Risk factors and incidence of 90-day readmission for diverticulitis after an acute diverticulitis index admission

Reja, Debashis; Weisberg, Ilan

doi:10.1007/s00384-020-03769-7

Cited by 4 publications

(4 citation statements)

References 30 publications

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“…Mortality hazard increased to near 12× higher than disease‐free individuals if patients required surgery 3 . Our mortality rate was higher than some other international hospitalised diverticulitis cohorts between 4% and 6% 3,28 . Mortality rates vary from around 3% with uncomplicated diverticulitis, and from 16% to >50% with complicated diverticulitis 29 .…”

Section: Discussionmentioning

confidence: 61%

“…3 Our mortality rate was higher than some other international hospitalised diverticulitis cohorts between 4% and 6%. 3,28 Mortality rates vary from around 3% with uncomplicated diverticulitis, and from 16% to >50% with complicated diverticulitis. 29 Given the significant and growing burden of diverticulitis, factors potentially contributing to inequitable outcomes need thorough evaluation.…”

Section: Discussionmentioning

confidence: 99%

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Impact of rurality and ethnicity on complexity of acute diverticulitis in Northland, New Zealand

Varghese

Lengyel

McGuinness

et al. 2021

ANZ Journal of Surgery

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Background: Acute diverticulitis is a common general surgical condition associated with significant costs and healthcare burden. It is unknown if rurality represents a barrier to healthcare and whether ethnic disparities exist in Northland, New Zealand. This study, therefore, aims to assess the impact of rurality and ethnicity on complexity, management, and outcomes in patients with acute diverticulitis. Methods: A retrospective observational study of all adults aged >18 years admitted with acute diverticulitis to any Northland District Health Board hospital between 1 January 2015 and 31 December 2019 was performed. Diverticulitis complexity was assessed using the modified Hinchey classification. The primary outcome was the effect of rurality and ethnicity on complexity of diverticulitis. Multivariable logistic regression was performed. Results: A total of 397 patients (mean age 60.3 years (standard deviation (SD) 13.8); 48.7% female) were included. Overall, 134 patients had complicated diverticulitis. Rurality nor distance from the hospital were not associated with complexity of diverticulitis or clinical outcomes (p > 0.05). Maori patients presented younger than non-Maori (mean 51 vs. 63 years, p < 0.001) but there was no difference in complications, management, or clinical outcomes (p > 0.05). On multivariable analysis, rurality status and Maori ethnicity were not associated with more complicated diverticulitis. Conclusion: This study found that rurality and ethnicity were not significant predictors of the complexity of diverticulitis.

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Section: Discussionmentioning

confidence: 61%

Section: Discussionmentioning

confidence: 99%

Impact of rurality and ethnicity on complexity of acute diverticulitis in Northland, New Zealand

Varghese

Lengyel

McGuinness

et al. 2021

ANZ Journal of Surgery

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“…The 30-day readmission rate of uncomplicated choledocholithiasis of 9.3% is lower than that of acute cholangitis (21.5%) 14 and acute biliary pancreatitis (13.7%), 15 but higher than other gastrointestinal disorders such as inflammatory bowel disease (7%) 16 and acute diverticulitis (90-d readmission rate: 8.9%). 17 We found that the in-hospital mortality rate during index admissions for asymptomatic choledocholithiasis was 0.4%, and the 30-day mortality rate was 0.5%. These rates, as expected, were lower than that of acute biliary pancreatitis (0.8%, 1.0%) and acute cholangitis (0.8%, 1.2%).…”

Section: Discussionmentioning

confidence: 73%

“…To our knowledge, the present study is the first to report the rate of 30-day readmission after hospitalizations of uncomplicated choledocholithiasis on the national level. The 30-day readmission rate of uncomplicated choledocholithiasis of 9.3% is lower than that of acute cholangitis (21.5%) 14 and acute biliary pancreatitis (13.7%), 15 but higher than other gastrointestinal disorders such as inflammatory bowel disease (7%) 16 and acute diverticulitis (90-d readmission rate: 8.9%) 17 …”

Section: Discussionmentioning

confidence: 87%

Thirty-Day Readmission Among Patients With Uncomplicated Choledocholithiasis

Wang

Murphy

et al. 2022

Journal of Clinical Gastroenterology

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Background and Aim: We aimed to determine the rate of 30-day hospital readmissions of uncomplicated choledocholithiasis and its impact on mortality and health care use in the United States. Methods: Nonelective admissions for adults with uncomplicated choledocholithiasis were selected from the Nationwide Readmission Database 2016-2018. The primary outcome was the all-cause 30-day readmission rate. Secondary outcomes were reasons for readmission, readmission mortality rate, procedures, and resource use (length of stay and total hospitalization costs and charges). Independent risk factors for readmission were identified using Cox regression analysis. Results: The 30-day rate of readmission was 9.3%. Biliary and pancreatic disorders and postprocedural complications accounted for 36.6% and 10.3% of readmission, respectively. The mortality rate among patients readmitted to the hospital was higher than that for index admissions (2.0% vs. 0.4%, P<0.01). Readmitted patients were less likely to receive endoscopic retrograde cholangiopancreatography (61% vs. 69%, P<0.01) and laparoscopic cholecystectomy (12.5% vs. 26%, P<0.01) during the index admissions. A total of 42,150 hospital days was associated with readmission, and the total health care in-hospital economic burden was $112 million (in costs) and $470 million (in charges). Independent predictors of readmission were male sex, Medicare (compared with private) insurance, higher Elixhauser Comorbidity Index score, no endoscopic retrograde cholangiopancreatography or laparoscopic cholecystectomy, postprocedural complications of the digestive system, hemodynamic or respiratory support, urban hospitals, and lower hospital volume of uncomplicated choledocholithiasis. Conclusions: The uncomplicated choledocholithiasis 30-day readmission rate is 9.3%. Readmission was associated with higher mortality, morbidity, and resource use. Multiple independent predictors of readmission were identified.

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The Impact of Bariatric Surgery on Diverticulitis Outcomes and Risk of Recurrent Hospitalizations in Adults with Clinically Severe Obesity

et al. 2021

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Risk factors and incidence of 90-day readmission for diverticulitis after an acute diverticulitis index admission

Cited by 4 publications

References 30 publications

Impact of rurality and ethnicity on complexity of acute diverticulitis in Northland, New Zealand

Impact of rurality and ethnicity on complexity of acute diverticulitis in Northland, New Zealand

Thirty-Day Readmission Among Patients With Uncomplicated Choledocholithiasis

The Impact of Bariatric Surgery on Diverticulitis Outcomes and Risk of Recurrent Hospitalizations in Adults with Clinically Severe Obesity

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