Ding Zhijie, Patel Aarti, Izanec James, Pericone Christopher D, Lin Jennifer H, Baugh Christopher W
Janssen Scientific Affairs, Janssen Pharmaceuticals, Horsham, PA, USA.
Janssen Scientific Affairs, Janssen Pharmaceuticals, Titusville, NJ, USA.
J Mark Access Health Policy. 2021 Apr 19;9(1):1912924. doi: 10.1080/20016689.2021.1912924.
: This study evaluated emergency department (ED) visit trends, subsequent inpatient admissions for patients with inflammatory bowel disease (IBD) diagnosis and IBD-related abdominal pain (AP), and hospital-level variation in inpatient admission rates in the USA (US). : This population-based, cross-sectional study included data from Nationwide Emergency Department Sample (NEDS, 2006─2013) database. Patients ≥18 years of age with primary ED diagnosis of IBD/IBD-related AP were included. Variables included demographics, insurance information, household income, Quan-Charlson comorbidity score, ED discharge disposition, and length of hospital stay (2006, 2010, and 2013). Variation between hospitals using risk-adjusted admission ratio was estimated. : Annual ED visits for IBD/100,000 US population increased (30 in 2006 vs 42 in 2013, p = 0.09), subsequent admissions remained stable (20 in 2006 vs 23 in 2013, p = 0.52). ED visits for IBD-related AP increased by 71% (7 in 2006 vs 12 in 2013; p = 0.12), subsequent admissions were stable (0.50 in 2006 vs 0.58 in 2013; p = 0.88). Proportion of patients with subsequent hospitalization decreased (IBD: 65.7% to 55.7%; IBD-related AP: 6.9% to 4.9%). Variation in subsequent inpatient admissions was 1.42 (IBD) and 1.96 (IBD-related AP). : An increase in annual ED visits was observed for patients with IBD and IBD-related AP; however, subsequent inpatient admission rate remained stable.
本研究评估了美国炎症性肠病（IBD）诊断患者及IBD相关腹痛（AP）患者的急诊科（ED）就诊趋势、随后的住院情况，以及医院层面住院率的差异。本基于人群的横断面研究纳入了来自全国急诊科样本（NEDS，2006 - 2013年）数据库的数据。纳入年龄≥18岁、以IBD/IBD相关AP为主要ED诊断的患者。变量包括人口统计学、保险信息、家庭收入、全查尔森合并症评分、ED出院处置情况以及住院时长（2006年、2010年和2013年）。使用风险调整后的入院率估计医院之间的差异。IBD患者每年每10万美国人口的ED就诊次数增加（2006年为30次，2013年为42次，p = 0.09），随后的住院情况保持稳定（2006年为20次，2013年为23次，p = 0.52）。IBD相关AP的ED就诊次数增加了71%（2006年为7次，2013年为12次；p = 0.12），随后的住院情况稳定（2006年为0.50次，2013年为0.58次；p = 0.88）。随后住院患者的比例下降（IBD：从65.7%降至55.7%；IBD相关AP：从6.9%降至4.9%）。随后住院情况的差异为1.42（IBD）和1.96（IBD相关AP）。观察到IBD和IBD相关AP患者的年度ED就诊次数增加；然而，随后的住院率保持稳定。
