0.001). ConclusionPatients admitted to TH had higher mortality as compared to NTH. While the exact reason for this is unknown, it can be partially explained by a higher incidence of AKI, shock, and sepsis. Furthermore, ICU admissions were higher in TH, indicating higher resource utilization.

Post-healing perceptions and experiences of alcohol withdrawal and life management in men with alcoholic pancreatitis: a qualitative study

“…Some studies have revealed that people's lives have gradually become more stressful in recent years, and alcohol consumption increases yearly. Further, there has been an increase in alcohol consumption among women, which has led to an increased morbidity and mortality rate of AP, burdening society and the health care system (Brezovec et al, 2022;Chaudhry et al, 2023).…”

Effect of the Profit and Teaching Status of Hospitals on the Patterns and Outcomes of Abdominal Aorta and Inferior Vena Cava Injuries after Severe Abdominal Trauma

“…Te lack of uniformity in the number of cases across different study centers makes it challenging to accurately determine mortality rates adjusted for the number of patients with these conditions and to analyze other related factors [1]. Te healthcare community debates whether the outcomes of medical care vary depending on the hospital's teaching status (TS) [4][5][6][7]. Teaching hospitals are commonly considered to provide high-quality treatment, with public opinion generally favoring them.…”

“…Teaching hospitals are commonly considered to provide high-quality treatment, with public opinion generally favoring them. Studies suggest that the major TS is associated with lower mortality rates for common conditions than non-TS hospitals [5,6]. Similarly, there has been signifcant interest in examining the efect of for-proft hospitals (FHSs) on care and outcomes [8,9].…”

“…A robust postoperative care system with access to critical care and expert nursing is essential to manage potential difculties and ensure optimal recovery. Given such constraints, the proftability and teaching status of hospitals can become relevant factors [4,[6][7][8][9]. As nonprofts, some hospitals may be better positioned to devote resources to essential care services based on their distinct focus and goals.…”