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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
Rachel Soon, 2 days ago

Gels utilizing Stichopus horrens (golden sea cucumber/gamat) extract show a similar efficacy to standard-of-care hydrogels for promoting wound healing, according to a prospective study.

6 days ago
Sleep difficulties are exacerbated in long-term survivors of childhood cancers, which may lead to persistent emotional distress, a new study has found.
Yesterday
Higher cancer symptom burden in elderly adults is associated with functional impairment, reports a recent study.
Jairia Dela Cruz, 4 days ago
Use of mirabegron in the treatment of men with overactive bladder (OAB) appears to effectively alleviate urgency and storage symptoms, but not reduce the frequency of micturition episodes, according to data from the MIRACLE study.