Soriano Celine R, Powell Charleston R, Chiorean Michael V, Simianu Vlad V
Department of Surgery, Virginia Mason Franciscan Health, Seattle, WA 98101, United States.
Department of Internal Medicine, Madigan Army Medical Center, Tacoma, WA 98431, United States.
World J Clin Cases. 2021 Sep 16;9(26):7632-7642. doi: 10.12998/wjcc.v9.i26.7632.
Treatment for inflammatory bowel disease (IBD) often requires specialized care. While much of IBD care has shifted to the outpatient setting, hospitalizations remain a major site of healthcare utilization and a sizable proportion of patients with inflammatory bowel disease require hospitalization or surgery during their lifetime. In this review, we approach IBD care from the population-level with a specific focus on hospitalization for IBD, including the shifts from inpatient to outpatient care, the balance of emergency and elective hospitalizations, regionalization of specialty IBD care, and contribution of surgery and endoscopy to hospitalized care.
炎症性肠病（IBD）的治疗通常需要专科护理。虽然IBD护理的大部分工作已转移到门诊环境，但住院治疗仍然是医疗保健利用的主要场所，相当一部分炎症性肠病患者在其一生中需要住院或手术治疗。在本综述中，我们从人群层面探讨IBD护理，特别关注IBD的住院治疗，包括从住院治疗向门诊治疗的转变、急诊和择期住院治疗的平衡、IBD专科护理的区域化，以及手术和内镜检查对住院护理的贡献。
