Decreasing Rates of Hospital Admissions for Inflammatory Bowel Disease Between 2000 and 2009

2011 ◽  
Vol 140 (5) ◽  
pp. S-267
Author(s):  
Carlos Taxonera ◽  
Juan L. Mendoza ◽  
Dulce M. Cruz-Santamaría ◽  
Natalia López-Palacios ◽  
Cristina Alba ◽  
...  
Keyword(s):  
Inflammatory Bowel Disease ◽  
Bowel Disease ◽  
Hospital Admissions ◽  
Inflammatory Bowel

Nurse-led early evaluation following corticosteroid prescription in patients with inflammatory bowel disease

2021 ◽  
Vol 3 (12) ◽  
pp. 500-506
Author(s):  
Philip R Harvey ◽  
Jayne Slater ◽  
Akram Algieder ◽  
Judith Jones ◽  
Beth Bates ◽  
...  
Keyword(s):  
Inflammatory Bowel Disease ◽  
Bowel Disease ◽  
Retrospective Cohort ◽  
Hospital Admissions ◽  
Care Centre ◽  
Potential Reduction ◽  
Early Evaluation ◽  
Evaluation Group ◽  
Inflammatory Bowel ◽  
Specialist Nurses

Background: The Toronto consensus for management of ulcerative colitis (UC) recommends early evaluation of UC patients 2 weeks after initiation on corticosteroids. A system for early evaluation of inflammatory bowel disease patients was established by specialist nurses in a secondary care centre. Aim: To compare outcomes following early evaluation to the previous service. Methods: All patients undergoing early evaluation over a 1-year period were prospectively audited and compared to a retrospective cohort of patients receiving prednisolone in the preceding year. Findings: Of 140 patients included, 76 (54.3%) underwent early evaluation. All patients in the early evaluation group received drug education and details of the nurse helpline (17.1% of patients did not already have this). Of patients, 81.6% were prescribed Adcal, and 83.9% were on 5-aminosalicylates. Fewer admissions were observed within 6 months following early evaluation (8.6% vs. 23.4%, p=0.013). Conclusion: Multiple benefits of early evaluation were observed, including a potential reduction in hospital admissions.

scholarly journals A64 HOSPITALIZATION IN INFLAMMATORY BOWEL DISEASE: A POPULATION-BASED COMPARISON OF DEFINITIONS

2020 ◽  
Vol 3 (Supplement_1) ◽  
pp. 76-78
Author(s):  
S Coward ◽  
E I Benchimol ◽  
C N Bernstein ◽  
A Bitton ◽  
M W Carroll ◽  
...  
Keyword(s):  
Inflammatory Bowel Disease ◽  
Bowel Disease ◽  
Hospital Admissions ◽  
Population Based ◽  
Administrative Database ◽  
Diagnosis Codes ◽  
Prevalent Cohort ◽  
Diagnostic Position ◽  
Inflammatory Bowel ◽  
Log Linear

Abstract Background Most administrative studies of hospitalization in inflammatory bowel disease (IBD) use two definitions: IBD in any diagnostic position (IBD-ANY), and IBD as the most responsible diagnostic (IBD-MRD). There is a third less commonly used definition: total hospitalization; this definition captures all hospitalizations of prevalent IBD patients and therefore it can give a more realistic picture of the burden of IBD. Aims To compare differing definitions (total, IBD-ANY, and IBD-MRD) of hospitalizations. Methods A previously defined population-based IBD prevalent cohort for Alberta (n=30,698) was used to pull all hospital admissions from the Discharge Administrative Database (DAD; 2002–2015). Three hospitalization definitions were used: i. Total (all hospitalizations of prevalent cohort independent of presence of code for IBD); ii. IBD-ANY (code for IBD [K50.x; K51.x] contained in any diagnosis field); and, iii. IBD-MRD (most responsible diagnosis was IBD). Age- and sex- standardized rates (2015 Canadian population) were calculated using the prevalent population. Log-linear regression was performed to calculate Average Annual Percentage Change (AAPC) with associated 95% confidence intervals (CI) of each type of hospitalization. We assessed the top five most common most-responsible diagnosis codes for hospitalizations that were contained in the total hospitalizations but not an IBD-ANY hospitalization. Results From 2002 to 2015, 63.5% of IBD prevalent patients in AB had ≥1 hospitalization; 44.2% had ≥1 IBD-ANY hospitalization; 28.6% had ≥1 IBD-MRD hospitalization; and, 40.6% had a hospitalization that did not contain a code for IBD. All hospitalization rates decreased significantly over time. Of the top five most common most responsible diagnosis, contained in admissions that were not IBD-ANY, three were gastroenterological: i. K52.9 (non-infective gastroenteritis); ii. A09.9 (diarrhea and gastroenteritis of presumed infectious origin); and, iii. Z43.2 (attention to ileostomy). Conclusions Total hospitalizations is an important measure to report since accounting for all hospitalizations of IBD patients is necessary in order to allocate healthcare resources appropriately. To be able to ensure these patients receive the care they need we need to be able to accurately assess the true burden of IBD. Funding Agencies CIHR

Seasonal Variation of Hospital Admissions for Inflammatory Bowel Disease: An 11-Year Perspective in the U.S.

2016 ◽  
Vol 111 ◽  
pp. S285-S286
Author(s):  
Moiz Ahmed ◽  
Saqib Abbasi ◽  
Dhaval Pau ◽  
Sarah Tareen ◽  
Hafiz Khan ◽  
...  
Keyword(s):  
Inflammatory Bowel Disease ◽  
Seasonal Variation ◽  
Bowel Disease ◽  
Hospital Admissions ◽  
Inflammatory Bowel ◽  
The U.S

scholarly journals S747 Increase in National Cost of Inpatient Inflammatory Bowel Disease Hospital Admissions Between 2000 and 2015

2021 ◽  
Vol 116 (1) ◽  
pp. S343-S344
Author(s):  
Alexander Beschloss ◽  
Nathaniel Fessehaie ◽  
Vivek Nimgaonkar ◽  
Erik X. Tan ◽  
Daniel Travis ◽  
...  
Keyword(s):  
Inflammatory Bowel Disease ◽  
Bowel Disease ◽  
Hospital Admissions ◽  
Inflammatory Bowel ◽  
Disease Hospital

scholarly journals Apparent Disparities in Hospital Admission and Biologic Use in the Management of Inflammatory Bowel Disease between 2014–2018 in Some Black and Ethnic Minority (BEM) Populations in England

2020 ◽  
Vol 2 (2) ◽  
pp. 144-151
Author(s):  
Affifa Farrukh ◽  
John Mayberry
Keyword(s):  
Inflammatory Bowel Disease ◽  
South Asian ◽  
Migrant Workers ◽  
Bowel Disease ◽  
Hospital Admissions ◽  
Queen Elizabeth Hospital ◽  
Eastern European ◽  
Princess Alexandra Hospital ◽  
College Hospital ◽  
Inflammatory Bowel

Discrimination in delivery of care to patients with inflammatory bowel disease has been reported in the UK with regards to the South Asian population. This paper explores whether it is also true for Afro-Caribbean and Eastern European migrant workers. Treatment was investigated in NHS trusts, which served substantial migrant and minority communities, through Freedom of Information requests for data on use of biologics or hospital admissions over a five year period. In Bristol, Nottingham, Derby and Burton, Princess Alexandra Hospital Trust in Harlow, Essex and Kings College Hospital NHS Foundation Trust in South London Afro-Caribbean patients were treated significantly less often than White British patients. Eastern European migrant workers, were admitted significantly less often in Croydon, and the Princess Alexandra Hospital NHS Trust in Essex. However, there was no evidence of barriers to access for these communities in Wye Valley Trust, University Hospitals of Bristol NHS Foundation Trust or Queen Elizabeth Hospital Kings Lynn. In North West Anglia both South Asian and Eastern European patients were significantly less likely to be admitted to hospital than members of the White British community. It is incumbent on all gastroenterologists to consider their own clinical practice and encourage their hospital units to adopt effective policies which remove discriminatory barriers to good quality care.

Nurse-led early evaluation following corticosteroid prescription in patients with inflammatory bowel disease

2021 ◽  
Vol 19 (8) ◽  
pp. 36-41
Author(s):  
Philip R Harvey ◽  
Jayne Slater ◽  
Akram Algieder ◽  
Judith Jones ◽  
Beth Bates ◽  
...  
Keyword(s):  
Inflammatory Bowel Disease ◽  
Bowel Disease ◽  
Retrospective Cohort ◽  
Hospital Admissions ◽  
Care Centre ◽  
Potential Reduction ◽  
Early Evaluation ◽  
Evaluation Group ◽  
Inflammatory Bowel ◽  
Specialist Nurses

Background The Toronto consensus for management of ulcerative colitis (UC) recommends early evaluation of UC patients 2 weeks after initiation on corticosteroids. A system for early evaluation of inflammatory bowel disease patients was established by specialist nurses in a secondary care centre. Aim To compare outcomes following early evaluation to the previous service. Methods All patients undergoing early evaluation over a 1-year period were prospectively audited and compared to a retrospective cohort of patients receiving prednisolone in the preceding year. Findings Of 140 patients included, 76 (54.3%) underwent early evaluation. All patients in the early evaluation group received drug education and details of the nurse helpline (17.1% of patients did not already have this). Of patients, 81.6% were prescribed Adcal, and 83.9% were on 5-aminosalicylates. Fewer admissions were observed within 6 months following early evaluation (8.6% vs. 23.4%, p=0.013). Conclusion Multiple benefits of early evaluation were observed, including a potential reduction in hospital admissions.

P292 Inflammatory bowel disease and their implications in Roma ethnicity: A preliminary study

2020 ◽  
Vol 14 (Supplement_1) ◽  
pp. S298-S299
Author(s):  
B Castro ◽  
M J García García ◽  
M Pascual ◽  
J L Fernández-Forcelledo ◽  
J Crespo ◽  
...  
Keyword(s):  
Inflammatory Bowel Disease ◽  
Ethnic Group ◽  
Surgical Procedures ◽  
Bowel Disease ◽  
Clinical Characteristics ◽  
Hospital Admissions ◽  
Aggressive Disease ◽  
Significant Difference ◽  
Caucasian Patients ◽  
Inflammatory Bowel

Abstract Background The pathogenesis of inflammatory bowel disease (IBD) is multifactorial and many factors have been involved such as genetic or environmental elements. The characteristics of IBD in different ethnic groups have been investigated to clarify the North-South gradient. We considered that Roma patients seem to have a more aggressive disease than Caucasian patients but no data to support this feeling is published. For this reason, the aim of our study is to analyse clinical characteristics of our cohort of IBD patients comparing Roma and Caucasian ethnicity Methods A retrospective cohort study was realised in both IBD Units to compare Roma and Caucasian groups. IBD patients were identified in the outpatient clinic. Demographical, clinical characteristics, pharmaceutical requirements and surgeries were collected. This group was matched by age, gender, disease and location of IBD with Caucasian patients. Results 24 Roma patients were identified in our cohort. The prevalence of Gypsy ethnic group in our cohort was 1.66%. A percentage of 41.67% were men (n = 10) meanwhile 58.33% (n = 14) were women. The average age of the patients of our cohort was 43.77 years (SD 12.82). Crohn’s disease (CD) was observed in 62.5% (n = 15), ulcerative colitis (UC) in 29.19% (n = 7) and Unclassified IBD in 8.33% (n = 2). A statistic significant difference in family history was observed in the group of Roma patients (50%, n = 12 vs. 8.34%, n = 2) (p =0.001). Regarding to therapy, the Roma group required biological treatment in 58,32% (n = 14) compare to a percentage of 25% (n = 6) (p = 0.019) in the Caucasian group. We also found more hospital admissions (5.18 (SD 4,33) vs. 2,5 (SD 1,93) (p = 0,04)) and surgical procedures (41.66%, n = 10 vs. 12.5%, n = 3) (p = 0,023). Conclusion In our cohort, the Roma IBD patients showed more familial aggregation than the Caucasian group. An aggressive disease was also found in Roma patients and the subsequent increase in biological therapy, hospital admissions and surgical procedures to control the disease. Future studies should be performing to investigate genetic or environmental factors associated with this ethnic group.

scholarly journals P769 Seasonal variations in acute hospital admissions with inflammatory bowel disease

2019 ◽  
Vol 13 (Supplement_1) ◽  
pp. S505-S506
Author(s):  
A Yadav ◽  
E Kelly ◽  
P R Armstrong ◽  
M N Fauzi ◽  
C McGarry ◽  
...  
Keyword(s):  
Inflammatory Bowel Disease ◽  
Bowel Disease ◽  
Seasonal Variations ◽  
Hospital Admissions ◽  
Acute Hospital ◽  
Inflammatory Bowel
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