Readmission for Treatment Failure After Nonoperative Management of Acute Diverticulitis: A Nationwide Readmissions Database Analysis
BACKGROUND:
The true incidence of, and risk factors for, readmission for treatment failure after nonoperative management of acute diverticulitis remain poorly understood.
OBJECTIVE:
The purpose of this study was to describe the incidence and risk factors for readmission for treatment failure after nonoperative management of acute diverticulitis using a large national database.
DESIGN:
This was a retrospective cohort study.
SETTINGS:
A representative sample of admissions and discharges from hospitals in the United States captured in the National Readmissions Database were included.
PATIENTS:
Adult patients (age ≥18 y) admitted with a primary diagnostic of colonic diverticulitis between 2010 and 2015 and who were managed nonoperatively and discharged from hospital alive were included.
INTERVENTIONS:
Study intervention included nonoperative management, consisting of medical therapy with or without percutaneous drainage.
MAIN OUTCOME MEASURES:
Readmission for treatment failure (defined as a nonelective readmission for diverticulitis within 90 d of discharge), complicated treatment failure (defined as a treatment failure with complicated diverticulitis), and time-to-treatment failure were measured.
RESULTS:
In total, 201,384 patients were included. The overall incidence of readmission for treatment failure was 6.6%. Treatment failure was significantly higher among patients with an index episode of acute complicated diverticulitis compared with acute uncomp...
Source: Diseases of the Colon and Rectum - Category: Gastroenterology Tags: Original Contributions: Benign Source Type: research
More News: Databases & Libraries | Diverticular Disease | Gastroenterology | Hospitals | Study | USA Health