Risk Factors Affecting 90-day Readmission of Patients with Inflammatory Bowel Disease.
BACKGROUND: The rate of hospital readmission is seen as a measure of quality and accountability. Knowing the risk factors that can be changed could reduce the cost burden on patients with inflammatory bowel disease (IBD) and the health system. METHODS: Retrospective analysis was performed on the dat...
| Published in: | Middle East Journal of Digestive Diseases Vol. 14; no. 1; pp. 34 - 44 |
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| Main Authors: | , , , , , , |
| Format: | research tables/charts Journal Article |
| Published: |
Iranian Association of Gastroenterology & Hepatology
Jan2022
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| Online Access: | View this record in EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=157181206&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 157181206 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 20085230 BG4K jtl: Middle East Journal of Digestive Diseases issn: 20085230 maglogo: N pubinfo: dt: Jan2022 vid: 14 iid: 1 pid: 70725 pub: Iranian Association of Gastroenterology & Hepatology artinfo: ui: 157181206 157181206 157181206 10.34172/mejdd.2022.253 157181206 ppf: 34 ppct: 10 formats: fmt: @attributes: type: P tig: atl: Risk Factors Affecting 90-day Readmission of Patients with Inflammatory Bowel Disease. aug: au: Ghahramani, Sulmaz Tamartash, Zahra Sayari, Mohammad Vahedi, Homayoun Karimian, Fatemeh Heydari, Sadegh Lankarani, Kamran Bagheri affil: Health Policy Research Center, Institute of Health, Shiraz University of Medical Sciences, Shiraz, Iran sug: subj: Inflammatory Bowel Diseases Therapy Readmission Quality of Health Care Risk Assessment Human Retrospective Design Descriptive Statistics Odds Ratio Confidence Intervals Iran Inpatients ab: BACKGROUND: The rate of hospital readmission is seen as a measure of quality and accountability. Knowing the risk factors that can be changed could reduce the cost burden on patients with inflammatory bowel disease (IBD) and the health system. METHODS: Retrospective analysis was performed on the data extracted from hospital records during a 4-year period. The study setting encompassed three referral hospitals in Tehran and the south of Iran. The primary outcome was hospital readmission of patients with IBD. The factors associated with binary and categorical dependent variables were analyzed using robust logistic regression and multinomial logistic regression, respectively. The significance level was set at P = 0.05. RESULTS: 187 patients were admitted during the 4-year study period for an IBD-related reason, among whom 131 patients (70.1%) had ulcerative colitis (UC), and 56 patients (29.9%) had Crohn's disease (CD). Moreover, 29% (55) of the participants had been readmitted at least once during the study period, and seven patients with IBD had been readmitted five or more times during the study period. Corticosteroids (OR = 4.55, 95% confidence interval CI: 1.65- 12.55) and chronic pain (OR = 6.65, 95% CI: 1.73-25.62) were two factors associated with their readmission within 90 days. For the patients with five or more times of readmissions, Corticosteroids (RRR = 5.68), chronic pain (RRR = 5.05), length of hospital stay (RRR = 0.69), and age (RRR = 0.9) could significantly explain the hospital readmissions. CONCLUSION: About one in seven hospitalizations of patients with IBD leads to 30-day readmission. Moreover, younger patients with IBD and shorter length of hospital stay were more likely to be readmitted five or more times during the study period. The use of corticosteroids and the presence of chronic pain were predictors of 90-day readmission. More studies are needed to detect the best management plan for chronic pains. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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