Saleem Saad, Inayat Faisal, Aziz Muhammad, Then Eric O, Zafar Yousaf, Gaduputi Vinaya
Department of Internal Medicine Sunrise Hospital and Medical Center Las Vegas Nevada USA.
Department of Internal Medicine Allama Iqbal Medical College Lahore Pakistan.
JGH Open. 2021 Jan 27;5(3):350-355. doi: 10.1002/jgh3.12500. eCollection 2021 Mar.
To determine the United States-based in-hospital gastroparesis mortality rate and independent predictors associated with it.
A retrospective study was conducted using the deidentified National Inpatient Sample and Healthcare Cost and Utilization Project database between the years 2012 and 2014. The in-hospital gastroparesis mortality rate was calculated. Patients' demographics, including age, gender, race, comorbid conditions, and hospital characteristics, were examined as potential predictors of mortality.
The gastroparesis mortality rate was 3.19 per 1000 gastroparesis patients for the years 2012-2014. Caucasians had the highest mortality rate, with odds ratio (OR) = 2.27; 95% confidence interval (CI) 1.52-3.38, and = 0.0001. Rural hospitals had higher mortality, with OR = 1.51, 95% CI 1.10-2.10, and = 0.01, whereas urban nonteaching and teaching hospitals showed no statistically significant mortality difference, with OR = 0.83, 95% CI 0.6-1.15, and = 0.27 and OR = 0.82, 95% CI 0.59-1.15, and = 0.25, respectively. In hospitals in the south region, mortality was the highest at 65.6%, with OR = 2.05, 95% CI 1.48-2.84, and < 0.0001. Patients with diabetes mellitus had 39% lower probability in the mortality group.
Being of advanced age; being White; and being in a rural, southern U.S. hospital were predictors of in-hospital mortality in gastroparesis patients.
确定美国住院期间胃轻瘫的死亡率及其相关的独立预测因素。
利用2012年至2014年期间去识别化的全国住院患者样本和医疗成本与利用项目数据库进行了一项回顾性研究。计算了住院期间胃轻瘫的死亡率。对患者的人口统计学特征，包括年龄、性别、种族、合并症以及医院特征进行了检查，作为死亡率的潜在预测因素。
2012 - 2014年期间，每1000例胃轻瘫患者的胃轻瘫死亡率为3.19。白人的死亡率最高，优势比（OR）= 2.27；95%置信区间（CI）为1.52 - 3.38，P = 0.0001。农村医院的死亡率较高，OR = 1.51，95% CI为1.10 - 2.10，P = 0.01，而城市非教学医院和教学医院的死亡率无统计学显著差异，OR分别为0.83，95% CI为0.6 - 1.15，P = 0.27以及OR = 0.82，95% CI为0.59 - 1.15，P = 0.25。在南部地区的医院，死亡率最高，为65.6%，OR = 2.05，95% CI为1.48 - 2.84，P < 0.0001。糖尿病患者在死亡组中的概率低39%。
高龄、白人以及在美国南部农村医院就诊是胃轻瘫患者住院死亡率的预测因素。
