Most Read Articles
5 days ago

Dr Michael Lim, a senior consultant at the Paediatric Pulmonary and Sleep Division, National University Hospital, Singapore, speaks to Roshini Claire Anthony on the rare disease that is cystic fibrosis.

3 days ago
Susceptibility‐guided therapy is as effective as empiric modified bismuth quadruple therapy for the first-line treatment of Helicobacter pylori infection, with both yielding excellent eradication rates, as shown in a recent trial.
5 days ago
It appears that long-term consumption of fish and omega-3 fatty acid does not influence the risk of incident hypertension in middle-aged and older men, suggests a US study.
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8 predictors of 30-day readmission for diverticular haemorrhage

14 Mar 2019

A recent study has identified multiple comorbidities that increase the risk of 30-day readmission for diverticular haemorrhage, which stands at 12 percent.

A total of 29,090 index hospitalizations for diverticular haemorrhage were analysed. Of these, 3,484 (12 percent) 30-day readmissions occurred, with a diagnosis of recurrent diverticular haemorrhage in 896 (3 percent) cases.

The following factors increased the risk of 30-day readmission: index admission with renal failure (odds ratio [OR], 1.31; 95 percent CI, 1.19–1.43), congestive heart failure (OR, 1.30; 1.17–1.43), chronic pulmonary disease (OR, 1.19; 1.09–1.29), coronary artery disease (OR, 1.12; 1.03–1.21), atrial fibrillation (OR, 1.12; 1.02–1.22), cirrhosis (OR, 1.95; 1.29–2.93), performance of blood transfusion (OR, 1.23; 1.15–1.33) and abdominal surgery (OR, 1.24; 1.03–1.49).

In this study, the authors utilized the 2013 National Readmission Database sponsored by the Agency for Healthcare Research and Quality focusing on hospitalizations with the primary or secondary discharge diagnosis of diverticular haemorrhage or diverticulitis with haemorrhage. Repeat readmissions, index hospitalizations during December and those resulting in death were excluded.

Readmission within 30 days of index hospital discharge was the primary outcome, while secondary outcomes of interest included medical and procedural comorbid risk factors. Logistic regression analysis was used to analyse data.

“The 2010 Affordable Care Act introduced the Hospital Readmissions Reduction Program to reduce healthcare utilization. Diverticular disease and its complications remain a leading cause of hospitalization among gastrointestinal disease,” the authors noted.

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Most Read Articles
5 days ago

Dr Michael Lim, a senior consultant at the Paediatric Pulmonary and Sleep Division, National University Hospital, Singapore, speaks to Roshini Claire Anthony on the rare disease that is cystic fibrosis.

3 days ago
Susceptibility‐guided therapy is as effective as empiric modified bismuth quadruple therapy for the first-line treatment of Helicobacter pylori infection, with both yielding excellent eradication rates, as shown in a recent trial.
5 days ago
It appears that long-term consumption of fish and omega-3 fatty acid does not influence the risk of incident hypertension in middle-aged and older men, suggests a US study.
3 days ago
The risk factors and outcomes associated with an increased risk of permanent pacing include atrial fibrillation (AF) ablation, multivalve surgery and New York Heart Association (NYHA) functional class III/IV, a recent study has found.